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Thank you so much for your reply.
John is in good physical shape. He goes to the gym 3 days a week.
He feels so good but with a spa of 7.2 his urologist and oncologist feel it is time to start treatment.
He is going to take casodex for 2 weeks (oral) and then get a 3 month lupron shot.
Hope he has minimal side effects. I take it your psa has come down since you are no longer on the medication?
I had a prostatectomy 6 years ago and then salvage radiation and 6 months of hormone treatment about 5 years ago. So far my PSA is still undectable but as I was T3B, GS 4 & 3 and PSA of 12 initially I do expect it to come back within 12 years. The PC hides out in the bone niche in a dormant state and then can return many years later, quite unlike most other cancers where you can say it is gone if it doesn't come back for 5 years.
A PSA of 7.2 is probably the point at which many oncologist would want to start treatment. Nobody really knows but I've heard of some starting at 1 and others at 20 for this situation. With a bit of luck going on and off hormone treatment will last for 10 years and by then there should be a cure or at least a really good drug to keep the PC under control.
Some people have more trouble with the 3 month shot so he might ask for a 1 month shot to begin with but your oncologist might have more knowledge about that.
