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8 1/2 month PSA results

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Posted 7/21/2017 3:28 PM (GMT 0)
Good morning all, My 8 1/2 mo PSA results are in and PSA 0 my T level is 154. I am very pleased with these numbers. The only SE's I have is my Libido hasn't recovered 100% yet but I think that is mostly due to the 6 mo of lupron and the Flomax I have been on. I quit the Flomax about 2 weeks ago and the last Lupron shot was mid January. I feel like in time things will get better in this respect. At this time I am very comfortable with my decision of treatment choices and wouldn't hesitate to suggest that anyone who has to fight this beast look into SBRT as a means method of attack.
Good luck to all and God bless.
Perry
Posted 7/21/2017 4:15 PM (GMT 0)
Great report.

It can only get better from here.

Andrew
Posted 7/21/2017 4:51 PM (GMT 0)
Sounds good. I'm glad you're monitoring your T level. Mine was depressed for a year after SBRT before it recovered, and that was without a Lupron shot.
Posted 7/21/2017 5:43 PM (GMT 0)
Actually I was told over the phone that my PSA was 0 but when I got the hardcopy from the lab it was0.05. What are the thoughts on that?
Posted 7/21/2017 5:58 PM (GMT 0)
For practical purposes, .05 is a zero.

PARTY!!!
Posted 7/21/2017 6:04 PM (GMT 0)
My thought is the extra decimal point is unnecessary after radiation - it will never be zero anyway
Posted 7/21/2017 6:08 PM (GMT 0)
Thanks guys, I knew it would show something sometime just wanted some confirmation that it was good.
Posted 7/21/2017 6:45 PM (GMT 0)
Great work Chipmaker!
This thread raises a couple questions. How does SBRT affect T level and libido? (Assuming no lupron) Should T level always be included in bloodwork f/u as normal course?
Posted 7/21/2017 7:45 PM (GMT 0)
Steve-

Radiation often has a temporary dampening effect on T level through some unknown mechanism. I think it's a good idea to monitor it until it normalizes.

www.jsm.jsexmed.org/article/S1743-6095(17)31140-2/fulltext
Posted 7/21/2017 8:01 PM (GMT 0)
Thanks to Allen and all the best to Perry.
Posted 7/21/2017 10:17 PM (GMT 0)
I had my SBRT at UAB in Birmingham AL and I live about 125 miles from there. After my initial test I have had the blood drawn by my local URO for the test. I had to insist on the testosterone being checked. I can't understand why that wouldn't be standard of care after PCA treatment. No offense intended, but my local guy didn't know what SBRT was.
Posted 7/22/2017 11:25 PM (GMT 0)
Good report Chipmaker.

I'm about 100 miles from UAB myself (NW Georgia), but grew up in North Alabama.

I had my HDR Brachytherapy at Emory, by a well-known Radiation Oncologist. To be honest, he was great and all but he didn't "seem" too worried about my already low T levels. I think those guys are just focused on keeping you alive and cured. When I kept on about it, he referred me to a urologist specializing in T, ED, etc.

I have a super-smart PCP but I find that often I know things about PCA more so than he. I guess when you spend 9 hours a day, and see 25 patients with a wide variety of issues, it's hard to keep up with every specialty.
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