Posted 6/26/2017 6:07 PM (GMT 0)
heywardjr - I am not so sure I would stop your pellet implants. Let's just say that you stop, and then your PSA drops or levels off. Does that mean that you had cancer and don't anymore? Emphatically, NO.
I would submit that if you stop the pellets you may conceal the actual trajectory of your PSA. I would just keep on with the pellets and evaluate your PSA again. If it continues to rise, there's something there. If it levels or drops, then the pellets weren't causing it anyway.
My situation is somewhat different in that I am using T gel, and have been for about 5-6 years. Initially, my PSA did rise, from about 1.8 to 3.0, and it stayed there for about 4 years. Then it began to rise from 3 to 4, then to almost 6 when I had the biopsy. Since I was using T gel, my RO and uro felt that the T question was out of their expertise, so I was referred to Dr. Abraham Morgentaler, in Boston. He has spent much of his past 20 years researching the intersect between TRT and PCa. In his professional opinion (and I paraphrase), my body cannot tell the difference between T it makes internally and T I purchase at the pharmacy. His advice was to keep my T dosage constant and just treat and manage my PCa as if the T in my body was internally made. It made sense to me, and I didn't have to go back to the way things were before TRT.
I am NOT trying to advise you on what to do with your TRT. I AM trying to advise you to read Dr. Morgentaler's publications (they are in major peer-reviewed journals) and make your own decision. In my case, as I wanted Dr. Morgentaler's participation in my ongoing treatment along with my RO and uro, I needed to take a trip to Boston for a day to have an exam, bring records and test results and consult with him.
Note that I have no affiliation with Dr. Morgentaler other than the usual doctor-patient relationship. I just don't like it when RO's or uro's tell TRT patients with PCa that they must stop their TRT because "That's what we do."