Get another oncologist. As Zufus pointed out there are many different types of PC and they all react differently to HT. Some men are still going strong after 15 or 20 years. A good oncologist will know when it is not working pretty quickly and adjust to different meds that may work better.
It is always better to start HT as soon as possible, when the tumor burden is low and the cancer cells have not yet had a chance to mutate. I think your oncologist is giving you some bad information that is 15 to 20 years old when it was generally thought that HT wasn't that effective.
Dr Strum's book "Primer on Prostate Cancer" and Dr Myers' book that Zufus suggested are must reads for anyone thinking about
HT. Dr Scholz's book "Invasion of the Prostate Snatchers" has a good section on HT and how to minimize the side affects. After reading these books you will be much more informed than your present oncologist about
HT and prostate cancer.
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.