Hmmm. I've never had a problem with GP ( or Oncologist ) fulfilling my request to check the testosterone level whilst on Zoladex. They know I wouldn't ask for no good reason.
Main purpose being to check that the Zoladex is in fact working. It has been known to be miss-administered and ( in my case ) proved insufficient to lower the level to castrate 0.69 nmol/l. Even heard of the capsule popping out later in the day & needing another implant.
Sooooo. Unless you know the testosterone level you don't know a) Did last injection(s) work . b) Have you reached around 0.69nmol/l or are you much higher. There's different paths for different results.
Obviously this isn't needed every time there's a psa test. But very helpful if psa rises. Particularly an unexpected rise !
" Dr also said that the increased psa is due to zoladex no longer working and was relaxed about it "
Dr. appears innocent of much knowledge of P.Ca. Zoladex doesn't stop working assuming administered correctly. It shuts down testosterone production from the testes and patients stay on Zoladex or alternative, ( unless testes are later removed) whilst on hormone treatment approaches. Usually, even through other treatments, Zoladex is still used.
With a G9, and a possible jump in psa like this figure , it is not a time to be in a relaxing mode . I hope the consultant shows a more active approach and having a recent testosterone level would be useful to him. Or it bleedin' well should be !
Luckily, your appointment is not long now. So it may be wise to talk this through with consultant rather than battle GP.
Suggest consultant would find another psa test useful. Also testosterone level. He may well organise scans to see what is happening.
Next step may be addition of Casodex tablet to see how psa reacts.
Final thought. It has been known for wrong figures to be given for psa results. e.g. reading wrong line of results or wrong patient !