I was given only two choices from the doctor, castration by surgery or hormone treatment. I chose hormone treatment - ADT (Androgen Deprivation Therapy).

My side effects are erectile dysfunction, loss of libido, hot flushes (not so often usually early in the morning),some development of breasts, need to urinate frequently and some incontinence, if I can't find a toilet fast, when needed.

I have a reasonable good life anyhow, and a patient and understanding wife. We go to gymnastics twice a week, and also walk for 1 hour/day in the nearby forest. My blood pressure is low (I am taking medicines after my heart attack 2000) I am wondering if there is any option for me to avoid the hormone treatment.

Kind regards Arne S

SYMPTOMS 1998: Difficulties to urinate

DIAGNOSIS: 15 October 1998: PSA=14,6; 21 November 1998: Biopsy, medium differentiated prostate adenocarcinoma (malignant)

TREATMENT:
20 December 1998 :Flutacan 250 mg x 3 for 28 days [a variant of flutamide]
22 January 1999: 1st injection of Decapeptyl depot 3,75 mg. (Triptorelin)
Thereafter 1 injection every 4 weeks.

PSA RESULTS:

15 June 1999: PSA=2,49
13 October 1999: PSA=1,94
3 April 2000: PSA=1,32
18 September 2000: Severe cough, got Prednisol 10 mg total 25 doses: 3 per day.
28 September 2000: heart attack
5 July 2001: PSA=0,4. Injection No 35.
Stopped therapy for 9 months.

28 August 2001: PSA=0,6
25 September 2001 : PSA=0,8
23 October 2001: PSA=1,50
22 November 2001: PSA=1,10
18 December 2001: PSA=1,60
15 January 2002: PSA=2,80
12 February 2002: PSA=2,70
12 March 2002: PSA=4,10
9 April 2002: PSA=14,0

13 April 2002: Started treatment again with injection No 36.
3 September 2002: PSA=2,60
3 January 2003: PSA=1,10
2 September 2003: PSA=0,60
14 October 2003: PSA= 0,60
30 December 2003: PSA=0,78
4 January 2004: PSA=0,85
20 January 2004: Injection No 58.
Stopped therapy for 11 months.

26 February 2004: PSA= 0,65
26 March 2004: PSA=0,57
25 April 2004: PSA=1,20
26 May 2004: PSA=1,70
8 June 2004: PSA=3,10
22 June 2004: PSA=2,10
19 July 2004: PSA=2,70
26 August 2004: PSA=2,80
20 September 2004: PSA=3,80
18 October 2004: PSA=3,60
23 November 2004: PSA=6,70
6 December 2004: PSA=34,0

Started treatment again with injection No 59.
3 January 2005: PSA=5,10
28 February 2005: PSA=0,93
4 May 2005: PSA=0,70
1 September 2005: PSA=1,10
29 November 2005: PSA=0,50
23 March 2006: PSA=0,91
23 May 2006: PSA=0,38
28 September 2006: PSA=0,30
7 November 2006: PSA=0,35
30 January 2007: PSA=0,30
26 April 2007: PSA=0,41
26 July 2007: PSA=0,28
9 August 2007: PSA=0,28
16 January 2008: PSA=0,34
19 August 2008: PSA=0,42
17 January 2009: PSA=0,46
18 August 2009: PSA=0,16

Today is 3rd of November 2009

29 December 2009: PSA=0.19

30 December 2009 Stopped therapy.
11 February 2010 PSA=0,16.

No treatment since December 30, 2009
March 25 2010 PSA=0,15
May 6 2010 PSA=0,18
June 21 2010 PSA=0,25

I have started to drink one glass of pomegranate juice every morning. I will try to see if there is any evidence that the rate of raising of PSA-value will slow down.

Arne

PSA levels:
August 2, 2010 PSA= 0,29
September 2, 2010 PSA= 0,25
January 11, 2011 PSA= 0,49
April 21, 2011 PSA= 0,73

I started to drink one glass of pomegranate juice every day from August 1 2010. I still have no treatment for the cancer [other than ADT (Androgen Deprivation Therapy)]

Regards, Arne

I still have no medical Treatment since Dec 30 2009 but continue to take one glass of pomegranate juice every morning since Aug 2010.

I also take exercises 1/2 - 1 hour every day (walking and gym training twice a week)

In June 2011 I suffering from back pains

Therefore had Skeleton x-ray investigation June 20 2011

No malign things were found

Updated PSA Levels

July 26 2011 PSA=0.86
Oct 24 2011 PSA=0.89
March 19 2012 PSA=1.0

After approx 3 years on none treatment my PSA has raised from 0.2 to 2.7.

Sept 24 2012 PSA=2.7
Nov 23 2012 PSA=0.91
Jan 2 2013 PSA=1.5

Have had angina pectoris. I got 2 coronary balloon catheters inserted on Nov 20 2013.

My PSA was 1.2 June 24 2013
My PSA was 2.0 Dec 3 2013
My PSA was 1.3 May 7 2014

Kind Regards

Arne

May 20 2014: PSA 1.3
Aug 14 2014: PSA 1.0
Nov 6 2014: PSA 1.2
Mar 17 2015: PSA 1.2

Kind Regards
Arne

PSA was 1.5 September 15 2015

Sept 15 2015 PSA 1,5
March 8 2016 PSA 1,3
Sept 19 2016 PSA 1,0

PSA 1.0

May 14 2018 PSA=1.0

May 2019 PSA=0.1

PSA testing once a year. Waiting for new test 2020

June 12 2022

PSA 0,1

No treatment Some urin leakage

A small cancer in the right side of my tongue operated November 2022

Seem to be OK now. Control every 3 months Next check 12 of July 2023

Got Covid nov 2022. Lost some taste on tongue Suffer mostly from arthritis in arms

I make recomended physical and mental training Operated both eyes do not need glasses

Can drive car and do shopping myself

Arne/1 July 2023

Arne's e-mail address is: arne.soderkvist AT telia.com (replace "AT" with "@")