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Prostate cancer hormone therapy and bone loss: Has ADT affected your bone health?
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Prubing89
Prubing89
Last activity on 22/10/2026 at 11:12
Joined in 2026
Patient, Immune thrombocytopenic purpura since 2026
Other conditions: Breast cancer, Lupus + 9 other conditions
19 comments posted | 2 in the Prostate cancer Forum
1 of their responses was helpful to members
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This is something I don't think gets talked about enough. When someone is going through prostate cancer treatment, naturally the biggest concern is whether the treatment is working. Things like bone health might not even cross their mind until much later.
What I find worrying is that bone loss can happen without any obvious warning signs. You could assume everything is going reasonably well, only to discover there's been a change in your bone density.
I really think doctors should discuss these risks right from the beginning, rather than waiting until someone develops a problem. Even explaining when a DEXA scan might be needed and what can be done to protect bone health would make a difference.
Cancer treatment is already overwhelming enough without discovering side effects you weren't properly prepared for. π
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Razar.M
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Razar.M
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Last activity on 22/10/2026 at 13:26
Joined in 2026
78 comments posted | 3 in the Prostate cancer Forum
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Hi everyone π
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.
π¬ Weβd love to hear about your experience:
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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.
Was protecting your bone health something you knew to think about when you first started prostate cancer hormone therapy?
With care,
Razar from the Carenity team π