87yr old Brother with raising PSA figures

Hi Osca2023 , that’s a very interesting question.  His PSA looks to be doubling annually but it could be contained within the prostate for years and give no problem (I have a friend who had a score of several thousand and still contained). Unfortunately without scans nobody knows exactly what is going on.  So if in January his PSA goes above 20, I suspect he will be offered HT.  If he feels well and is reasonably active then personally I would probably hold off on the HT but if he is not active or in pain, then go for HT.  Quantity over Quality is a really tricky point and is a very personal decision.

Thankyou David ( David2017 ) he is not in any pain, well not that he's told me of, and was far more active than most 87yr olds until the heart problem arose in the early summer this year. Since that he has slowed down considerably. He lives alone, drives and flies away on holiday.

Your thoughts are very much in line with my own.

Rod 

Rod, he sounds to be doing well.  Another consideration for him may be the effect of HT on his heart, so if HT becomes an option, he might need to consider that in discussion with his heart team.