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Make healthy lifestyle choices. Include physical activity and exercise in your daily routine, eat a healthy diet, maintain a healthy weight, don't smoke, limit alcohol, manage stress, and manage chronic health conditions, such as high cholesterol or high blood pressure. Discacciati A, Orsini N, Wolk A. Body mass index and incidence of localized and advanced prostate cancer--a dose-response meta-analysis of prospective studies. Ann Oncol. 2012 Jan 6;23(7):1665–71.
Watchful waiting may also be recommended if your general health means you're unable to receive any form of treatment. Active surveillanceLHRH agonists cause the body to produce more testosterone for a short time after the first injection. This usually happens about two or three days after you have the first injection. During TURP, a thin metal wire with a loop at the end is inserted into your urethra and pieces of the prostate are removed.
During laparoscopy, fine instruments are used to cut away or apply heat, a laser, or a beam of special gas to the patches of endometriosis tissue to destroy or remove them. It's not widely available and its long-term effectiveness has not yet been conclusively proven. Treating advanced prostate cancer Antidepressants can help with mood symptoms if you've been diagnosed with depression or anxiety. Cognitive behavioural therapy (CBT) If the cancer has spread to your bones, medicines called bisphosphonates may be used. Bisphosphonates help reduce bone pain and bone loss. Chemotherapy If you’re on life-long hormone therapy and are finding the side effects difficult to manage, you might be able to have intermittent hormone therapy. This is where you stop hormone therapy when your PSA level is low and steady, and start it again if your symptoms get worse or your PSA rises to around 10 or higher.I'm 33, and have spent the last five or so years of my life feeling crappy much of the time. Conventional medicine has pretty much failed to help at all (no thank you doctor, I don't want an anti-depressant for my fatigue), so I've turned to some alternatives. I heard about Sara Gottfried and her book The Hormone Cure through one of Sean Croxton's Underground Wellness podcasts and immediately thought: I have to get that book. Ask your doctor how long you’ll need to take anti-androgens for, and whether you’re having them with another treatment or on their own. It's also important that any long-term conditions, such as diabetes or high blood pressure, are well controlled. Surgery for trans men Hormone therapy will be a life-long treatment for most men with prostate cancer that has spread to other parts of the body (advanced or metastatic prostate cancer).
Deciding to have a hysterectomy is a big decision you should discuss with your GP or gynaecologist. Some men find the thought of having an orchidectomy upsetting and worry about how they’ll feel once their testicles are removed. Speak to your doctor if you have any concerns. Marzouk S, Naglie G, Tomlinson G, Duff Canning S, Breunis H, Timilshina N, et al. Impact of Androgen Deprivation Therapy on Self-Reported Cognitive Function in Men with Prostate Cancer. J Urol [Internet]. 2018 Mar 1 [cited 2018 Aug 10]; Available from: http://www.sciencedirect.com/science/article/pii/S0022534718393790 Nead KT, Sinha S, Yang DD, Nguyen PL. Association of androgen deprivation therapy and depression in the treatment of prostate cancer: A systematic review and meta-analysis. Urol Oncol Semin Orig Investig. 2017 Nov 1;35(11):664.e1-664.e9.For example, oestrogen-only HRT may cause your symptoms to return if any endometriosis patches remain after the operation. National Institute for Health and Care Excellence. Prostate cancer: diagnosis and management. 2021. Hu MB, Xu H, Bai PD, Jiang HW, Ding Q. Obesity has multifaceted impact on biochemical recurrence of prostate cancer: a dose-response meta-analysis of 36,927 patients. Med Oncol Northwood Lond Engl. 2014 Feb;31(2):829. Evidence suggests these hormone treatments are equally effective at treating endometriosis, but they have different side effects. Implants may be given as a small pellet that is placed under the skin in the abdomen and slowly releases the drug. How often will I have injections?
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