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testosterone treatment for a G9

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Posted 3/20/2015 11:49 AM (GMT 0)
So a year after RALP with some nerve damage and little response to Viagra I decided to take my uro's advice and see his ED specialist and start trimix injections. Very glad I did. The procedure is straight forward and the results are satisfying with a low, 5 unit, dosage for me. (YMMV) I highly recommend this path for those in a similar situation.

In preparing for the treatment I had my testosterone tested and it came out quite low (172). This prompted additional T testing, still awaiting results, and a DXA bone density test which indicates osteopenia. When the results are all in I'll be going back to discuss things with the ED doc. So I've been doing some homework.

I know that the connection between testosterone treatment and PCa recurrence is complicated. I've seen some studies with small populations of post PCa treatment men with low risk of recurrence (G6) taking testosterone treatments with good results and no cancer recurrence. My question is whether T-treatment for high risk men is still contraindicated.

I have a high level of confidence with my doctors at MSKCC, Eastham (surgery) and Mulhall (ED, yes, the guy who wrote the book). I just wanted to reach out to this group for your collective wisdom. Anybody else find themselves in a similar situation? What questions should I be preparing for my next consultation?

BTW, I certainly count myself as being on the sunny side of the street in this dangerous neighborhood we find ourselves in. I feel great. I exercise regularly. My PSA is holding undetectable. No leaking, to speak of. And most importantly, my relationship with my wife is strong, loving, and just plain wonderful.

Walter
Posted 3/20/2015 12:11 PM (GMT 0)
Welcome to the Forum Walt! From what I see from your post, you're a G9 a not so hot path report. Am I right to say you want to boost your T for your libdo? That's what I take you to be saying saying. I personally think you'd be playing with fire to do TRT. You're undectable now but remember the T3b, SVI, and +margins. I'd have a real good chat with the Doctors.

Cheers, Doug
Posted 3/20/2015 1:46 PM (GMT 0)
Walter,
I'd be very care playing with T at the moment. The real question is - are there any nasty PC cells still floating around you system that T could feed.

I didn't understand from your post why you're considering testosterone treatments. Is the low T causing you a problem at the moment?

Well, there are folks here who know the science of this better than me, they'll be along soon.

Andrew
Posted 3/20/2015 2:32 PM (GMT 0)
Doug and Andrew -- yes, I plan to be very careful about T and will have full discussion with the doc. Thanks for your concern.

Actually, I have very few symptoms connected to low T, my libido and energy levels are doing fine. My main concern is with the osteopenia, and potential osteoporosis, and with the increased risk of cardiovascular problems.

The contention that "T feeds cancer cells" seems to have fallen into some dispute in the last several years. As I said before, the connection between T and prostate cancer is complicated and not thoroughly understood -- at least that's how I read things.

And, oh, I'm not new to this site, just not much of a poster. I've been reading with great interest since just after my surgery. I thoroughly respect the knowledge and care that's available here.

Walter
Posted 3/20/2015 3:16 PM (GMT 0)
Walter, there has been discussion about T and it is complicated, agreed, but I don't think there's much doubt about T fuelling PCI. I had a steadily rising PSA post op with a PASDT of about 3 mos. Had my testicles removed and PSA dropped to undectable in under 3mos., no other medication or treatment. There is absolutely no doubt in my mind that there is a strong relationship between T an PC, at least in my case.

Cheers, Doug
Posted 3/20/2015 3:21 PM (GMT 0)
If the newer "saturation theory" of testosterone and PCA is correct, your current T levels are above the saturation level, and adding exogenous T should not increase risk.

But, it's still a theory and not fully vetted.

I would say that it's a tough call. I was a G7 (just barely - one small focus of GP4) with very clean pathology and I'm on T. We do have one G9 person here who is on T, and I expect you will hear from him shortly.

Good luck.
Posted 3/20/2015 4:26 PM (GMT 0)
Walt, since you have been perusing for a while, you may alreadybe aware of this thread for the G9 crew to post onto

www.healingwell.com/community/default.aspx?f=35&m=3182035&g=3182504#m3182504
Posted 3/20/2015 6:02 PM (GMT 0)
A G-9 with a positive margin? I guess a fast way to find out if you are cured or not would be to do a little TRT......Best of luck to you.....
Posted 3/20/2015 7:28 PM (GMT 0)
I think your adverse pathology report merits more caution than in most men. So far, so good. I'm sure your Uro will want to watch it for a while longer before giving you TRT. If your libido is fine, you certainly don't need it. Every man is different in the amount of T he needs for good libido.

- Allen
Posted 3/22/2015 9:29 AM (GMT 0)
I'm a G9 on T replacement. Read my profile story. My PSA < .01 for awhile now and my URO and ENDO agreed that extra T supplementation would not be a problem. I've been on T replacement for more than a year now.

So far so good. Most of my PSA < .01 results were taken whilst on 3 monthly Nibido injections.

Take care!
.
Posted 3/22/2015 9:50 AM (GMT 0)
Shaba.doug

Noticed that "17/03/15. < 0.02" awesome! Good figures!

.
Posted 3/22/2015 11:20 AM (GMT 0)
3.7, Thanks! The "de-nutting" appears to be working!

Cheers, Doug
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