Prostate Cancer Survivors






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Re: Manhood issues

Thanks very much Don for your inspiring comments.
But is my PSA level (0.4) alarming at the moment to warrant re-initiation of ADT? I would appreciate your fair comment again. I intend to see my oncologists about mid October, since they operate from the Cancer Diseases Hospital located about 400 km from my home town.

Re: Manhood issues

Not sure I can be of much help. In the U. S. generally speaking a PSA score below 4.0 would be non-worrisome, but this is a pre-cancer standard. Also the standard you cite for testosterone is quite different from the U. S. standard of 270 ng/dl to 679 ng/dl.
Something about you urologist's exam prompted him or her to put you on Bicalutamide and advised you to see your oncologists to re-initiate ADT. I am reluctant to question your urologist's judgement.
As much as I would like to help let's leave it to your oncologist(s) to provide you with a second opinion.
Keep us posted.
Best wishes Don O.

Re: Manhood issues

Thanks Don,
I will be seeing my oncologist between 1st and 15th October 2018, i.e., next month. I will update you after the review.
I think 5.22 ng/mml is equivalent to 522 ng/dl
My regards,

Re: Manhood issues

Dear Colleagues,
As I promised, I saw my oncologist on 17th October 2018 for review. He simply told me that they base the assessment of my state of prostate cancer on the PSA and not on testosterone level. Since my PSA was 0.23, he didn't see any problem and gave me a review after one year. He said that since I wasn't castrated surgically but on ADT, my testosterone is likely to rise. However, it will only become problematic if it goes beyond the maximum level in the range.