Re: PSA Relapse Following Salvage Radiotherapy, can you help?
Everthing I have read about HT says the earlier you start the better. It works much better when the tumor burden is low. This is a principal that oncologists use in all cancers and it would also make sense for PC. The old theory was not to use it until bone mets.
The biology of your individual cancer will dictate how it will respond to HT. Some patients do very well on just low dose Casodex while others need a triple blockade.
The key is to find an oncologist that will monitor you and work out which works best for you, and not just give you a shot of lupron and see you in 4 months. The Scholz book goes into some of this and also how to minimize the side affects you will incurr.