Is Intermittent Hormone Therapy Right for You? | Celestia Higano, MD & Mark Moyad, MD | 2021 PCRI
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- เผยแพร่เมื่อ 7 ก.ย. 2024
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Intermittent hormone therapy is a treatment protocol that intends to improve the quality of life in men with incurable prostate cancer that is responding well to treatment without sacrificing longevity. Although large clinical trials have demonstrated no significant difference in cancer progression or survival between continuous and intermittent hormone therapy, the practice is still somewhat controversial depending on the physician. Here, public health expert Mark Moyad, MD, MPH asks medical oncologist Celestia Higano, MD about her experience treating patients with intermittent hormone therapy.
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Im from South Africa and have mestastic PC. Took my cue from Dr. Robert Scholz on this channel about intermittent hormone therapy. My urologist agreed to give it a shot and its fantastic. I feel much better And my PSA is still under 1 . Thank you PCRI and Dr. Scholz!!💜
"...the option exists for some people..."
I've extracted this phrase out of the final sentence of the video, and i would like to correct it, both for the doctors who recorded the video and for patients facing the specter of ADT:
The option to limit ADT or to take it intermittently is always the patient's regardless of the oncologist's advice.
I wholly embrace the philosophy the doctor/patient relationship is a partnership. Clearly, men who are in such dire straits are likely to defer to the knowledge and experience of their urologist or oncologist, but it is up to the patient to choose how they move forward in the quality vs. quantity equation. It's called agency.
I've been on Orgovyx for two cycles which reduced my testerone levels but...the after effects were devastating and led to bouts of deep depression and other negative reactions. My oncologist suspended the therapy for three months. I'm finally getting back to feeling like my old self. I'm not sure I'll go back to this therapy again. Life is not a crap shoot...we, as patients, do have a say in our reactions to the therapy! I'm not a rat in a maze....I'm a real human being who is allowed to make a choice. Hopefully, someone is listening and can add some credence to this dilemma. I'm not ready for the junkpile yet!
We have a free helpline with patient advocates who are trained to provide information about ameliorating side effects and things of that nature. We do not have any information about your prostate cancer case, but in many situations, it can be a life-saving or life-extending therapy, but it is always your right to decide whether you are going to do it and you should know the risks and benefits or having the therapy versus not having it, and the best strategies to mitigate the side effects if you are going to have hormone therapy. If you are interested, you can find our contact information at pcri.org/helpline.
I am on a break from ADT and I feel much better. I am stage 4 with at least 15 bone metastasies. I had 15months of ADT.
How are you going now? Harry
Thank you for the video. It's a hard decision to make for me, even though my oncologist has offered it as an option. I feel better off of ADT, but I don't feel awful on ADT.