
Originally Posted by
Cylon357
I think all the no test talk is old school thinking. I THINK, but I am no doctor, that the previous thinking was that T directly drives prostate growth. It does not. That is what DHT does. So yeah, all other things equal, more T = more DHT = more impact on prostate.
That said, for a lot of men, including me, it makes sense to look at quality of life before considering total androgen deprivation.
To BMPs point, do you really want to live life as a girl - really a frilly, castrated, feminine man - to MAYBE make treatment a little easier? I don't think I would, but finasteride had all the negatives for me at conventional doses. Some tolerate it well, so it would be a different decision for someone like that.
But with all that, I don't think you have to nuke DHT into the dirt to get prostate benefits. Microdosing finasteride can nudge dht lower and thus reduce PSA, without turning men into eunuchs.
Doctors are slow to adopt new practices and ideas, sometimes that's good, sometimes bad, but the current thinking re prostate cancer treatment seems to do a lot of potential harm without really increasing the odds of survival. I mean, if they remove your prostate physically or cook it till its dead, does it really matter what your DHT is?