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coming off HT early

User
Posted 27 Jan 2018 at 12:50

I am thinking of coming off HT early.....this Oct will be 2 years since i finished my 37 sessions of RT........I had 6 cycles of chemo prior to RT so if i wait till Oct i will of been on HT 2 years and 8 months......

 Has anyone else come off HT early?      whilst grateful for every bit of my treatment, the HT side effects are getting me down...am i being stupid .....should i just stick it out for the chance of the best outcome?    thoughts wanted

 

Shaun

User
Posted 27 Jan 2018 at 16:33

It is called intermittent HT or a hormone holiday - use the search function here and you should be able to find members that have done this successfully for years. Look particularly for Topgun and Si-ness although there are many others.

Your onco might be happy for you do do it and some men do it against their specialist’s advice.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 27 Jan 2018 at 20:11

Shaun
Note the ages of those who chose IHT. At now 72 if need be IHT would be considered. In my 60's it wouldn't have happened. HT is a tough journey but whilst I had the winning post in sight I carried on even past the planned amount. I don't know if I had come off earlier where I would be now but I'm glad I stuck it out.

Your HT journey like mine might get easier as time goes by.

Ray

User
Posted 28 Jan 2018 at 13:29

Originally Posted by: Online Community Member

Hi Lynn, thanks for your reply....hoping to be off it completely not just a holiday..

 

Ah okay - well this might help clear your thoughts a little. Standard practice for curative RT for many, many years has been RT with 2 years of HT - it is only recently that a number of oncologists have moved to RT with 3 years HT and the research data suggests that the longer you are on HT the better the outcome but it isn't absolute otherwise all oncos would be doing it. There are a handful of members here that have had curative RT with only 6 months of HT.

You are in an unusual position in that your onco has offered chemo with curative RT/HT so it seems that s/he is at the extreme end of the belt & braces approach anyway. I can only think of one other member here that has had chemo with curative RT so it isn't like there are a lot of other men for you to compare notes with. 

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 29 Jan 2018 at 07:34

Hi all
Interesting thread, with lots of food for thought. I'm in a similar(ish) position, in that I also want to stop HT 'early'. I had adjuvant RT on prostate bed and lymph node area - I had positive margins and cancer found in one lymph node. I was told that I would be on Bicalutimde for 2 years, but the side effects of fatigue and loss of libido are really getting me down, though it's mainly fatigue that causing me grief.

The onco is up for considering stopping the Bical at 18 months, and says that the RT I had was a new version (only just cleared by NICE) and there is little known about the longer term effects of HT in this situation. My thinking is I really want to stop the HT at the earliest opportunity, but there does seem to be limited knowledge about that. The onco is still looking at this treatment as curative, which I feel for a Gleason 9 is optimistic, but I'll take that curative view anyway!

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User
Posted 27 Jan 2018 at 16:33

It is called intermittent HT or a hormone holiday - use the search function here and you should be able to find members that have done this successfully for years. Look particularly for Topgun and Si-ness although there are many others.

Your onco might be happy for you do do it and some men do it against their specialist’s advice.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 27 Jan 2018 at 20:11

Shaun
Note the ages of those who chose IHT. At now 72 if need be IHT would be considered. In my 60's it wouldn't have happened. HT is a tough journey but whilst I had the winning post in sight I carried on even past the planned amount. I don't know if I had come off earlier where I would be now but I'm glad I stuck it out.

Your HT journey like mine might get easier as time goes by.

Ray

User
Posted 27 Jan 2018 at 20:15

You may find this of interest https://www.harvardprostateknowledge.org/intermittent-hormone-therapy-for-prostate-cancer

Barry
User
Posted 28 Jan 2018 at 12:11

Hi Lynn, thanks for your reply....hoping to be off it completely not just a holiday..

User
Posted 28 Jan 2018 at 12:50
Thanks for the article really interesting reading, Leila
User
Posted 28 Jan 2018 at 13:29

Originally Posted by: Online Community Member

Hi Lynn, thanks for your reply....hoping to be off it completely not just a holiday..

 

Ah okay - well this might help clear your thoughts a little. Standard practice for curative RT for many, many years has been RT with 2 years of HT - it is only recently that a number of oncologists have moved to RT with 3 years HT and the research data suggests that the longer you are on HT the better the outcome but it isn't absolute otherwise all oncos would be doing it. There are a handful of members here that have had curative RT with only 6 months of HT.

You are in an unusual position in that your onco has offered chemo with curative RT/HT so it seems that s/he is at the extreme end of the belt & braces approach anyway. I can only think of one other member here that has had chemo with curative RT so it isn't like there are a lot of other men for you to compare notes with. 

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 28 Jan 2018 at 14:44

Shaun, do bear in mind that the HT stays in your body for up to nine months after you finish HT, so the side effects will persist for some time. You need to set that fact against the period of continuing with HT. Whichever way you go, may not make a huge difference. But don't go by my thoughts, talk it over with your oncologist. He may be more flexible than you think!

AC

User
Posted 29 Jan 2018 at 07:34

Hi all
Interesting thread, with lots of food for thought. I'm in a similar(ish) position, in that I also want to stop HT 'early'. I had adjuvant RT on prostate bed and lymph node area - I had positive margins and cancer found in one lymph node. I was told that I would be on Bicalutimde for 2 years, but the side effects of fatigue and loss of libido are really getting me down, though it's mainly fatigue that causing me grief.

The onco is up for considering stopping the Bical at 18 months, and says that the RT I had was a new version (only just cleared by NICE) and there is little known about the longer term effects of HT in this situation. My thinking is I really want to stop the HT at the earliest opportunity, but there does seem to be limited knowledge about that. The onco is still looking at this treatment as curative, which I feel for a Gleason 9 is optimistic, but I'll take that curative view anyway!

User
Posted 29 Jan 2018 at 21:01

John only stuck bicalutimide for 6 months - he couldn't stand the side effects and decided to take his chances. 6 years on he is teetering at the recurrence point but who's to say that he wouldn't have found himself there again anyway?

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

User
Posted 12 May 2018 at 16:40

Hello again.

I know it's reviving an old thread, but for me it's the same topic! I'm currently getting very flattened by the Bicalutimde - I'm on the point of giving up work altogether as it is getting beyond me. This is not good, as I'm self-employed. Any exercise drains me very quickly and leaves me feeling ill. All in all, the fatigue (and all the other lovely side effects) seem to have won. I'm not convinced it should work like that...

I have an appointment with my onco on June 4th, and obviously this will be discussed then (if not sooner). However, I would welcome any views from the PCUK collective - should I stop or should I not?

cheers
Graham

User
Posted 12 May 2018 at 16:56
Graham, I sympathise, I am still on HT (prostap) a year after finishing salvage RT. Like you I’m whacked a lot of the time.

I think the longer you can stick the bicalutamide the better your outcome will be.

I will be coming off the HT January 2019 now.

I find my continence and other side effects have worsened since having SRT and HT.

I’m sure others will come along and answer too.

All the best, Ian.

Ido4

User
Posted 12 May 2018 at 18:31

Life has to be enjoyable and you cant rnjoy kufe if tou are forced to stop work earlier than expected. Your onco wasn't averse to you stopping early - I would be seriously considering kicking the HT into touch and getting on with life.

"Life can only be understood backwards; but it must be lived forwards." Soren Kierkegaard

 
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