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The Hormone Cure: Reclaim Balance, Sleep and Sex Drive; Lose Weight; Feel Focused, Vital, and Energized Naturally with the Gottfried Protocol

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You will have the injections or implants at your GP surgery or local hospital. How often you have them will vary, depending on the type you are having. Some men have an injection or implant once a month, while others have an injection every three or six months. LHRH agonists Compounded bioidentical hormones are sometimes offered in private clinics as HRT. They are not recommended because it's not known how well they work or how safe they are. They are not available on the NHS. Ho T, Gerber L, Aronson WJ, Terris MK, Presti JC, Kane CJ, et al. Obesity, Prostate-Specific Antigen Nadir, and Biochemical Recurrence After Radical Prostatectomy: Biology or Technique? Results from the SEARCH Database. Eur Urol. 2012 Nov;62(5):910–6. Have other symptoms of menopause. Estrogen can ease vaginal symptoms of menopause, such as dryness, itching, burning and discomfort with intercourse.

Active surveillance involves having regular PSA tests, MRI scans and sometimes biopsies to ensure any signs of progression are found as early as possible. If you have side effects from treatment, you should be referred to specialist services (such as continence services) to help stop or ease these side effects. Prostate cancer risk groups Endometriosis sometimes gets better by itself, but it can get worse if it's not treated. One option is to keep an eye on symptoms and decide to have treatment if they get worse. What this means will vary from person to person, and is different for children, young people and adults. Waiting times for referral and treatment are currently long. Treatment for children and young peopleIf you’re having an LHRH agonist, you’ll be given a short course of anti-androgen tablets as well. This should stop any problems caused by this surge of testosterone. for a few months before starting permanent seed brachytherapy, and before and after high dose-rate brachytherapy – both are types of internal radiotherapy

Alibhai SMH, Gogov S, Allibhai Z. Long-term side effects of androgen deprivation therapy in men with non-metastatic prostate cancer: A systematic literature review. Crit Rev Oncol Hematol. 2006 Dec;60(3):201–15. National Institute for Health and Care Excellence. Enzalutamide for treating hormone-sensitive metastatic prostate cancer [Internet]. 2021. Available from: https://www.nice.org.uk/guidance/ta712 Marzouk S, Naglie G, Tomlinson G, Duff Canning S, Breunis H, Timilshina N, et al. Impact of Androgen Deprivation Therapy on Self-Reported Cognitive Function in Men with Prostate Cancer. J Urol [Internet]. 2018 Mar 1 [cited 2018 Aug 10]; Available from: http://www.sciencedirect.com/science/article/pii/S0022534718393790inflammation of the bladder lining, which can cause pain when peeing and needing to go more often (cystitis) Some men experience low moods, anxiety or depression. This could be caused by the hormone therapy itself, or by dealing with your prostate cancer diagnosis. It could also be due to the impact that treatment is having on your life.

Hormone therapy is often used in combination with radiotherapy. For example, you may receive hormone therapy before undergoing radiotherapy to increase the chance of successful treatment.

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The risk of getting each side effect depends on your type of hormone therapy and how long you take it for. If you have hormone therapy alongside another treatment, you may get side effects from that treatment as well. Combining natural therapies with rigorous scientific testing and using an informative questionnaire to identify the common causes of hormonal imbalance, Dr. Gottfried provides an individualized plan in nonjudgmental and thoughtful language. Based on ten years’ study of cutting-edge medical research as a specialist in functional and integrative therapies, Dr. Gottfried’s three-tiered treatment strategy includes: When you and your doctor or nurse agree your treatment is working well for you, you'll need to see them once a year. Doctors will look at the Grade Group (also called the Gleason score), prostate specific antigen (PSA) level and tumour stage to decide which CPG group the prostate cancer is. Gamete storage is sometimes available on the NHS. It cannot be provided by the gender dysphoria clinic.

Mottet N, Prayer-Galetti T, Hammerer P, Kattan MW, Tunn U. Optimizing outcomes and quality of life in the hormonal treatment of prostate cancer. BJU Int. 2006 Jul;98(1):20–7.

Fang C, Wu CL, Liu SS, Ge L, Bai JL. Efficacy, safety, and dose comparison of degarelix for the treatment of prostate cancer: A systematic review and meta-analysis. World J Meta-Anal. 2016 Jun 26;4(3):69–76. Your MDT will be able to recommend what they feel are the best treatment options, but ultimately the decision is yours. Schmidt-Hansen M, Hoskin P, Kirkbride P, Hasler E, Bromham N. Hormone and Radiotherapy versus Hormone or Radiotherapy Alone for Non-metastatic Prostate Cancer: A Systematic Review with Meta-analyses. Clin Oncol. 2014 Oct;26(10):e21–46.

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