The PCRI web site has a lot of information on HT side affects.
Ask your doctor about
Femera or a like substitute as it will stop any breast growth. Also there is a new drug, I think it's called Estis or something like that that will eliminate hot flashes. My neighbor who has been on HT for 12 years just started taking it and said it was wonderful.
You must start an excercise program that includes weights. This will prevent muscle and bone loss and help if you have a tendency for depression.
Ask your doctor about
supplements; Vit D3, Calcium, COQ10 if you are on satins,
Make sure your doctor gets you a bone desnity test to establish a baseline and an Echo Stress test because HT does affect the cardiac system. If he has not already done this then I would look for another doctor that is more experienced in administering HT and its side affects.
Different people react differently to HT and side affect go from minimal to severe so it is important to get treated by an experienced oncologist who can manage the dose and side affects.
64 years old.
PSA rising for 10 years to 40, free psa 10-15. Had 5 urologists, 12 biopsies and MRIS all neg. Doctors DXed BPH and continue to get biopsies yearly. 13th biopsy positive in 10-08, 2 cores of 25, G6 less than 5%. Scheduled for surgery as recommended by Urological Oncologist.
2nd Opinion from Dr Sholtz, a Prostate Oncologist, said DX wrong, pathology shows indolant cancer, but psa history indicates large cancer or metastasis. Futher tests and Color Doppler confirmed large transition zone tumor that 13 biopsies and MRIS missed. G7, 4+3, approx 16mmX18mm.
Combidex MRI in Holland eliminated lymphnode mets. Casodex and Proscar reduced psa to 0.6 and prostate from 60mm to 32mm. Changed diet, no meat and dairy. All staging tests indicate that tumor is local and non agressive. (PAP, PCA3, MRIS, Color Doppler, Combidex, tumor reaction to diet and Casodex, and tumor location in transition zone). Surgery a poor option because tumor is located next to the urethea and positive margin is very likely; permanent incontenance is also high probability with surgery.
Seed implants on 5-19-09, 3 hours door to door, no pain, minor side affects are frequency and urgency; very controlable with Flowmax and lasted 4 weeks. Daily activities resumed day after implants with no restrictions. Gold markers implanted with seeds to guide IMRT.
25 treatments of IMRT 6 weeks after seed implants. No side affects at all.
PSA at end of treatment 0.02 mostly the result of Casodex. When I stop Casodex next week expect PSA to rise. Next PSA in November. Treatments and side affects have greatly exceeded my expectations. Glad to have this 11 year journey finally conclude.