I just got today the first PSA and Testosterone results since the first Eligard shot in nov26, 2010. They came as; PSA=0.18ng/ml and T= 28ng/dl. They are lower from a PSA=1.0 and T= 376, before treatment.
I do not know the real meaning of these numbers in the overall contest of the hormonal treatment, but I read that the PSA should be approximately 80% lower and that Testosterone should be closer to castrate levels. The low testosterone in my body is evident as I am experiencing fatigue symptoms and changes in mood with some emotional expressions. I am happy of thinking that cancer has been punched again. My only desire is that it stays on the ring-canvas for a long period of time so that I can hope for an added ten years to the ten already survived.
For those interested in knowing my case, here is the chronology of events.
I was diagnosed with prostate cancer at 50 years old in 2000 with a PSA=22.4 and 6-core biopsy all positive. Open RP was done in Aug/2000 and the pathological report indicated a Gleason score of 2+3=5 and P-Stage as pT3apN0. Nadir PSA got me to 0.18 and Biochemical Recurrence was declared at a PSA=0.26, just 6 month after RP. Diagnosed with Micro-metastases, I was recommended to be under observation (Watchful Waiting) during 6 years until my PSA reached 3.80. SRT followed in Nov/2006 and again I experienced a very low nadir PSA of 0.05 on the thirteen’s month and a Biochemical Recurrence PSA=0.26 on the 29th month post SRT. In Nov/2010 the PSA reached the mark 1.0 which triggered the start of ADT with Cyproterone 2x50mg/daily for one month, and Eligard (Leuproline acetate) 45mg 6-months shot.
During the ten years of survival I never became incontinent and was asymptomatic but ED never returned to a full normality.
The several bone scans, MRIs, ultrasounds, etc. including the latest eMRI (pelvic+abdominal) and bone Scintigraphy of Nov/2010, were all negative to metastases and to any lesion in the principal organs.
In 2001 I started taking a 100mg Aspirin daily, and took on&off periods of vitamin E (dl-Alpha) 400mg and Selenium 200mg.
5 years ago I gave up with the stress from my job (earlier retirement) and started a physical fitness program to help me counter the side effects from therapies.
I want to thanks for the many posters in the net which with my care givers, have helped me to get me into this date. And wish to all PCa survivors a new year of fantastic diagnosis.