Hormone Therapy as a Primary Treatment |

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  • Опубліковано 23 гру 2024

КОМЕНТАРІ • 114

  • @n.c.b.8832
    @n.c.b.8832 5 місяців тому +54

    Superb information as always, stage 4 Gleason 9, Prostap hormone therapy is my only treatment and has been for over 2 years, i was told by oncology that I would be on this for life , no offer of radiation or surgery, at the begining I felt short changed, not so sure now, PSA at 0.1, I am 65 still working in construction, my living room is now a gym, main downside for me , no interest at all in sex, the ability is still there but the urge is non existent, I live alone and as Dr Sholz put it I have had my fun, it really does not bother me, life is great, think about what you have got, forget what you have not got. Thank you so much for all the videos you do, by far the best source of information available Phil

    • @stitcheruk1150
      @stitcheruk1150 5 місяців тому +3

      Thanks for your post. Did your diagnosis also include metastases within your skeleton? And what was your starting PSA level ?

    • @bobliening5783
      @bobliening5783 5 місяців тому +19

      Stage 4, Gleason 4+5=9, initial PSA of 1,300, Mets all over spine, some ribs and elsewhere. Oncologist also says ADT will be forever. Urologist asked if I wanted surgery. I asked him if it will help, he said no. SMH. He then asked if I wanted chemo. I asked if it would help, he said no. SMH.
      PSA down to 0.09 after 3 months and stable for 24 months. I’m 71.

    • @spitfirekid1
      @spitfirekid1 5 місяців тому +3

      Fellow Gleason nine patient here. You’ve got a great attitude. Best wishes for success on your journey.

    • @Vincent50
      @Vincent50 5 місяців тому +10

      I just had my first PSA test done a month ago after having 44 days of radiation and my first jab of Eligard in December 2023. Happy to say my PSA went from 3.65 from May 2023 to 0.07 as of June 2024. I will meet with my Oncologist next month to go over everything. I will say I've had no interruptions with my life as i've continued working and need to increase my exercises. The only downside or should i say side effect is the dreadful hot flashes and some tightness in my legs though at 68 I might be dealing with sciatica and arthritis. I just had my second jab of Eligard a month ago so with these dang heat waves and hot flashes I am a sweating wreck. No desire for sex either but I've had so much over the many years so what's important to me is LIVING. Not in a serious relationship right now so its ok. But Glory to God I'm still standing.

    • @spitfirekid1
      @spitfirekid1 5 місяців тому

      @@Vincent50 amen brother!

  • @majesticc247
    @majesticc247 5 місяців тому +21

    In 2021 I was diagnosed with metastatic prostate cancer that spread to my torso. Aggressively doctors put me on Lupron and Aberiterone. My side effects were severe and effected me greatly. My liver count was high and I have brain fog and fatigue, joint pain. I later switched to Xtandi that helped some, but I haven't been the same. The therapy handicapped me from doing my job. Since my prostate cancer is metastatic I'm advised to be on hormone therapy indefinitely. However 2 years 9 months later there's no sign of cancer. I had the doctor do a Petscan and CTscan and no cancer. I'm currently on a break from the medicine doing lab work once a month to monitor my PSA. I stopped in March 2024. I'm hoping the Lupron gets out of my system and have a sign of testerone with no cancer. Doing another biopsy is something I picked up from this video.

    • @spitfirekid1
      @spitfirekid1 5 місяців тому

      If you have to go back on hormone therapy, I suggest that you look into ORGOVYX instead of Lupron. It’s out of your system in about 60 days and testosterone recovers far more quickly. Good luck on your journey with prostate cancer.

    • @schmingusss
      @schmingusss 5 місяців тому +4

      What was your initial psa when you were diagnosed with prostate cancer?

    • @majesticc247
      @majesticc247 5 місяців тому +2

      @@schmingusss It was a 39. Very bad.

    • @robwells230
      @robwells230 5 місяців тому

      @@majesticc247
      My PSA was 42.
      After 6 months on Eligard CASTRATION and 25 fractions of 68 Grey IMRT, my PSA DROPPED to .28, then .008, then to .006, then to ZERO.. now, my testosterone has recovered just a bit to 150 and my PSA last test was 0.2.
      I refused further ADT after the first six month shot because of the horrific side effects , and that poison shit has left me partially castrated even two years later.

    • @JasonRoberts556
      @JasonRoberts556 4 місяці тому +1

      @@majesticc247what was your Gleason?

  • @rolandmaynard8925
    @rolandmaynard8925 23 дні тому

    I just been diagnosed. I really appreciate your show. You've a very soothing voice that demonstrates a great deal of knowledge. Thank you.

  • @gary4451
    @gary4451 4 місяці тому +4

    I have some great news that may also be very helpful to others on this great site! Per ThePCRI's advice I stopped my vigorous freestyle swimming kick (2 1/2 hours per session twice a week) for one week and then had my PSA retested. My PSA dropped by 4.7 ng/ml! It appears that bicycling is not the only exercise that puts pressure on the prostate and causes the PSA to rise.

  • @johndefenderfer5946
    @johndefenderfer5946 4 місяці тому +2

    Lots of great information from Dr. Scholz but I wish it was directed more at guys like me that have had a prostatectomy already plus radiation treatments when I first dealt with this disease back in 2011. Now, I am left with only hormone treatments that I find to be both mentally and physically debilitating at times, so much that I am considering ending treatment early and hoping that the disease doesn't return. If it does return I not inclinded to hope right back on the ADT medications and may just find myself dealing with the cancer one on one.

  • @johng8082
    @johng8082 5 місяців тому +2

    Great video...have been having ADT for 5 years (74). T3aN1M1 - Gleeson 8, diagnosed PSA 22, Dec 2019,
    The last 2 years Lucrin 6 month injections. My last 3 PSA have been 8.6 - .35 - .07 The .07 reading (taken last week) is unusual in that it is at the end of the 6 month inject.cycle whereat PSA readings usually start to increase ! ). Will be interesting to hear what my Oncol. reads into it ,if anything !. Very happy to continue with ADT with associated side effects (hot flushes etc etc).

  • @gary4451
    @gary4451 5 місяців тому +6

    One of my concerns with ADT is that it could temporarily suppress the symptoms of prostate cancer and make it difficult to tell if the radiation or surgery treatment actually worked. I would be concerned that the symptoms could be hidden by the ADT only to emerge after ADT is discontinued.

    • @tedmetre6933
      @tedmetre6933 5 місяців тому +2

      That is also a concern for me as well. I got a shot of Lupron (3 month lasting shot) and then had 50 radiation treatment sessions (40 for prostate and 10 for the tumor in my pelvic bone). I am waiting to see the psa results at the 3 and then 6 month marks to determine what to do going forward.

    • @gary4451
      @gary4451 5 місяців тому +3

      @@tedmetre6933 It takes an additional 3 months for the 3 month lasting shot to clear the system (total of 6 months). The question at the 6 month point is: Is it the ADT that is keeping the PSA low or the Radiation treatment. I don't see how someone could tell if the radiation worked as long as they are on ADT. Good luck and hoping for the best outcome for you.

    • @Skwarek-wp8dc
      @Skwarek-wp8dc 5 місяців тому

      They seldom mention dangers of possibility of heart attack and stroke from using adt. Go for lutetium 177 ,if you can afford it ...

    • @wilander1
      @wilander1 4 місяці тому +1

      You can do MRI or pet scan to confirm disease has been eradicated.

    • @handonmgt
      @handonmgt 4 місяці тому

      Finish your ADT. Wait 3 months, do psa and testosterone testing. If testosterone gets to normal levels and psa is undetectable, than you are in a good zone. Hopefully, with follow up, it stays that way.

  • @gaetanoarnone1
    @gaetanoarnone1 5 місяців тому +1

    I really have appreciated your interviews with Dr. Scholz. Very timely for me, I am 70 years old. I have recently been diagnosed with prostate cancer. I had a Prostate MRI done 3/18/24. Then a trans-perineal prostate biopsy with MRI fusion 6/5/24 . Then a PET - PSMA 6/26/24. The PET scan shown no metastases . My biopsy Gleason scores were as follows: 2 - 3+3, 3 - 3+4 . There was no INTRADUCTAL CARCINOMA present in all samples. Of course I have been researching my options on how to proceed. One therapy I have been looking at is Proton therapy, it would be nice to hear Dr. Scholz's view on this therapy in comparison to other forms of radiation such as gamma ray. I have read that protons can be more precise and can travel through the outer tissue and deposit most of its energy in the prostate. I don't know if that's the case or a sales pitch for proton therapy. Thank you so much for all you and Dr. Scholz are doing to help people like me.

    • @stikman11aol
      @stikman11aol 4 місяці тому

      I recently had radiation therapy for my prostate cancer. I first looked at proton therapy but after much research, I decided on the other radiation. Dr. Schultz says proton therapy. is no better than the other external beam radiation. What matters most is the expertise of who is doing it. Some say Proton is even inferior.

  • @wongsiang1133
    @wongsiang1133 4 місяці тому

    Thank you so much to Dr Mark Scholz and Alex 👍😀Can have podcast on the removal of both testes to control cancer cells spread as I am having prostrate cancer too. TQ again

  • @FirinnOnair
    @FirinnOnair 5 місяців тому +2

    Your videos give me hope.

  • @johngrimkowski598
    @johngrimkowski598 5 місяців тому +3

    Thank you for your information you are by far a expert in this field.

  • @AnilMehta-mf6vg
    @AnilMehta-mf6vg Місяць тому

    Pl talk about .. prognosis after femur fracture twice..... orchidectomy done 9 yrs back ....

  • @ACTIVEPAIR
    @ACTIVEPAIR 5 місяців тому +2

    Thank you for this. My testosterone is at the lower end of ‘normal’ so suspect doing away with it totally for a while won’t have such bad side effects🤔 My NHS Oncologist is determined to get me radiated too! I’m trying to avoid radical treatments. (3+4 =7, no metastasis on recent PSMA pet scan, fit healthy 58 years old, on off label drugs and protocol in How to Starve Cancer).

  • @robertdavis9246
    @robertdavis9246 5 місяців тому +2

    Wonderful intelligent information.

  • @denniskillian
    @denniskillian 10 днів тому

    need information on blocking Hormones to the brain to help stop recurrence of cancer after having a prostate removal . had it taken out 7 yrs ago, in 23 cancer showed up in the limp nodes near the prostrate. they gave me Proton treatment, levels went down. in 24 it came back again in limp nodes again. Proton treatment again. now they want me to take Hormones to block hormones from the brain to the prostrate? is their a natural treatment with out side effects.?

  • @edwardbertorelli7358
    @edwardbertorelli7358 5 місяців тому +2

    Another informative session

  • @shorttrackstoriesbyrickcro260
    @shorttrackstoriesbyrickcro260 5 місяців тому

    Gleason 4+3=7 RP, Radiation, round of Taxtore, Lymph Node Positive, 2 years Lupron- PSA down to 0 - took a 2 year holiday PSA started creeping up to 5. Started Lupron 3 month shot, PSA to undetectable in sixty days. Can I take an immediate holiday or is there a set time period?

  • @debraarnold3703
    @debraarnold3703 5 місяців тому +8

    Good treatment - Hormone therapy, blocking testosterone. Testosterone is the reason PSA rises. Lupron is a good option - as proven by my husband, Gleason 9 never had rosibg PSA, diagnosed incidently, immediate Prostatectomy, 4-1/2 years PSA still less than .75, (point 75, less than 1), PET scan shows lymph node involvement, slow rising PSA Lupron shot followed by radiation. Testosterone still zero, PSA still undetectable 2 yrs later.
    Ahe at initial diagnosis, RP: 66
    Age at finishing radiation: 73.
    Age today: 75
    Stay alive. He's thriving.

    • @EdWeibe
      @EdWeibe Місяць тому

      Whats it lke in the bedroom? Sorry to have to ask, but we're all adults here. .06 PSA here, after orgovyx for 6 months and 6 weeks of beam radiation. Bedroom activity is dead. Has been before and since.

  • @Marc_de_Car
    @Marc_de_Car 4 місяці тому

    Thank you

  • @ManuelTabigue
    @ManuelTabigue 4 місяці тому +1

    Good afternoon Maam/Sir, is Metastatic Prostate Cancer that had spread to the bones curable?

    • @TERRY-cb2ku
      @TERRY-cb2ku 4 місяці тому +1

      According to this doctor, yes. Or at least, manageable to extend life.

    • @EdWeibe
      @EdWeibe Місяць тому +1

      moreso than it was 10 years ago. Look up your treatment options and go for it.

    • @paulasusan63
      @paulasusan63 11 днів тому

      Natural cures...

  • @austinmackjr4743
    @austinmackjr4743 5 місяців тому +6

    I was given both radiation and ADT. 😮

    • @Vincent50
      @Vincent50 5 місяців тому +2

      I’ve been given both and still on ADT.

    • @robwells230
      @robwells230 5 місяців тому +2

      I would like to hear Dr. Schultz comment on
      taking Abiraterone alone in lieu of Lupron.
      Is it as effective in dropping Testosterone levels???
      And after stopping Abiraterone, how long does it take to recover testosterone to normal???
      It seems difficult to get straight answers to these important questions.

    • @therealpeterburke
      @therealpeterburke 5 місяців тому +4

      I am on 1st and second gen ADT for 2 years, plus radiation. sure wish things like Extandi would be covered by normal insurance. Zytiga and Lupron for 2 years is a nasty cocktail. I have no idea how I am going to make it through another 12 months plus 6 months recovery time.

    • @spitfirekid1
      @spitfirekid1 5 місяців тому

      @@therealpeterburke peter, I’m a Gleason 9 Stage 3 patient. Already had salvage RP after failed brachytherapy, finishing up salvage radiation and on two years of first and second generation ADT. A fellow patient suggested ORGOVYX instead of Lupron for first generation so that’s what I’m taking. Less hot flashes and fatigue. I am on Zytiga for second generation. I do resistance training, four days a week and walk or cycle vigorously seven days a week. Hot flashes are not too bothersome. Libido is not existent... Fatigue was manageable until radiation started. That should improve or so I’m told. You may want to look into switching to ORGOVYX instead of Lupron. You’re out of pocket could be manageable, depending on your insurance plan. Testosterone recovers far more quickly with ORGOVYX instead of Lupron. How Zytiga will affect things remains to be seen. Do as Google search for Mark Cuban cost plus pharmacy to reduce your cost of Zytiga, which goes under the generic name Abiraterone. I don’t relish the thought of being on this for 24 years either but M committed to doing everything I can to beat this disease. Good luck on your journey.

    • @victorkh7
      @victorkh7 5 місяців тому +1

      @@therealpeterburke Sorry to hear... This is a heavy treatment... 3years!
      What was the last measured PSA?

  • @GalaxyCat001
    @GalaxyCat001 2 місяці тому

    This video did not really address the scenario where the cancer is localized & intermediate but the person would still not want surgery or radiation. Can hormone therapy be the primary treatment & how long could they last before they did need surgery or testosterone levels were irrecoverable, though they can be added. ie if the man wanted to have kids in the next few years etc is one possible scenario.

  • @TERRY-cb2ku
    @TERRY-cb2ku 5 місяців тому +7

    This site was randomly recommended to me many months ago. It has been invaluable to me for information I needed after having been diagnosed with elevated PSA and a lesion found on the prostate via MRI. I garnered much information over the months leading up to and including the biopsy. It prepared me for the possibility of a cancer diagnosis with the hope of an eventual cure and good recovery. After finally getting the biopsy and diagnosed with a diseased prostate, I am happy to report no çancer was found after 14 samples were taken. However, my biopsy does not answer why I have intermittent elevated PSA levels. Perhaps because I sometimes have inflammation due to UTIs or maybe prostatitis ? I am 73 years old.

    • @ralphcherry617
      @ralphcherry617 5 місяців тому +1

      @@TERRY-cb2ku Enlarged prostate?

    • @TERRY-cb2ku
      @TERRY-cb2ku 5 місяців тому

      @@ralphcherry617 Yes, but other factors are involved. I am on tadalafil 5mg daily for urinary function, and it works fairly well. Here are the most significant findings of my biopsy. Segmental prostatic acinar hyperplasia, diffuse prostatic acinar atrophy and focal acute inflammatory infiltration. Some samples had multiple findings. Three samples showed no significant pathological abnormalities. In total 14 samples were taken. Possibly two were taken from the lesion itself. Overall, I consider myself lucky.

    • @custom55
      @custom55 5 місяців тому +1

      Same here. I've have three biopies over 9 years. The second two biopsies were performed after the MRI showed two lesions each time. All were negative. My last PSA was at 4 but I've had as high as 10. My last results showed "cronic inflamation" of 1/2 of my prostate. I see my Uro every six months and were monitoring.

    • @TERRY-cb2ku
      @TERRY-cb2ku 5 місяців тому

      @@ralphcherry617 Fooltube has deleted my previous reply to you. My prostate is enlarged but evidently not to a high degree. According to the report, which I have a copy of, three different diseases are present but no cancer is involved. After doing some research, I have a theory about the rising PSA levels and I have discussed this with my doctor. Despite my age, 73 , I am very active most of the time and I do strenuous exercise most days. Crunches, sit ups, weights and elliptical. Which can cause a rise in PSA levels. Even having sex 5 to 7 days before PSA blood work can cause higher numbers. Also riding a tractor, ATV, motorcycle for any length of time can add to your numbers. But in the end, although not a perfect outcome, I thank God for answering a lot of prayers.

    • @TERRY-cb2ku
      @TERRY-cb2ku 4 місяці тому

      ​@@ralphcherry617 Somewhat enlarged, but three "diseases/conditions" were found. It's more complicated than I can understand. It's hard to get enough time with a urologist for a good explanation.

  • @williammack571
    @williammack571 4 місяці тому +1

    I am on orgovyx only in month 6 peak psa 223 lots of Gleason 8. I think I am a dead man walking. Side effects are nasty my mental health is in the crapper

    • @EdWeibe
      @EdWeibe Місяць тому +1

      hang in there man. Orgovyx here too for about 6 months. What a ride huh? I use a fan at night for the hot flashes.

    • @paulasusan63
      @paulasusan63 11 днів тому

      Try natural cures...research ivermectin or fenbendazole

  • @JLynn-h4z
    @JLynn-h4z 5 місяців тому

    What about Darilutimide?

    • @handonmgt
      @handonmgt 4 місяці тому

      Used the first month of ADT to lower the testosterone with out a PSA spike.

  • @fredwelf8650
    @fredwelf8650 4 місяці тому

    Dr Sholz’ discussion of 1st Gen and 2nd gen was not clear as he did not give examples of combinations.

  • @robertrosanelli444
    @robertrosanelli444 5 місяців тому +5

    Lupron has miserable side effects. They say that you "might" experience them, including hot flashes. Well, you will experience them, and your life will never be the same. If you want those side effects, go ahead and take Lupron. If you think you will not have the side effects, think again. They will never tell you the truth.

    • @jimhilton1023
      @jimhilton1023 5 місяців тому +4

      "Might experience" was accurate for me. If you do have side effects, you are part of the minority but I understand that being there feels like 100% and very bad. You may have to do some of the suggestions to limit the affects. You feel like a victim, but you are in far more control than you sound. I am 77, tested low testosterone anyway so maybe I didn't miss it so much but never had hot flashes that I am aware of. I am very active, farming, fence building, clearing trees, milling them down to lumber and doing woodworking projects. That may affect my experience. I do know that if I feel fatigued and want to just sit, I'll go outside, do something and fatigue goes away just as I was told.

    • @richardratcliffe9698
      @richardratcliffe9698 4 місяці тому +1

      So true, when I don’t do regular exercise I feel horrible, depressed, hot flashes, soreness etc. when I do though most symptoms disappear

    • @handonmgt
      @handonmgt 4 місяці тому +4

      My side effects are negligible. Don't scare people. With cancer treatment, there are tradeoffs. The alternative, dying of metastatic prostate cancer is unacceptable.

    • @EdWeibe
      @EdWeibe Місяць тому

      @@jimhilton1023 6 months on orgovyx here. Interesting side effects. Might sound crazy but I could get used to it. I have 1.5 years to go on orgovyx. Seeing the radiation guy today for a final checkout or new instructions but am PSA .06 at the moment. Guys, its not a death sentence.

    • @paulasusan63
      @paulasusan63 11 днів тому

      Pure evil treatment for men! Its all about the money. This man lies!!!

  • @jeremyv1783
    @jeremyv1783 5 місяців тому +7

    Don’t do it!-I plead with u not to allow this to happen to you-the side effects are horrendous and they won’t share this with you

    • @paulasusan63
      @paulasusan63 11 днів тому

      This treatment for men is pure evil! Dont do it!! Research and try natural cures! Ivermectin is one

  • @jamescalifornia2964
    @jamescalifornia2964 5 місяців тому +5

    ADT + prostate destruction = _woman_ 😩

    • @johngrimkowski598
      @johngrimkowski598 5 місяців тому

      no ADt + no prostate destruction = DEATH

    • @JustaReadingguy
      @JustaReadingguy 5 місяців тому +5

      But alive.

    • @spitfirekid1
      @spitfirekid1 5 місяців тому +1

      I respectfully and strongly disagree. I suggest you purchase the book “surviving prostate cancer” by Dr. Patrick Walsh. It may change your perspective.

    • @coveman5826
      @coveman5826 5 місяців тому +4

      @@spitfirekid1almost killed me you don’t know squat

    • @charlesgair8608
      @charlesgair8608 5 місяців тому +3

      Orchiectomy = Almost Woman

  • @paralegalgroup5528
    @paralegalgroup5528 5 місяців тому +1

    Why was Lupron discontinued?
    Why was Lupron discontinued? AbbVie would like to inform you that this product has now been discontinued globally across AbbVie due to a lack of demand with newer alternatives available. Nov 10, 2022

  • @richardrelli6261
    @richardrelli6261 5 місяців тому +1

    When are we going to figure out how to get an erection after hormone therapy. remission for 5 yrs. back up to 5.9 No side effects testosterrone 721. took pd5 in hibator only semi / i do not want to get cut. & radiation is out,. was to spread out at the time. treatment should not be so invasive for an erection. we got the cure lets figure out the limbedo . part. what do you think!

    • @paulasusan63
      @paulasusan63 11 днів тому

      How about natural cures such as ivermectin?