I can't tell if you've actually had a testosterone test. You can ask your GP for one.
At several of my hormone therapy talks, I've actually had clinicians ask me my view on TRT (Testosterone Replacement Therapy) after prostate cancer, and I have also discussed it with a couple of England's top urologists at a conference.
There is a big reluctance to prescribe TRT to prostate cancer patients in remission, for fear it may make their prostate cancer come back. My view is that we do time limited HT to improve the cure rate, but it's time limited because it has big QoL issues of its own, so we don't make patients stay on it. Doing so might reduce recurrence rates a bit, but would increase other cause deaths and significantly reduce QoL.
When a patient in remission who has lost their natural testosterone is refused TRT, they are in effect being forced to stay on HT, just as I said we don't do above for very logical reasons. Hence, this is illogical - they've been cured of PCa, only to live a lower QoL and probably die of something else earlier than they would have done.
This is the argument I use with clinicians. It's interesting - CNS's get it immediately and agree with me. Many consultants don't, and just say TRT may cause the PCa to return. I will say England's top urologists did agree with me, saying there's no reason not to use TRT on someone in remission and expected to be cured.
TRT in this case needs to come with a talk on risks though. It almost certainly does increase risk of you seeing recurrence. I describe it like this... If you live long enough, your prostate cancer will almost certainly come back. Without TRT, that might be in 30 years, long after you died of something else. With TRT, it might be in 10 years, while you're still alive, just like it is for a patient in remission who still has natural testosterone. That's the risk the patient needs to understand, and providing they do, they should be in a position to give informed consent to TRT. The treatment needs to come with regular PSA and testosterone monitoring to make sure PSA is stable with testosterone level, and testosterone is not too high.
Edited by member 13 Dec 2020 at 11:01
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