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Testosterone Therapy

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Prostate Cancer
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Benj
Regular Member
Joined : Feb 2009
Posts : 20
Posted 1/13/2011 10:15 AM (GMT -8)
Surgery two years ago  Robotic

Cancer free for two years

Testosterone is low and my GP wants to administer shots of testosterone

to boost energy and libido, combat fat and sluggishness

Prostate surgeon is concerned but sees no big problem with it

Question: Has anyone out there had testosterone shots after prostatectomy

and what was your experience?  Need feedback  Thanks

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JNF
Veteran Member
Joined : Dec 2010
Posts : 5736
Posted 1/13/2011 10:47 AM (GMT -8)
Seeing as how testosterone feeds the cancer I would be very concerned. Sounds like throwing gas on embers. You won't know for a long time if all the PCa is gone. The standard for cure is PSA <0.20 at the 10 year mark.

In addition to the surgeon you might ask an oncologist. There is a Patient to Physician site somewhere with a renowned oncologist that you can question. Also send emails to all the guys that have written the books we all read and hawk like Meyers, Sturm, Scholz, et al. Someone is bound to answer. John T could probably put his hands on some info.

There are a lot of other ways to combat your symptoms. I have wondered throughout my journey what the PCa incidence will be 20 years from now with all the attention paid to Low T and the selling of drugs to raise it.

In my case I am on HT so I hope my T is low so we can starve the dickens out of my cancer. In response, I have greatly adjusted my diet and exercise and have solved the weight problem as I have lost 15 pounds in the last 6 months. As for sluggisness, I told my sister that I am just as lethargic as I was before HT and my wife chimed in wondering how one could tell whether I had slowed down! As for the libido....just like Avis....we try harder.
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zufus
Veteran Member
Joined : Dec 2008
Posts : 3149
Posted 1/13/2011 10:54 AM (GMT -8)
They also make a cream that is not all that costly and the doc wouldn't make out on that method(you apply it and comes from Pharmacy with an Rx), and you could control the amounts. There is controversies on the level of T that should be considered for doing such. Monitor your psa along with this is maybe reasonable thing to do. Did he mention the cream alternative???? (love to hear the answer)?
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JNF
Veteran Member
Joined : Dec 2010
Posts : 5736
Posted 1/13/2011 10:55 AM (GMT -8)
Check out the website Harvard Prostate Knowledge .org.......Testosterone Suplementation after Prostate Cancer. One doc say it may be OK for some men another doc says we don't know, why risk it until we know more. When i googled there were many hits on the subject.

Happy Reading
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Steve n Dallas
Veteran Member
Joined : Mar 2008
Posts : 5265
Posted 1/13/2011 11:04 AM (GMT -8)
Do you exercise a LOT? If not - it would help the first three for sure and proabably help with the fourth item.

energy

combat fat 

sluggishness

libido

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biker90
Veteran Member
Joined : Nov 2006
Posts : 1465
Posted 1/13/2011 3:17 PM (GMT -8)
Hey Benj,

I was on TRT for years before I had cancer due to a congenital issue. After RRP my uro took me completely off because he was afraid that it would increase the risk of recurrence.

After a month I was a basket case. Total depression and fatigue to the point that all I could do was stare at the wall. I locked up my guns for fear of using one on myself. My primary doc got me and apptmnt with another uro that was of a different mind about TRT after PCa treatment. He put me back on T shots and in a week I was back and have been OK since. All with continuing zero PSAs.

Now every man is different so I am not pushing TRT but given the choice I would do it again in an instant. There comes a point where the quality of life gets so low that dying from cancer or from a gun shot seem like equally likely to happen.

At some point we all have to decide how much quality we are willing to give up in order to feel better about our recurrence chances.

One thing about cancer, it WILL change your life.

Good luck,

Jim

PS There are others that hang out here sometimes.  Pete if you are listening, chip in.

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John T
Veteran Member
Joined : Nov 2008
Posts : 4315
Posted 1/13/2011 6:01 PM (GMT -8)
Benj,
There was an article in PAACT written by Dr Liebowitsz's partner on testestorne replacement. They do a lot of it in their practice. (www.compasionateoncology.com) He mentioned that it has to be carefully monitored, but provides a significant increase in QOL for their patients and is not as dangerous as one thought.
JT
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gold horse
Regular Member
Joined : Nov 2009
Posts : 366
Posted 1/13/2011 7:31 PM (GMT -8)

Benj I am using test in cream;my surgery was more than five years ago.

my doc do not like to use t-horm,the only reason he prescribed is becouse my surgery was five years ago with two years he will never put his patients on t-hom

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Benj
Regular Member
Joined : Feb 2009
Posts : 20
Posted 1/16/2011 9:00 AM (GMT -8)
Jim from your message it sounds like hormone shots are "addictive" that once they are started you cannot get off of them without falling into a deep slump of despression is that what you are saying or is that just my imagination?
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Swimom
Veteran Member
Joined : Apr 2006
Posts : 1732
Posted 1/16/2011 9:46 AM (GMT -8)
Benj,

If you are diagnised as being hypogonadal, nesw flash...you are already lacking functioning hormone production. T is not addicting. It is something your body needs because it isn't making enough (or any) of its own. The body's negative feedback loop will not prompt production of testosterone as long as it isn't triggered to do so.
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