It took me 5 months between diagnosis and start of my treatments. Some of the wait was just to get to see the top radiaiton oncologist where I was treated and then waiting for an
opening to start treatment, because the number of
openings is limited. I made my decision to pursue proton therapy, after extensive research and networking, in a little less than two months from the date I was diagnosed. Once Gleason scores get to 7 or above, it not advisable to wait too long to start treatment. I would say 3 to 6 months maximum, but preferably the sooner the better. If your PSA reading is approaching 10 or beyond, I would start treatment as soon as possible. Another factor to look at is free PSA (the lower the reading, the more aggressive the cancer might be). It is preferable to have free PSA exceeding 25. Notwithstanding that I had free PSA of 27 which statistically gave me only about
a 20% risk of prostate cancer, I fell into the PCa group.
68, 29-core biopsy 9/27/06, PSA 7.1, Stage T1c, Gleason 7 (3+4) [less than 20% in one area], Gleason 6 [less than 5% in two other areas], negative DRE, bone scan and Endorectal MRI. Completed 39 Proton radiation treatments 2/22/07-4/18/07.
First PSA test to be taken 7/07.