Hot Flushes

  • 4 replies
  • 120 subscribers
  • 249 views

I had the last of my 3 Zoladex implants in April 2024 - a 10.8 one. I have sought advice as I'm still have daily hot flushes - the frequency varies from 2 to 5, each lasting a few minutes. I have been told that this is unusual and it's worth asking my GP about a testosterone check as this might be a possible cause.

If it's very low then HRT may be possible if it's carefully managed by my consultant. Has anyone experienced this issue before? I'm wondering if low testosterone could also be the cause of my low energy levels. However I'm also conscious that reducing my testosterone was one of the aims of the HT I had last year, so I assume any HRT would have to be really carefully monitored.

  • Hi  , my understanding is that the HT suppresses the testosterone and helps prepare the prostate for RT.  The RT should eliminate your cancer cells so you are effectively ‘cured’, then the HT is just a belt and braces to mop up any rogue cells.  Stopping HT your testosterone should increase.  I think it is a valid question to ask the medics, but if you don’t have any PCa cells around then to my mind it shouldn’t matter.  Please let us know the official medical line in due course.

    Best wishes, David

    Please remember that I am not medically trained and the above are my personal views.

  • I had my second (and last) HT injection in February this year. Towards the end of my 20 days of RT at the end of March I had a face to face consultation with one of the medical team and I discussed recovering testosterone levels with them. Their view was you shouldn't do anything to artificially increase them, and just wait for nature to take its course.

    I discussed the topic with another member of the medical team during a telephone consultation 3 months later and they said the same thing, with the caveat that they might look at intervening if things hadn't returned to normal by the new year.

  •  if per chance the '48' relates to your birth year then 'snap'.

    We are both in a similar situation, my last Prostap 3 implant was on the 24th October 2024 and to date my testosterone level is almost zero and I still experience hot flushes at a frequency of between 10 & 15 per 24hrs. My CSN assures me that the hot flushes should diminish in the next three months (I've told her that I will hold her to that promise!).
    I've not yet mentioned HRT to any of the medics but may be doing so if things don't change after the end of the year.

    Best wishes and please keep us updated with your experiences.

    Rod

  • Good morning Argy48, at my consultant meeting after completing my 33 fractions of RT my consultant said that since my PSA was now undetectable I could stop the Prostap injections before the designated 2 years. I’ve had 3 with one due next month and still have days where I get pretty wild hot flushes and days when I have very little. Mostly during the night to be honest. I have decided to keep on them however as 2 years was prescribed for a reason and if that keeps me on the right side of the grass I’ll happily accept some flushes as a sacrifice. My thoughts entirely I’m not looking to influence any others. Wishing you all the best Heart