Posted 10/19/2024 3:23 PM (GMT -5)
It is a tough call as the first thing you have to do is figure out when you are going to die from other causes and back-calculate from there, just a math problem…
My father passed last year at 96 and started going downhill the last two years. Otherwise, the medical system kept him going pretty well with knees, pacemaker, etc. My father’s PSA, 13 years after brachy, started rising in his mid-later 80’s so he went on ADT after some monitoring which knocked it back to undetectable then stopped ADT and testing. In his last two years, an energetic young doctor included PSA with a bunch of testing trying to get the bottom of his latest health issue which was 9.
So maybe it was a wasted effort but he made 96 and did not die of PCa, just with it like many men. Maybe it got him a few years so he did not die with metastatic PCa symptoms, maybe not.
Since he somehow made it to 96, I know that it might be possible with me. Stopping annual PSA testing at 79 (72 now) might not be a good plan for living longer assuming I stay clear until then. However, my Dad was not happy the last two years and would have not lived that part if he could get a do-over.
Yup, a personal decision for everyone.