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Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 208
   Posted 12/30/2010 6:57 AM (GMT -6)   
I started HT on 11/26.  The hot flushes are annoying and are keeping me awake at night.  Any suggestions on how to deal with them.  During the day I don't notice them as much.  The Old Sailor
Dx 07/09 Age 67 - 28 core saturation biopsy w/5 positive (2 gleason 8, 2 gleason 7, 1 gleason 6)
RRP 8/13/09 Mayo Clinic Jacksonville

Path report upgraded gleason to 4+5=9

Negative margins/extraprostatic extension/seminal vessicles/ lymph nodes but perineural invasion present.

Two month post surgery PSA 0.022

Five month post surgery PSA 0.081

Seven month post surgery PSA 0.190

Eight month post surgery PSA 0.217

Started 38 sessions IMRT at Mayo Jacksonville on 4/12/10, completed 6/4/10. Few side effects except urinary urgency and frequency during the day and some rectal discomfort near the end of therapy.

Casey59
Veteran Member


Date Joined Sep 2009
Total Posts : 3172
   Posted 12/30/2010 11:02 AM (GMT -6)   
Hi Old Sailor,

Dr Stephen Strum's book "A Primer on Prostate Cancer - The Empowered Patient's Guide" reports that nearly half (48%) of men are affected, although of course there is a natural variation in the degree in which different men are affected.  Doesn't matter, that's purely academic because it's affecting you...

There are a number of meds that can offset HT hot flashes/hot flushes.  Please see this report at the National Cancer Institute site, and talk to your doctor about a shot of one of the meds discussed...my understanding is that often only one shot is needed.  The report talks about how well the different meds worked for different men; unfortunately, none were 100% effective.

http://www.cancer.gov/clinicaltrials/results/hot-flash-prostate0210
 
 
 
 

Post Edited (Casey59) : 12/30/2010 10:09:28 AM (GMT-7)


F8
Veteran Member


Date Joined Feb 2010
Total Posts : 3806
   Posted 12/30/2010 11:04 AM (GMT -6)   
OS -- i started a subclinical does of celexa before starting HT to combat hot "flashes".  i didn't get any hot flashes until after my third and last shot of lupron (3-month) and they aren't that bad....they sound similar to your hot flashes except i do get them in the day time.  even when i didn't get hot flashes i was extremely intolerant to the heat.
 
my advice is to either grin and bear it or talk to your doctor because i don't think there's much you can do about it otherwise.
 
ed
age: 55
PSA on 12/09: 6.8
no symptoms, no prostate enlargement
12/12 cores positive....gleason 3+4 = 7
HT, BT and IGRT
received 3rd and last lupron shot 9/14/10

John T
Veteran Member


Date Joined Nov 2008
Total Posts : 4229
   Posted 12/30/2010 11:58 AM (GMT -6)   
80% of patients treated with Estrogen patch will have dramatic reduction in hot flashes. Depo-Provera is a one shot single injuction that works. Other meds that work are Progesterone, Effexor or Neurontin.
JohnT
65 years old, rising psa for 10 years from 4 to 40; 12 biopsies and MRIS all negative. Oct 2009 DXed with G6 <5%. Color Doppler biopsy found 2.5 cm G4+3. Combidex clear. Seeds and IMRT, no side affects and psa .1 at 1.5 years.

Fairwind
Veteran Member


Date Joined Jul 2010
Total Posts : 3748
   Posted 12/30/2010 4:11 PM (GMT -6)   
Yeah, I've been on the HT for about a month now and the hot flashes have become annoying at night..Kick the blankets off, freeze, pull it back up, another flash, kick the covers off...There is some kind of Chinese herb my wife recommended, Dong Quai, something like that, it might be rich in estrogen, I'll have to check it out..

No estrogen in it but my wife said it worked great for her..This article about foods that contain estrogen might be interesting..

www.ehow.com/about_5092708_foods-contain-natural-estrogen.html
Age 68.
PSA at age 55: 3.5, DRE normal. Advice, "Keep an eye on it".
age 58: 4.5
" 61: 5.2
" 64: 7.5, DRE "Abnormal"
" 65: 8.5, " normal", biopsy, 12 core, negative...
" 66 9.0 "normal", 2ed biopsy, negative, BPH, Proscar
" 67 4.5 DRE "normal"
" 68 7.0 third biopsy positive, 4 out of 12, G-6,7, 9
RRP Sept 3 2010, pos margin, one pos vesicle nodes neg. Post Op PSA 0.9 SRT, HT, Dec

Post Edited (Fairwind) : 12/30/2010 3:26:12 PM (GMT-7)


Purgatory
Elite Member


Date Joined Oct 2008
Total Posts : 25380
   Posted 12/30/2010 6:29 PM (GMT -6)   
Depo-Provera is a birth control product for women (primary use), and while it can be effective, it has a lot of known and dangerous side effects when used by both men and women. Lots of web sites on the subject if anyone is interested. My daughter was on it for 2 years, and it almost cost her, her life. I would look into other means if it were me.

David in SC
Age: 58, 56 dx, PSA: 7/07 5.8, 10/08 16.3
3rd Biopsy: 9/08 7 of 7 Positive, 40-90%, Gleason 4+3
open RP: 11/08, on catheters for 101 days
Path Rpt: Gleason 3+4, pT2c, 42g, 20% cancer, 1 pos marg
Incont & ED: None
Post Surgery PSA: 2/09 .05,5/09 .1, 6/09 .11. 8/09 .16
Post SRT PSA: 1/10 .12, 4/8 .04, 8/6 .06 11/10 Not taking it
Latest: 6 Corr Surgeries to Bladder Neck, SP Catheter since 10/1/9, SRT 39 Sess/72 gy ended 11/09, 21 Catheters, Ileal Conduit Surgery 9/23/10

Old Sailor
Regular Member


Date Joined Aug 2009
Total Posts : 208
   Posted 12/30/2010 7:10 PM (GMT -6)   

I called my Med Onc at Mayo this morning and still waiting for a return call. 

I appreciate the information from you folks.  Very informative - HW is the bomb!!

Casey, coincidentally, I ordered the Sturm book yesterday and will receive in a few days.

The Old Sailor

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