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I am 68 years now. I was undergoing a routine TURP procedure at 66 years , when my doctor noticed a mass that he sent to the lab. The lab results were that this mass was cancerous. This lead my urologist to do a biopsy and it turned out that my Gleason score was 9. I had cancer.
I proceed to do a cat scan and that showed the cancer had not spread to other parts. I underwent 25 external beam radiation treatments followed by seed implants in my prostate along with Casadex and a 2 year regime of Lupron shots every 3 months. I stopped taking the Casadex after about 11/2 year. I just had my last Lupron shot this morning.
My urologist says that I need to continue with my Lupron shots for 1 more year. I talked to my oncologist and he said that no studies have been done to prove that a 3 year treatment with Lupron results in a better outcome that with a 2 year. He showed me chart that the average cure rate was 85% for my Gleason score and he said there is a consensus among doctors that 3 year treatment results in a 5-7% better cure rate than a 2 year treatment but he cannot back this with up hard data as no studies have been done.
The Lupron shots cause hot flashes that are bearable. I am tired all the time and lately I’ve noticed that my speech is slurring and I have difficulty in getting my thoughts across. I have no problem writing my thoughts down ( I turn out excellent written reports) but have difficulty expressing myself. My internal medicine doctor says that is due to Lupron although I have asked my oncologist and my neurologist and they both say that there are no written studies that they are aware of that Lupron causes speech impairment.
I am concerned that taking Lupron shots for another year will lead to my speech impairment getting worse.
Can you help me out by answering the following questions:
• Has anyone experienced speech impairment after getting Lupron shots?
• Does anyone have experience with the efficacy of 3 year vs 2 year Lupron shots