Make an appointment with your primary care doctor or family doctor if you have any persistent signs and symptoms that worry you. If your doctor determines that you have advanced prostate cancer, you'll likely be referred to a doctor who specializes in treating cancer (oncologist).
Because appointments can be brief, and because there's often a lot of ground to cover, it's a good idea to be well-prepared. Here's some information to help you get ready, and what to expect from your doctor.
What you can do
- Be aware of any pre-appointment restrictions. At the time you make the appointment, be sure to ask if there's anything you need to do in advance, such as restrict your diet.
- Write down any symptoms you're experiencing, including any that may seem unrelated to the reason for which you scheduled the appointment.
- Make a list of all medications, vitamins or supplements that you're taking.
- Consider taking a family member or friend along. Sometimes it can be difficult to remember all the information provided during an appointment. Someone who accompanies you may remember something that you missed or forgot.
- Write down questions to ask your doctor.
Your time with your doctor is limited, so preparing a list of questions can help you make the most of your time together. List your questions from most important to least important in case time runs out. For stage 4 prostate cancer, some basic questions to ask your doctor include:
- What is likely causing my symptoms or condition?
- What are other possible causes for my symptoms or condition?
- What kinds of tests do I need?
- What is the best course of action?
- What are the alternatives to the primary approach that you're suggesting?
- I have these other health conditions. How can I best manage them together?
- Are there any restrictions that I need to follow?
- Should I see a specialist? What will that cost, and will my insurance cover it?
- Are there brochures or other printed material that I can take with me? What websites do you recommend?
- What will determine whether I should plan for a follow-up visit?
In addition to the questions that you've prepared to ask your doctor, don't hesitate to ask other questions that occur to you.
What to expect from your doctor
Your doctor is likely to ask you a number of questions. Being ready to answer them may allow time later to cover other points you want to address. Your doctor may ask:
May. 10, 2014
- When did you first begin experiencing symptoms?
- Have your symptoms been continuous or occasional?
- How severe are your symptoms?
- What, if anything, seems to improve your symptoms?
- What, if anything, appears to worsen your symptoms?
- Niederhuber JE, et al., eds. Abeloff's Clinical Oncology. 5th ed. Philadelphia, Pa.: Churchill Livingstone Elsevier; 2014. http://www.clinicalkey.com. Accessed March 17, 2014.
- Prostate cancer. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Accessed March 17, 2014.
- Wein AJ, et al. Campbell-Walsh Urology. 10th ed. Philadelphia, Pa.: Saunders Elsevier; 2012. http://wwwclinicalkey.com. Accessed March 17, 2014.
- Dawson NA. Overview of the treatment of disseminated prostate cancer. http://www.uptodate.com/home. Accessed March 17, 2014.
- Adult cancer pain. Fort Washington, Pa.: National Comprehensive Cancer Network. http://www.nccn.org/professionals/physician_gls/f_guidelines.asp. Accessed March 17, 2014.
- Coping with advanced cancer. National Cancer Institute. http://www.cancer.gov/cancertopics/coping/advancedcancer. Accessed March 17, 2014.
- Zytiga (prescribing information). Horsham, Pa.: Janssen Biotech Inc.; 2013. http://www.zytiga.com. Accessed March 17, 2014.
- Xtandi (prescribing information). Northbrook, Ill.: Astellas Pharma US Inc.; 2013. http://www.xtandi.com. Accessed March 17, 2014.
- Xofigo (prescribing information). Wayne, N.J.: Bayer HealthCare Pharmaceuticals Inc.; 2013. http://www.xofigo.com. Accessed March 17, 2014.
- Castle EP (expert opinion). Mayo Clinic, Phoenix/Scottsdale, Ariz. April 6, 2014.
- Sartor AO. Risk factors for prostate cancer. http://www.uptodate.com/home. Accessed April 16, 2014.
- Moynihan TJ (expert opinion). Mayo Clinic, Rochester, Minn. April 17, 2014.
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