I would like some opinions. All of these websites deal with Prostate cancer and testosterone. OK. I posted some of these websites before but lost track of it. Anyway, I am tired of being tired, and disinterested, unhappy, moody, etc. These studies in the websites indicate that testosterone replacement therapy does not increase the reoccurrence or growth in cancer cells. I have printed these out and tried to get my doctors to read them with no luck. Am I asking for too much or are my doctors being too wary at the expense of my quality of life?
An increasing number of newly diagnosed men with prostate cancer opting for active surveillance, and with many of them also desiring treatment for their signs and symptoms of testosterone deficiency, the results suggest a reevaluation of the long standing prohibition against offering testosterone therapy to men with prostate cancer," says Morgentaler, MD, Division of Urology in the BIDMC Department of Surgery and an associate clinic professor of surgery at Harvard Medical School
The first study addressed the loss of libido, energy and erectile function, all symptoms of hypogonadism, inadequate functioning of the testes, after prostate cancer surgery. The results suggest significant improvement in symptoms after the initiation of testosterone replacement therapy. Dr. Larry Lipshultz, Baylor College of Medicine
Recent reports have trickled out to show that men who have undergone radical prostatectomy for localized prostate cancer and have an unmeasurable PSA can be safely treated with exogenous testosterone as long as the PSAs are carefully monitored. Jacob Rajfer, MD Department of Urology, University of California at Los Angeles, Los Angeles, CA
In the 70 years since its identification as a PCa growth promoter, testosterone has become inextricably associated with this disease. The paradigm of limiting the use of testosterone in patients at risk for or after treatment of PCa is changing. The authors believe that with proper informed consent, testosterone may be offered to patients treated for PCa with the understanding that only small, non-randomized studies with short follow-up have shown no worse outcomes. Kelly Chiles, MD is a resident in the Division of Urology at the University of Connecticut Health Center in Farmington, where Stanton Honig, MD, is Associate Clinical Professor of Surgery. Dr. Honig also practices at the Urology Center in New Haven, Conn. and is a member of the Renal & Urology News editorial advisory board.
A literature review was undertaken exploring testosterone replacement therapy following treatment for prostate cancer, and concluded that testosterone therapy can be considered after radical treatment of prostate cancer by prostatectomy.
Rachel Smith, N Karavitaki & John Wass Department of Endocrinology, OCDEM, Churchill Hospital, Oxford, UK.
Another update. I saw Dr. Lipshultz at Baylor College of Medicine in Houston last week. I was impressed. He seems genuinely interested in his patients and is helping men to regain their Quality of Life through testosterone replacement therapy. Him and other Dr's are proving that this is a safe and effective treatment method after a Radical Prostatectomy. If you haven’t read the links I posted at the beginning of this tread take a little time to go back and read them.
I'm sorry if this sounds like an advertisement but I have to applaud him and the other Dr.s that are doing these kind of studies to move medicine forward and help those of us that have suffered from depression, loss of libido, energy, erectile function, etc. because of our low T levels.
He has put me on Testin 1% to raise my testosterone levels, Pentoxifyllin ER 400mg 3X day, L-Arginine 500mg 1x day, give me some samples of Muse to try, told me to keep taking the Cialis 5mg daily, and keep using the pump 10-15 minutes a day.
My last PSA test was still in the undetectable range, which was about a month ago. The doctor told me to go home and celebrate. My first PSA check at Baylor will be at 6 weeks. I will have to ask after this what my schedule will be. I am not sure what other imaging test will be a part of this treatment. Estradiol is produced as an active metabolic product of testosterone. So as the two are linked I would think that it might be monitored, but I am not sure. This would be a good question for me to ask the doctor.