What they don't tell you about Androgen Deprivation Therapy

[madman]

In this video, Dr. Richard Roehr and Dr. Lauren Walker discuss the challenges and side effects of Androgen Deprivation Therapy (ADT), also known as hormone therapy, for prostate cancer patients. They highlight the psychological and physical side effects, including loss of sex drive, fatigue, hot flashes, weight gain, and depression. They emphasize the importance of education and support for both patients and their partners to manage these effects. The video also touches on the topics of penile shrinkage, brain function changes, recovery after ADT, and the role of exercise in mitigating side effects. Dr. Roehr and Dr. Walker recommend individualized care and communication to help patients adapt to the changes brought on by ADT.


Key Takeaways:

• ADT (Androgen Deprivation Therapy) is a common treatment for prostate cancer patients.
• Side effects of ADT include loss of sex drive, fatigue, hot flashes, weight gain, and depression.
• Partners of patients on ADT may also experience psychological effects.
• Age can play a role in the severity of side effects experienced.
• Proper assessment of patients is essential in determining the best treatment options and managing risks.
• ADT in combination with radiation therapy can increase fatigue levels in patients.
• Cognitive impairment may be associated with long-term ADT treatment, but more research is needed.
• Men on ADT may experience penile shrinkage and changes in sexual function.
• Alternative sexual practices and devices can offer solutions for patients experiencing sexual side effects.
• The language used when discussing ADT and its side effects is important in supporting patients and their mental health.

 

[madman]

Exploring Cardiovascular Consequences of ADT in Prostate Cancer

The review discusses the growing concern about cardiovascular complications arising from androgen deprivation therapy (ADT) for prostate cancer patients. These complications are not solely due to androgen suppression, as specific types of ADT lead to distinct cardiovascular issues. The purpose...

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[end-of-the-line]

Reading this makes me want to kill myself immediately. I'm on six months of ADT and was just told my testes are abnormal and I may not ever recover my testosterone. My ADT ends in October. If I don't have any T by the end of the year it's a bullet to the head for me. Thanks for posting this--this information was kept hidden from me. Glad to finally know the truth.

 

[madman]

Reading this makes me want to kill myself immediately. I'm on six months of ADT and was just told my testes are abnormal and I may not ever recover my testosterone. My ADT ends in October. If I don't have any T by the end of the year it's a bullet to the head for me. Thanks for posting this--this information was kept hidden from me. Glad to finally know the truth.

I am sorry to hear this.

Please look into this deeper as there is hope after ADT.

There is still the option of treating sides/low testosterone but you need to find a doctor who is well versed in such.



Dr. Mulhall briefly discusses this. (57:07-58:50)

Save Your Sex Life After Prostate Cancer Treatment

Dr. Mulhall is very thorough and on point as usual! In this video, Dr. John Mulhall discusses the impact of prostate cancer treatment on sexual health. He emphasizes the importance of fully informed consent and realistic expectations before treatment. He explains the common sexual...

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Look over the numerous threads.

Great interview here a must watch for anyone going through ADT treatment.

Testosterone Replacement Therapy After ADT

Chapters: 0:34 What is testosterone replacement therapy (TRT)? 2:29 What is the dosing? 2:50 Explain adding testosterone when you are on ADT? 4:43 What is a normal testosterone level and one for someone on ADT? 7:10 How does quality of life and testosterone level relate? 7:55 Does...

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2:50 Explain adding testosterone when you are on ADT?

14:31 At what point does a rising PSA warrant discontinuing TRT?

Testosterone therapy for men on active surveillance

“The 2018 AUA guidelines for testosterone therapy that were co-chaired by Dr. John P. Mulhall say that we have an absence or a paucity of data on using testosterone therapy on active surveillance,” says Helen L. Bernie, DO, MPH...

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*I will pretty much prescribe testosterone to anyone that is not on ADT. I do have a very detailed discussion with my patients that there's A) an absence of long-term data, B) that the data that is out there does not show any increased risk of prostate cancer progression, staging, or biochemical recurrence in low-, intermediate- or high-risk prostate cancer patients, and then if they want to be on it, then we have them on a protocol where they're going to get labs rechecked by me every 3 months. If I see a PSA rise, I'll use a repeated a month later. If it continues to go up, then I have a discussion with them. Are we going to meet with your urologic oncologist? Are we going to meet with your medical oncologist, or a radiation oncologist depending on what their therapy was? And we'll make a decision together about whether we're going to keep you on the testosterone, or if maybe we're going to stop and look into other modalities or treatment options for prostate cancer.

Testosterone Therapy May Be Reasonably Offered to Men on Active Surveillance for Prostate Cancer – Pro/Con

https://www.urotoday.com/conference-highlights/aua-2024/aua-2024-prostate-cancer/151946-aua-2024-crossfire-controversies-in-urology-testosterone-therapy-may-be-reasonably-offered-to-men-on-active-surveillance-pro-con.html (UroToday.com) Recent developments in urology have increasingly...

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Testosterone Replacement In Prostate Cancer Remission

Medical Oncologist Mark Scholz, MD gives a survey of testosterone replacement therapy (TRT) in the context of prostate cancer. Historically, some in the medical community have been hesitant to consider testosterone in patients with a history of prostate cancer out of fear of exacerbating the...

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7:01 Can you explain the process of using TRT after hormone therapy for prostate cancer in men whose testosterone does not recover naturally?

9:01 How do you monitor whether a man's testosterone is recovering and whether it is safe to do TRT if it is not recovering naturally?

10:51 How much of a buffer is needed between the end of hormone therapy and when you would consider beginning TRT if a man's testosterone does not recover?



post #3

Advanced Prostate Cancer Treatments

The 2023 Prostate Cancer Patient Conference is a two-day online educational event for prostate cancer patients and caregivers. Join other patients and caregivers who will be attending from across the US and internationally. Renowned physicians from different specialties will be covering topics...

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Sexual restoration panel about prostate cancer and quality of life restoration

Urologist – Carolyn Salter, MD – Memorial Sloan Kettering Cancer Center *16:29-18:00 (testosterone therapy after prostate cancer) Prostate Cancer Patient Virtual Conference 2022 Presenters: Medical Oncologist – Karen Autio, MD – Memorial Sloan Kettering Cancer Center Epidemiologist –...

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Urologist – Carolyn Salter, MD – Memorial Sloan Kettering Cancer Center

*16:29-18:00 (testosterone therapy after prostate cancer)

 

[madman]

Dr. Mark Shultz, Dr. John Mulhall, Dr. Helen Bernie and Dr. Carolyn Salter are well versed!

Having trouble posting up the links for contact info had to post a screenshot for now.

 

[madman]

MARK SCHOLZ, MD – Prostate Specialists

John P. Mulhall

I am board-certified urologist and a microsurgeon who specializes in sexual and reproductive medicine and surgery. As a microsurgeon I perform delicate procedures using operating microscopes and miniaturized precision instruments on the very small structures in the genitourinary tract. As part...

www.mskcc.org

https://iuhealth.org/find-providers/provider/helen-l-bernie-do-70413

Madigan Army Medical Center > Health Services > Specialty Care > Urology

 

[madman]

Reading this makes me want to kill myself immediately. I'm on six months of ADT and was just told my testes are abnormal and I may not ever recover my testosterone. My ADT ends in October. If I don't have any T by the end of the year it's a bullet to the head for me. Thanks for posting this--this information was kept hidden from me. Glad to finally know the truth.

Dr. Abraham Morgentaler an internationally-renowned expert in testosterone therapy, prostate cancer, and male sexuality.

He has treated men suffering from low testosterone after ADT.

Testosterone Therapy Today: Clinical Advances & Safety with Dr. Abraham Morgentaler

Dr. Morgentaler back in action! Listen closely, loved this one! Pros/Cons oral TU (51:24-57:12) *one of the things that the orals have transformed is the concept that you have to have a continually high level of testosterone to get the benefits and clearly that's not true and the...

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Treating Prostate Cancer Patients with Testosterone

35:42-43:05