If your doctor believed in early HT, would you do it?
If your PSA keeps climbing. as expected/feared, would you do HT at that time?
The article seems to push ADT3 for anyone with localized cancer. Personally, I have no idea if my cancer is localized. Having failed RP and SRT, I have to believe there are circulating tumor cells beyond the "locale." So, the article may or may not apply to my case. Still, the article implies that ADT3 is better than ADT even in the more generalized case. But that is only one article.
I've had both sets of advice, as you know.
Ultimately, all of us in this position have to make a decision and there are arguments each way.
In fact, if I posted a what would you do query, I think we would gets votes on both sides here -- and this is an intelligent group pretty well educated about PC.
We just DON'T KNOW. Sigh...
PSA-- 3/08--2.90; 8/09--4.01; 11/09--4.19 (PSAf: 24%), PCA3 =75 .Biopsy 11/30/09. Gleason 4+3. Age now: 65. Surgery: Dr. Menon 1/26/10. G 4+3. PNI: yes. EPE: yes. Pos. Margin: Yes-- focal-- 1 spot .5mm. No SVI. Nodes clr. 100% continent by 3/10. ED- yes.. PSA: 3/10/10-0.01; 6/21/10--0.02. 9/21/10--0.06; 1/4/11-0.13,3/1/11--0.27. SRT completed 5/13/11, PSA 7/11/11-0.60; 8/11/11-0.75; 11/1/11-1.38