I completed my IMRT on December 24th, and had a follow up visit with my Radiation Oncologist. In the latter part of March I will go back to my Uro-Ocologist who prescribes my Zoladex. I seem to only experience side effects related to the Zoladex. I have no desire for sex - not at all like me - and it is obvious that my testes have shrunk! I REALLY want my testosterone back. I ask my docs a lot of questions, but I'm just not getting what I feel to be a logical response to one about the Zoladex.
My Understanding: Zoladex used prior to radiation may slow the cancer growth and keep it from spreading while the radiation is working. I suppose this is the same reason for continuing the Zoladex for at least a while after radiation (6 months?). Zoladex does not destroy cancer, it simply slows it down or stops its growth - it shrinks it perhaps.
Question: Why would my docs want me to be on Zoladex for a - preferably two years, but state they would be comfortable with one year when Zoladex does not destroy cancer? I mean, if my testosterone levels increase and my PSA goes up, that means there are cancer cells present. At that time, I could go back on the Zoladex having a better understanding of where I stand. Am I missing something regarding the action of Zoladex and how it affects prostate cancer cells? If I were told that Zoladex actually killed cancer, then I would certainly want to continue taking it.
Thanks in advance
Name: Tony Born: 1951
Diagnosed PCA 7/23/2008; Prostate Volume 19 grams
Cancer Location: Right Mid and Right Apex 2 of 12 cores positive
Percentage of tissue involves 14% Gleason 3+4=7 4+4=8
PSA levels 6/08/08 7.7; 6/30/08 6.8
Began HT Zoladex 8/26/2008
As of 9/11/08 I am waiting to start IMRT IGRT
September 23, 2008 after one month of Zoladex PSA 2.83
October 22, 2008: First day of IMRT. I am receiving 1.8 grays per day over a period of 43 days.