Prostate cancer progresses at different rates for different men. Therefore, the best time to start hormone therapy is not the same for everyone. To help men decide if and when hormone therapy is right, the Informed Medical Decisions Foundation has developed a Shared Decision-Making® program called Hormone Therapy: When the PSA Rises after Prostate Cancer Treatment.
This program is for men who have a rising PSA level after treatment with surgery or radiation, and who do not have any other evidence that their cancer has spread beyond the prostate. The Foundation has developed separate programs on PSA testing in men without diagnosed prostate cancer and the treatment of early-stage prostate cancer.
This program discusses what a rising PSA level indicates, and the benefits and harms of hormone therapy, including the pros and cons of starting hormone therapy at different points in time.
It includes interviews with five real patients who experienced a rising PSA level after treatment and made a decision about hormone therapy. It also features interviews with a urologist and a radiation oncologist.
This program was developed with our production partner, Health Dialog. It is available as a DVD, a booklet and a web-based program (Health Crossroads®) for Health Dialog members.