Testosterone to Improve the Diagnosis and Treatment of Prostate Cancer

Mohit Khera, MD, MBA, MPH, discusses the role of testosterone in the diagnosis and treatment of prostate cancer.

[@maxthemagition]

I was 60 years old when I got a medical examination through my American company, The report highlighted a high PSA of 6.4 which I ignored, because I did not know what PSA was. When I was 76 years old after many wonderful years in retirement, I visited a doctor because of many visits to the toilet during the night.....My PSA was found to be 11.4 and after an MRI and Biopsy, a tumour was found localised in my prostate with a gleeson score of 4/3 which is intermediate cancer. Because of my age, my surgeon said that I was too old and my prostate too big for an operation, so it was radiotherapy and 6 months hormone therapy. Today 7 months after radiotherapy I am almost back to normal and enjoying life again after the side effects wore off, including getting erections etc I still feel tired sometimes but I suspect my testosterone levels are slowly returning to normal...I hope so anyway. PSA is very low and I hope it stays that way....

[@lateron2316]

Absolutely on Target. I was low T and moderate 7.1 PSA - but a staggering Gleeson 10. Followed this formula by getting my T benchmarked and tested prior to surgery after reading "Saving your sex life" and following all the guidelines. I Agree 100% that "T" is not the ugly element in PCa - and stopped all ADT post-surgery. Now monitor PSA and 3 years out - Zero PSA and "normal T" 6 months after ADT stopped. This was strange as I did not have TRT - but "T" was back into normal range? Will now start testing "T" in conjunction with my PSA which I continue to monitor 3 monthly. Thank you for this information - really helpful and informative.

[@brettjackson7233]

Decades of research and nobody doing huge studies on this is remarkable. All seems pretty obvious to me. Of course your psa is not accurate if your a cancer survivor and your testosterone hasn’t recovered.

[@NA_Hemi]

As far as Active Surveillance, If low testosterone is bad for Active Surveillance, would it be advantageous to go on TRT during Active Surveillance to get testosterone to a healthy level?

[@petermathieson5692]

Very informative

[@wholeNwon]

"Equivocal"???

[@EmranAskari]

He probably meant "equivalent", "similar" or "comparable".

[@elitetrader5468]

Yes, that's a word in the medical field.

[@elitetrader5468]

@@EmranAskari No, he didn't. But it means equivalent. It is just a snooty way we in healthcare say things. LOL.

[@MM-sf3rl]

open to more than one interpretation; ambiguous. "the equivocal nature of her remarks"

[@clintcarter]

🙏🙏🙏💪🤘👍🙏🙏🙏