Hi Scott,
I am 46 yo. I was diagnosed with prostate cancer at age 44. My PSA was at 96 and a biopsy shoed my cancer was stage 4, gleason 9.
After Di Vinci radical surgery my PSA was still 10. So I went on chemo. After the chemo my PSA was .1. It was working but to be sure I was put on Lupron. One injection every three months. For over a year my PSA stayed under control remaining below 1.
About six months ago my PSA started raising first to 1.5, a month later 2.6 so I was prescribed Casodex along with the Lupron. The first month it seemed to work lowering my psa to below 1. However my last blood test showed my PSA at 3.5. I see my Oncologist in June.
I am confused right along with you. I don't know if he will triple the dose of Casodex (which was mentioned) or what. I don't think I will have radiation because they don't know where to radiate.
My oncologist keeps telling me that they don't have a whole lot of dat for guys as young as us because Prostate Cancer is normally an older man's disease.
I wish you the best. At Least we are still here. Sex life is gone, but I'm still here.
God Bless,
Dave B.