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Prostate Cancer

Hormone Therapy for Prostate Cancer

Hormone therapy, also known as androgen deprivation therapy, is the use of drugs or surgery to decrease the production of male hormones, or androgens, in order to stop or limit the growth of prostate cancer. Prostate cancer is hormone-sensitive or hormone-dependent, meaning that prostate cancer growth depends on androgens, particularly testosterone. The goal of hormone therapy is to dramatically reduce testosterone levels in the blood, thus slowing the rate of prostate cancer cell growth. Hormone therapy is the primary treatment for prostate cancer that has spread beyond the prostate gland to distant sites, including lymph nodes, bone and other organs.

What is testosterone?

Testosterone is the major male hormone in the body. It stimulates bone growth, is a major determinant of libido (sexual desire) and is responsible for secondary male sex characteristics such as facial hair, deep voice and fertility. Testosterone also regulates the prostate gland. The testicles secrete between 90 to 95 percent of the body’s testosterone. The remaining 5 to 10 percent is secreted by the adrenal glands, two small glands located on top of the kidneys.


Can hormone therapy cure prostate cancer?

Hormone therapy is used to control the growth of prostate cancer. It is not a cure for prostate cancer. However, hormone therapy can shrink tumors and may stop or limit the spread of prostate cancer for many years.


Appropriate candidates for hormone therapy

  • Men whose cancer has spread beyond the prostate gland, either locally or to distant sites.

  • Men whose cancer has returned after radical prostatectomy or radiation therapy.

  • Hormone Therapy Illustration
    Where hormone therapy works
  • Men who are candidates for radiation therapy or cryosurgery, but have large prostate glands. Hormone therapy is used to shrink the prostate gland so it can be targeted more effectively by these other treatments.

Those who should consider other treatments

  • Men whose cancer is believed to be confined to the prostate gland and don't require hormone therapy to shrink the prostate.


Hormone therapy methods

  • Orchiectomy: surgical removal of the testicles, which produce most of the body's testosterone

  • Hormone therapy drugs

    • LHRH analogs: drugs that inhibit the action of most of the body's testosterone and other androgens

    • Total androgen blockade: the combined use of LHRH analogs and anti-androgens, drugs that block the production of the body's remaining male hormones

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