PSA rise after radiotherapy

User

Posted 24 Sep 2020 at 21:54

finished RT 18 months ago and hormone therapy in January 2020. Has Psa 84 and locally advanced in seminal vesicles at diagnosis. Gleason 7.

Psa trend worrying

March 0.31

June 0.87

July 0.6

Sept 0.94

See oncologist in a week. Doesn't look good!

User

Posted 24 Sep 2020 at 23:25

Hi Glenlia,
you still have a prostate which will produce small amounts of healthy PSA and now the HT is leaving your system, the testosterone levels will be starting to go back to normal - as long as your PSA stays under 2.0 + nadir ( in your case, that may be 2.31 .... did it ever go lower than 0.31?) your oncologist will be mighty happy and you can celebrate!

Edited by member 24 Sep 2020 at 23:27 | Reason: Not specified

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User

Posted 25 Sep 2020 at 08:17

Hi Lyn

Thanks for the swift feedback. Yes 0.31 was the lowest it reached. That was at the end of the January 3month Triptorelin injections (March) ie 18 months of HT. Ive read about the 2 over nadir. Have you known of psa tests varying like mine and then settling at around 1 with good outcomes.

When I had the 0.87 reading the slightly old school oncologist suggested I might have to go back on hormones which seems like life prolonging rather than cure strategy/perspective.

I'm on very strict diet and supplement regime. Fit and active.

Regards

User

Posted 25 Sep 2020 at 15:59

It can settle at 2 and still have good outcomes - you might have a lot of healthy prostate cells regenerating.

Your onco sounds like fun. Are you confident that none of your supplements or dietary changes have an unintended side effect of raised PSA?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

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