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Monday, December 22, 2014

Is It an Option? Part 6

Posted by William on July 3, 2012

Osterloh, who also has BPH, has been off the hormone therapy for nearly seven years but still takes the proscar as maintenance. During the 13 months of therapy, his PSA was under 4. After the treatments, his PSA occasionally rose and fell, once going as high as 7.

Dr. Leibowitz doubled my dose of proscar, and it went down again,? he says. Since I have BPH, it’s hard to know if my rise in PSA is from BPH or cancer. These days, my PSA stays between 4 and 5. I feel great. My prostate is still enlarged. If it gets worse, I might do something about it.

I don’t think there’s one prostate cancer fix for everyone, Osterloh adds. Some men do well with surgery. Some men do well with radiation. Who knows? We’re all guinea pigs. In six years, there may be better treatments available — there may even be a cure.

Leibowitz says he’s not claiming triple hormone blockade is a miracle cure. He’s simply putting it on the table for consideration. We’re hopeful this study will help men understand they have more treatment options than they think when diagnosed with prostate cancer. Triple hormone blockade is a viable therapy for thousands of men. And, starting today, they should be made aware of this option when deciding how to treat their disease.

Crawford is not convinced. I’m a big believer in the idea of “Do no harm”, but I don’t think there’s a free ride here, says Crawford. Every option has a down side. For a 50-year-old, I’d say hormone therapy is not an option. Surgery is the best option, and some form of radiation is good. For a 70-year-old, I’d maybe consider it because he’s more likely to die with prostate cancer than from it.

Wilt calls triple hormone blockade therapy interesting.

For men whose cancer has spread beyond the prostate, he says, it’s not controversial at all. But for men with localized prostate cancer, it’s really early to tell and far too early to recommend. The best advice is to find a doctor you trust to help you weigh your stage of cancer and your preferences against the available choices, then help you reach a decision you’re comfortable with.

Some men don’t experience any symptoms at all. The following are warning signs that you should make — and keep — an appointment with your physician:

the need to urinate frequently — especially during the night
difficulty in starting urination or difficulty in holding it back
inability to urinate
weak or interrupted flow of urine
pain or burning during urination
painful ejaculation
blood in urine or semen
frequent pain or stiffness in the lower back, hips or thighs

Every person need study basic first aid techniques. You never realize when you may need them – you, your loved one could be at school, at home, at work.

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