Vol 37, (8) 641-645
Androgen deprivation therapy - Managing side effects
Shahrir Kabir BSc(Med), MBBS(Hons), is Senior Resident Medical Officer, Royal North Shore Hospital, Sydney, New South Wales.
Pascal Mancuso BSc(Med), MBBS, is a urology registrar, Port Macquarie Base Hospital, New South Wales.
Prem Rashid MBBS, FRACGP, FRACS(Urol), PhD, is a urological surgeon, Port Macquarie Base Hospital, and Conjoint Associate Professor, Rural Clinical School, University of New South Wales, Port Macquarie, New South Wales.
BACKGROUND Prostate cancer is the most common nondermatologic cancer in Australian men. Androgen deprivation therapy (ADT) as a modality of treatment is being increasingly used much earlier and for a longer period of time. Its various regimens all have side effects which influence the patient’s health and quality of life.
OBJECTIVE This article discusses practical evidence based management options for treating the short and long term side effects of ADT.
DISCUSSION The side effects of ADT can be categorised as sexual, physical, metabolic, emotional and systemic. A combination of prediction and early recognition is useful in diagnosing side effects. Tailored strategies are available to combat the problems.
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