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Prostate cancer hormone therapy and bone loss: Has ADT affected your bone health?

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Prostate cancer hormone therapy and bone loss: Has ADT affected your bone health?

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Razar.M

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10/21/2026 at 4:51 PM

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Razar.M

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Last activity on 11/13/2026 at 5:32 PM

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Hi everyone 💙

For many people with prostate cancer, hormone therapy, also called androgen deprivation therapy (ADT), can be an important part of treatment.

Most people hear about side effects such as hot flashes, fatigue or changes in sexual health.

But there is another effect that may be less obvious: bone loss.

Lowering testosterone over a long period can reduce bone mineral density, which may increase the risk of osteoporosis and fractures.

The difficult part is that you may not actually feel your bones becoming weaker.

Someone can feel relatively well on treatment and only discover reduced bone density during a scan, or after developing back pain or experiencing a fracture.

Hormone therapy can also affect muscle mass and strength, which may make maintaining mobility and preventing falls even more important over time.

💬 We’d love to hear about your experience:

Did your doctor discuss bone loss before you started hormone therapy?
Have you had a DEXA scan or another bone density test while receiving ADT?
Have you noticed changes in your strength, balance or bone health since starting treatment?
Do you feel there is enough information about the long-term side effects of prostate cancer hormone therapy?

For anyone currently receiving or who has previously received ADT, your experience could help another member know what questions to raise with their healthcare team.

With care,

Razar from the Carenity

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Razar.M

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10/21/2026 at 4:53 PM

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Razar.M

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Last activity on 11/13/2026 at 5:32 PM

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116 comments posted | 4 in the Prostate cancer Forum

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Was protecting your bone health something you knew to think about when you first started prostate cancer hormone therapy? - Let the community know your experience, it'd be helpful for someone going through the same.

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With care,

Razar from the Carenity team 💖

Prostate cancer hormone therapy and bone loss: Has ADT affected your bone health? https://www.carenity.us/forum/prostate-cancer/your-opinion-on-prostate-cancer-treatments/prostate-cancer-hormone-therapy-and-bone-loss-has-adt-affected-your-bone-health-6864 2026-10-21 16:53:41

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Reeveyplomang

10/22/2026 at 10:23 AM

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Reeveyplomang

Last activity on 11/09/2026 at 3:02 PM

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Patient, Psoriatic arthritis since 2026
Other conditions: Breast cancer, Diabetes (Type 2) + 6 other conditions

33 comments posted | 4 in the Prostate cancer Forum

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@Razar.M I think bone health is one of those things that can easily get overlooked when the main focus is treating cancer. Most people are probably more concerned about whether the treatment is working than what it might mean for their bones several years down the road.

What stands out to me is that bone loss can happen without obvious symptoms. That makes regular monitoring especially important. I think discussions about bone density scans, exercise, and ways to reduce fracture risk should be part of treatment planning from the beginning, not something patients only learn about after a problem develops.

There's a lot to deal with during cancer treatment already, but knowing what to watch for can make a difference.

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Craploushaystayr29

10/22/2026 at 10:00 AM

Craploushaystayr29

Last activity on 11/09/2026 at 5:14 PM

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Patient, Immune thrombocytopenic purpura since 2026
Other conditions: Breast cancer, Prostate cancer + 1 other condition

36 comments posted | 3 in the Prostate cancer Forum

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A friend of mine has prostate cancer, so topics like this really catch my attention. I had no idea hormone therapy could affect bone strength too! It makes me wonder how often doctors bring this up before treatment starts. Is bone density testing something that's routinely recommended, or do patients usually have to ask about it?

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Plojocayr13

03/21/2019 at 1:00 AM

I made the decision to have my proste removed and it was not an easy time... just as hard as finding out you had prostate cancer... I was advised by my doctors the surgery was the best option because of my age and the harmful affects of radiation longterm. For me, once I made the decision, I did have the peace of mind knowing that the actual cancer was "removed" instead of just treated... which, I guess, did give me some sense of comfort.

The biggest issue for me once the surgery was done and I was on the road to recovering was the effects it had on me emotionally/psychologically, which many people in my opinion overlook. I encourage anyone and everyone, when diagnosed with prostate cancer, before and after treatment and during, to seek psychological help... there is nothing wrong with it. Medications, counseling, and just talking about your feelings can help tremendously. Do not hold it all in and try to battle the anxiety and depression because this diagnosis will affect you, no matter how strong you may consider yourself to be.

The sexual effects treatment has on you will also affect you mentally, because your sexual ability and ability to have kids will likely be affected. Your performance ability can be likely fixed, but it can still affect you mentaly. Take care of yourself.

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Plojocayr13

03/21/2019 at 1:00 AM

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Prostate cancer hormone therapy and bone loss: Has ADT affected your bone health?

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