Side effects of HT include loss of libido (*), ED (*), hot flashes, weight gain, loss of muscle (*), hair loss, fatique, lack of energy (*), aches and pains, emotional stability (*), depression, spatial memory, anemia, bone density, and others. Many of these can be treated.
My own symptoms are marked with a (*) while on Intermittent Hormone Therapy for 1-year.
It seems that every doctor I talk to has a different protocol for HT. The protocol I followed is stated below.
By the way, my libido has not returned 1-month after stopping the HT except for the Avodart "maintenance". I think the effects of the medication may take a few months to wear off. Personally, I don't think this is a big deal.
3-monthly Zoladex shots costs about $1,100 a pop in Thailand.
Hope this helps.
Diagnosed: June 2007. Aged 61. PSA 19.6. DRE negative.
Biopsy: June 2007; 2 cores of 18 positive.
MRI and Bone Scan: Negative.
Pathology: 5% of 1 core, "Small focus" in another core +ve.
Gleason 3 + 3 = 6.
Clinical: PCa considered confined to prostate. Stage T1c.
Treatment: After considering RP and HD Brachy, decided on Intermittent Triple Androgen Blockade Therapy for 1-year, using ZOLADEX, CASODEX 150 mg/day, AVODART 0.5 mg/day. Start PSA 19.2 (July 2007).
Completed Intermittent TAB on 23 July 2008, continue with AVODART alone and monitor PSA every 3-months.
Current Status: PSA = 0.02 (July 2008).
PSA nadir 0.018 (June 2008).