IHC, PSA Questions

My dad is dealing with prostate cancer and metastatic i.e. Spread to bones. He is heart and diabetic patient as well. He had undergone surgery to remove testicles almost year back. Psa test shown low reading - 0.140 after surgery but start increasing gradually since then. Now psa stands at 18 and just had 2nd pet scan. Doctor compared both pet scans (6 months gap) before and after surgery and did not alarm anything new. No bone pain as such currently. Based on doctor prescription he stated zoledronic acid injection on monthly basis. 2 injections so far. He currently takes bicalutamide (50 mg) along with other calcium and vitamin d supplement here are the 2 major issues I need help1. After zoledronic acid injection. He got light fever for a week and nausea. His psa score was very low after surgery but gradually increasing in recent months now 18. He is taking bicalutamide (50 mg) (1 tablet daily) since november 2022. What are treatment options to treat the rising psa. I can share the pet scan and other reports. I am looking for a senior doctor opinion and follow up appointment. No homeopathic doctors please.

MBBS, MD, CCEPC, FISSP, OBS, NFPM
Oncologist, Delhi
Cancer staging needs to do first. Different treatments / approaches are available for different stages. Psa will stop increasing only if we are able to treat the cancer or stop the cancer growth. Zoledronic acid & bicalutamide have limited role. Pet scans. Other reports & most imp patient s clinical condition will decide further treatment.
1 person found this helpful
Submit FeedbackFeedback

I am suffering from erectile dysfunction. I have enlarged prostate problem for which I am taking medications.

MD-Ayurveda, BAMS
Sexologist, Haldwani
I am suffering from erectile dysfunction. I have enlarged prostate problem for which I am taking medications.
Hello- severe prostatitis can cause erectile dysfunction directly. In milder forms, the condition can produce painful ejaculation, which can certainly interfere with sexual pleasure and may lead to erectile dysfunction. Unfortunately this kind of ed needs much more than prostate treatment for recovery. Better consult a qualified ayurveda doctor for help.
Submit FeedbackFeedback

Is due to masturbation prostate cancer I masturbate twice daily in teenage is any problem in future.

Bachelor of Ayurveda, Medicine and Surgery (BAMS), Yog Ayurved Padvika, M.A.(Sanskrit)
Sexologist, Pune
Yes More masturbation isn't good for health and future sexual life. Do meditation, and avoid overthinking of sex and about opposite gender. If there is nightfalls then it's ok. Do concentrate on study, good physical and mental health. Do kegale exercises for muscle tone which you will get on YouTube. Eat healthy food avoid junk food. Eat more ghee and drink milk regularly.
Submit FeedbackFeedback

Last stage of prostate cancer. It's spread in bone marrow. Doctor deny for chemo or any other therapy. Because of test reports blood 6 mg and urea 125h and creatinine 2.9h.is this possible to cure in ayurveda in this condition. Please tell me if it is.

DNB - Nuclear Medicine, FEBNM (Europe), Fellow Theranostics, Fellow Asian Nuclear Medicine Board (FANMB)
Nuclear Medicine Physician, Delhi
Please discuss with your doctor regarding possibility of lutetium psma therapy. It may help with pain control and disease control.
Submit FeedbackFeedback

Common problem is frequency of urination & premature ejaculation. Age 63 years, non diabetic, non hypertensive with mildly enlarged prostate.

MBBS, DGO
Sexologist, Kolkata
Common problem is frequency of urination & premature ejaculation.
Age 63 years, non diabetic, non hypertensive with m...
Quick discharge/ premature ejaculation is very common and is usually not associated with any disease but may be due to anxiety, sometimes however there may be problem with prostate gland and thyroid hormone. Most often it is a chronic problem and you have to take medicines off and on. You can learn to control quick discharge by doing this exercise- pull your muscles that you pull at the end of urination for few seconds then release repeat this several times daily. Another is stop-start technique: when you feel that you are going to ejaculate stop the sexual stimulation and divert your mind, the penis will relax, after sometime start the stimulation again and repeat the procedure. Over few months you will gradually increase your ejaculation time. If you want medicine prescription then can ask a paid query/ consult online with me. Otherwise above information should work for you.
Submit FeedbackFeedback

I dave been taking urimax d for the last one year due to 40% prostate enlargement now I am feeling better but I am facing problem of erectile dysfunction. Pls suggest. 69 years old.

MBBS, MS - General Surgery, M.Ch - Urology
Urologist, Bangalore
I dave been taking urimax d for the last one year due to 40% prostate enlargement now I am feeling better but I am fa...
Prostate enlargement itself as well as associated diabetes and hypertension could contribute to erectile dysfunction. There are treatment options available for erectile dysfunction. You will need to be assessed clinically before starting treatment for erectile dysfunction.
Submit FeedbackFeedback

Mai 5sal se rojana hastmaithun karte to kya humko prostate ki bimari ho jayegi sir.

DHMS (Hons.)
Homeopathy Doctor, Patna
Mai 5sal se rojana hastmaithun karte to kya humko prostate ki bimari ho jayegi sir.
Hi, lybrate user, Possibility of prostatic disorder might cause owing to frequent masturbation be restricted to twice a week to remain healthy. Tk, care.
Submit FeedbackFeedback