PSA Less than 0.01 - Next Steps, Testosterone After Hormone Therapy | Answering YouTube Comments #58

Подписаться 83 тыс.

Просмотров 74 тыс.

50% 1

Alex asks Dr. Scholz about a patient from our RU-vid comments who has a PSA of 0.28 while on hormone therapy after radiation, and answers his question whether or not he should get a PSMA PET scan.
0:09 Is a PSA of 0.023 considered undetectable? Is it safe for me to consider testosterone replacement therapy?
3:43 How long does it take for testosterone to come back after stopping hormone therapy, and does a second-generation hormone therapy like Zytiga affect that?
4:38 I am 72 years old with a Gleason 8 prostate cancer. I had IMRT and have been on hormone therapy. My PSA is currently 0.28; should I get a PSMA PET scan?
Don’t know your stage? Take the quiz: Visit www.prostatecancerstaging.org
To learn more about prostate cancer visit www.pcri.org
Who we are:
The Prostate Cancer Research Institute (PCRI) is a 501(c)(3) not-for-profit organization that is dedicated to helping you research your treatment options. We understand that you have many questions, and we can help you find the answers that are specific to your case. All of our resources are designed by a multidisciplinary team of advocates and expert physicians, for patients. We believe that by educating yourself about the disease, you will have more productive interactions with your medical professionals and receive better individualized care. Feel free to explore our website or call our free helpline at 1 (800) 641-7274 with any questions that you have. Our Federal Tax ID # is 95-4617875 and qualifies for maximum charitable gift deductions by individual donors.
The information on the Prostate Cancer Research Institute's RU-vid channel is provided with the understanding that the Institute is not engaged in rendering medical advice or recommendation. The information provided in these videos should not replace consultations with qualified health care professionals to meet your individual medical needs.
#ProstateCancer #Prostate #MarkScholzMD

Опубликовано:

23 ноя 2021

Ссылка:

Скачать:

Готовим ссылку...

Добавить в:

Мой плейлист

Посмотреть позже

Комментарии : 55

@ThePCRI 2 года назад

If you have questions about prostate cancer and need help from our Helpline team, you can email us here: help@pcri.org

@francescvilallonga6973 2 года назад

Translate to spanish....!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!!°°°°°°°°°°°°°°°°°°☆○○○○☆○○○○○○○○《《《《《《《《《《 vvvvvvvvvvvvvvvvvvvvvvvvvv

@patpegasus Год назад

@@francescvilallonga6973 oui

@lawfulldick4158 2 года назад

ALEX, this series is exquisitely produced and helpful beyond just information. It helps us in that because the system is so loaded that the oncologists and clinics drop us back to the care of our family physicians whom we seldom see and thus feel in a vacuum after all the visits for care. But You and the excellent Dr. Scholz keep us feeling "IN" the loop.

@mohammadrahman4165 2 года назад

I had PSMA PET, results indicated no spreading outside prostate, and radical prostatectomy was done on 15 Nov 2021. Now recovering well. Your video gave me hope, thank you. I’m 77.

@dalemiller5893 2 года назад

Will you get an erection or all the nerves severed,good luck.

@stanknowlton7043 2 года назад

After Lupron, my testosterone became undetectable four over four years and then rose along with my PSA to 1.3 but dropped without further treatment.

@fernandomarulanda8984 2 года назад

Good information for all of us that we have some type of prostate cancer.

@hal5386 Год назад

These videos are so helpful, thank you Alex and Dr. Scholz. Just the best!

@davider3568 2 года назад

Thank you for the relevant information which is so useful.

@klgbca 2 года назад

What are therapeutic means to measure and kill circulating cancer stem cells when low PSA is reached? 18 year survivor.

@eddiealder1722 2 года назад

Thank you so much for these videos. They are so useful for those of us with or members of family with prostate cancer. Lots of love from London England. Hugs to hunter and also you two lovely people

@steve122140 2 года назад

Great Stuff, informative

@sayedgoda2099 Год назад

With intermittent hormones therapy can the cancer cells come back as hormones resistant and causing more problems? Thank you. You are doing a great job and videos

@daisuke6072 2 года назад

Did not even know of PSMA scans until seeing these videos, so thanks for that. I wonder if it is worth having one on active surveillance.

@en1chef54 2 года назад

Me either man, thank God for this information!

@ChildofGod3712 Год назад

I was diagnosed with high risk stage four prostate cancer year before last and now my PSA level has dropped to 0.01 while on hormone therapy

@jerrysingh1617 Год назад

Which treatment are you taking

@ChildofGod3712 11 месяцев назад

@@jerrysingh1617 Casodex and Lupron

@motoretro33 2 года назад

I was diagnosed with prostate cancer in 2016, 4+3 gleason score. I had a radical prosectomy followed by salvage radiation when psa was at .08. I was put on trt about 20 years ago. After having undetectable psa for 2 years I went back on trt. After a few months my psa is back up to .06. I stopped the trt. I was wondering if you had any advice regarding trt use in the future? I'm also curious if a PSMAT scan is too early at this point? Thank you very much!

@p.a.ch.3861 Год назад

Dr. Scholz , how would a senior man age 67 , ( without cancer) to keep the PSA level low ? or any advice to prevent prostate cancer ?

@duggartaiwan786 10 дней назад

Doing combo Treatment now ❤

@georgefitzhugh6455 2 года назад

Thanks for sharing

@John-the-Bass 2 года назад

Thanks, very informative. Just what I needed to know.

@williamgibson1685 Год назад

Hello i love the clarity of this , i have a question, im on hormone therapy 6 monthly injections of Decapeptyl sr , is the common name for this in ur list so i know about what im taking , thank you, im in uk near Oxford

@hidayathkhan1952 6 месяцев назад

I am very much thankful to you for your sincere advice and information regarding proastate cancer. Your information is a hope for our worries to survive. and good guidance for treatment. Your information is sirvice to Humanity, is service to God. I pray God to give you good health to serve Humanity, Thanks

@bob8289 2 года назад

thank you for another informative video. Hello Hunter, what a handsome dude

@motorrunnenmolly8031 2 года назад

My P.S.A.is at 84.9 I was told it can go to 2,500

@assetstopurchase8432 2 года назад

I'm an engineer, not a doctor, have familiarity with science in general, but not medicine in particular. Most abnormal cell-growth, it seems, is either caused by improper synthesis of folic acid or by an exaggerated immune response caused by bacteria and other germs breaking into the body from the colon after they breed behind hardened feces. Furthermore, the only amino acids with a methyl group that can alter the DNA are Methionine and Cysteine, which also lead to the issues that manifest themselves in the conversion of methionine into SAM, cysteine into homocysteine, and also issues with folic acid absorption. What causes the hydrolysis of testosterone into hydro-testosterone? I tried parsley to prevent the conversion of testosterone into H-testosterone, and was somewhat pleased with the results. I also experimented with fat-reducing MIC Vitamin B-complex injections (Methionine Inositol, Cysteine and Vitamin B-complex injections) because people use them to dissolve fat in the body, so I wonder if they'd also help rid abnormal cells. Folic acid is a B-vitamin. Finally, I tried the 5MTHF-type of folic acid, that is already processed, so doesn't need further processing by the body. I even tried fasting and the cleaning of my colon through a blend of fasting and a diet of lemon juice. The results have been mixed, my prostate issue is far from resolved, but the pain is bearable and I have managed to keep the PSA levels low, I would still, though, want to to opt for radical prostatectomy or a focal therapy just to put my mind to ease. I suppose hormone therapy does pretty much the same as my diet, perhaps, better, but with more side effects?

@KDean22 2 месяца назад

GO SMOKE POT. YOU FUNNY

@stephenmay8926 2 года назад

So with Lupton and Nubequa if my psa goes to a .01 does this mean a possibility of getting off hormone therapy. I'm a stage 4 and psa was 160 now down to a 1.0

@foodislifesouthafricacapet3716 2 года назад

Hey there hope you well, my husband is stage 4, PSA 131 now on blockers for a week going for a injection tomorrow then they want to remove his testicles.... you just gave me hope that my hubby will be okay .... did yours spread to to the bone and lymph nodes through the body??? My hubbies is in the lymphnods through the body but only small magnified activity on the left hip no spread to any organs.... how long have you being a stage 4? And did you remove the prostate itself? Love and peace from south Africa Cape town

@aloysiussusainathan5639 Год назад

@@foodislifesouthafricacapet3716

@guyonabike2415 Год назад

@@foodislifesouthafricacapet3716 surely hormone therapy is the way to go rather than testicle removal. I'm stage 4.

@KDean22 2 месяца назад

@@foodislifesouthafricacapet3716YOUR DOCTOR IS A THIEF

@johnkearns35 2 года назад

I have recently completed radiation therapy for prostate cancer. I discovered that I had a mass in my underwear that looked like melted hydrogel. Is this possible that the ApaceOar gel melted during. Radiation therapy?

@johngorn268 Год назад

I think that's unlikely. I would guess you may have expelled a mucous plug from your rectum, a result of proctitis caused by the radiation.

@ArneHoe Год назад

I still worry ... My PSA is still 1.2 after diagnosed with PS 4+3 T3b N1 M0 7 months ago (ags 68); started Eligard 45mg right away, then radiation x 39. PSA fell from 27 to 12, 6.8 than recently 1.2 - Still not 'undetectable' after at least 6 months. All doctors I met (3) told me 1.2 it normal and ok. Just received 2'nd Eligard. How come my doctors says ok, even confronted with your PCRI facts and every PCRI video says like 0,1-0,2 and this video to to worry if it doesn't go down.. what to believe??

@KDean22 2 месяца назад

DOCTORS GET BRIBES FOR GIVING YOU POISON

@stephena456 Год назад

My PSA before treatment was 248 and after treatment in three twelve weeks it came down to 0.74. How do you interpret this, in relation to my prostate cancer?

@emcinc9654 2 года назад

I’m 74 and had robotic surgery to remove my prostate in October 2020. I have 7 PSA test since then. The first one was 6 weeks post surgery and that was a .001 and I just had a PSA test a week ago. And that was a .26. It has been a gradual rise from .001 to .26. Now I’m scheduled for an Axumin Pet Scan. And follow up radiation. Is the PSMA Pet Scan a better choice for me and is 30 days of radiation my best choice. I’m located in Southwest Florida. Gleason was was 7, 3+ 4. I was able to find a location that offers the PSMA Pet Scan. That is scheduled for February 15, 2022. Will be followed up with radiation at the least and hopefully not androgen therapy

@richardkremmen7811 2 года назад

I'm not with PCRI, but in Dr. Scholz' comments in the past and those of every urologist I know of who cares to comment, the consensus is that PSMA pet scan is now the best, state of the art scan for finding PCa metastasis.

@emcinc9654 2 года назад

@@richardkremmen7811 I agree

@mperloe Год назад

If you have not completed RT yet, you might speak with Dr. Rod Ellis in Ft. Myers. 5 treatments SBRT with ViewRay could be a good option.

@cparora5960 4 месяца назад

I am taking lupride inj since 12year with Abirateronemy PSA is around .5 what should I take next step

@glenbearh9109 9 месяцев назад

I have had TRT before during and after SBRT my PSA went from 3,74 to 1.06 yet I still have not doctor who will prescribe so I have to fudge te truth and go to an expensive clinic. Any doctor out there will to prerscribe? My T level without TRT is very very low at 25 unless on TRT my cancer was grade G6 but higher volume