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Posted 11/7/2019 2:25 PM (GMT 0)
It has been a year since my ldr brachy and I'm now at 1.3. Its going down, but it sure is going down slowly which is weird. I guess I assumed that at 1 year it would be lower, but since its dropping I guess I shouldn't fret?
thx
Posted 11/7/2019 2:40 PM (GMT 0)
You’re doing well.👍
Posted 11/7/2019 2:45 PM (GMT 0)
What mattam said!
And to add, since you still have a prostate, you will always have a PSA.
Time to watch if it rises.
Posted 11/7/2019 3:08 PM (GMT 0)
Down ward is good....
Congrats..
Posted 11/7/2019 3:20 PM (GMT 0)
ldog mine took what seemed like forever to get down there. It was frustrating, and stressful. I wondered if it even worked, or maybe the seeds weren't "hot" enough, etc.

I've read, don't remember where, that a slow drop is better than a fast one - it was some medical study, not some stranger on the web.

Hang in there, you will get there.
Posted 11/7/2019 3:27 PM (GMT 0)
Buddy, I read that too. The article had something to with the aggressiveness of the cancer. And that if it drops slowly that it's not as aggressive, etc.
Posted 11/7/2019 4:11 PM (GMT 0)
It can take a long time. You're doing just fine.
Andrew
Posted 11/7/2019 4:30 PM (GMT 0)
This trend is your friend. It can take five years to reach PSA nadir following radiation as a primary treatment. And throw in a few bounces here and there. Be patient and enjoy life.
Posted 11/7/2019 5:07 PM (GMT 0)
Yes, you are doing just fine.
Perhaps your PSA will stay around that level and that would be just fine as well.
Mine has been around 1.4 (after SBRT and IMRT; see my signature) and I am super happy. Thanks to all the professionals who helped me!

Post Edited (Sr Sailor) : 11/8/2019 3:05:46 PM (GMT-7)

Posted 11/7/2019 11:53 PM (GMT 0)
ldog - I just met with my uro and RO, and had about the same conversation. My pre-treatment PSA was 5.69, and now, about 3 years out from SBRT, it is down to 1.55. Mine has been a slow and bumpy decline, but both my Uro and RO agree that the slower trend down is a good thing, as are the bumps I have experienced in my journey. Don't fuss or worry, just watch the long-term trend.

Also, remember, it isn't considered a recurrence until it hits your nadir (lowest point post-treatment) plus 2.0. So, in your case, unless your PSA exceeds 3.3, it is just bumping and making noise. (Might make you uneasy, too, but probably not your uro, unless it shows an upward trend.)

Good job. Keep up the good work!

P.S. You have been to the sensei of seeds, at least here in the middle of the States. Trust in him, too.
Posted 11/8/2019 2:35 PM (GMT 0)
Thanks all.
Posted 11/9/2019 2:50 AM (GMT 0)
My RO says RT for PCa is a marathon and not a sprint. Every treatment option has advantages and disadvantages. Those of us that choose any of the radiation treatment options don’t get a pathology report; however, all the treatment options have to monitor PSA. That said RT guys usually escape some nasty side effects that the surgery guys can have. My RO also says that PSA can be a bumpy road and that’s not necessarily a bad thing. Bounces are common between 18 and 36 months and happen in about 25% of RT guys. Those guys and those with a slow downward trend tend to do very well in the long run. Nadir may take three to five years to achieve. Good luck. 👍
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