I've finished radiation therapy while continuing on ADT and Abiraterone. How do I know how I'm doing? My...

I understand you want to know how to monitor your progress after radiation while continuing ADT (Androgen Deprivation Therapy) and Abiraterone. Let me provide evidence-based information about monitoring:

According to the NCCN Guidelines for Prostate Cancer (2023), the recommended monitoring for patients after radiation therapy while on ADT includes:

1. PSA testing every 3-6 months
2. Physical examination as clinically indicated
3. Regular monitoring of testosterone levels to ensure ADT effectiveness

The American Society of Clinical Oncology (ASCO) guidelines specifically recommend:

• PSA should be checked 3 months after completing radiation
• A rising PSA should trigger further evaluation
• Regular assessment of side effects from both ADT and Abiraterone

For Abiraterone monitoring specifically, the National Cancer Institute (NCI) guidelines indicate you should have:

• Regular liver function tests
• Blood pressure monitoring
• Potassium level checks
• Regular assessment for side effects

Important signs of good response typically include:

• Declining or stable PSA levels
• Well-managed side effects
• Maintaining daily activities as much as possible

Always remember that your healthcare team should be determining your specific monitoring schedule based on your individual case. They may adjust the frequency of tests based on your response to treatment.

I recommend keeping a journal of:

• Any side effects you experience
• Questions for your healthcare team
• Your PSA results
• How you're feeling overall

This information can help you and your healthcare team track your progress more effectively.