Tricky subject, this. I think you will find that most guys on Androgen Deprivation Therapy will complain, given an opportunity, about
cognitive problems -- mostly brain fog and forgetfulness. Studies I have seen tend to verify this. That is, the studies verify that men complain
such problems but not
that such problems actually exist. Attempts to give men objective tests of cognitive function never seem to find much difference between men on ADT and similarly chosen controls.
Three and a half years ago, when I was only a few months into my two years of ADT, I started a thread about
this. "Why my brain has stopped working: two studies.
" In the thread I linked to two studies. One was a study of how men performed on tests of cognitive ability and, as I mentioned, it didn't find much effect from ADT. The other was a collection of brain scans of men doing those cognitive tests and it was very apparent that some areas of the brain simply did not light up for the men on ADT.
Here, by the way, is a more recent study that once again finds that men on ADT perform similarly on tests of cognitive functions: "Cognitive functioning in men receiving androgen deprivation therapy for prostate cancer: a systematic review and meta-analysis.
All this said I think you are borrowing trouble by worrying excessively about
such things at this point. Most of us who try to work during ADT manage it OK. I did, although I expect my employer had occasion for patience with me. There are some drugs that seem to help when guys struggle. The antidepressant buproprion ("Welbutrin") is mentioned a lot --I take it -- and another drug called modafinil works even better but nobody takes it because it is too expensive, even as a generic, and insurance won't pay.
62 Slow PSA rise 2007-2012: 1.4=>8
4 bxs 2010-2012: 1&2 neg, 3 pos 1/14 6(3+3) 3-4% (2nd
opn. 7(3+4)), 4 neg
DaVinci 6/14/12. "some" nerve sparing on left
Path: pT3a pN0 R1 GS9(4+5)
Pos margins on rt
24 mo ADT3 7/12 - 7/14
Adj IMRT 66.6 Gy 10/17/12-12/13/12
8/2012-3/2015: Incont., Trimix, VED, PSA<0.015.
AUS & IPP installed 3/5/2015Forum Moderator - Not a medical professional