Androgen Deprivation Therapy (ADT) Treatment in India

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Androgen Deprivation Therapy (ADT) is a cornerstone in treating prostate cancer, aiming to reduce testosterone levels and halt tumor progression. India provides advanced medical care and effective ADT at a significantly reduced cost compared to the West. The average cost for ADT in India is between $1,200 to $3,000 per year, in contrast to $12,000–$20,000 in the US and $5,000–$8,000 in Thailand. This price gap, combined with expert care, makes India a preferred destination for international patients.

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What Is Prostate Cancer and How Is It Treated?

Prostate cancer originates in the prostate gland, a small organ in the male reproductive system. It's most common in older men and often grows slowly. However, aggressive forms can spread quickly, requiring urgent intervention. Treatment varies based on the stage of the disease and may include surgery, radiation, chemotherapy, or hormone therapy—especially Androgen Deprivation Therapy (ADT) for advanced stages.

What Is Androgen Deprivation Therapy (ADT)?

ADT is a form of hormone therapy used to manage prostate cancer by lowering or blocking the body’s production of androgens (male hormones), primarily testosterone. Since prostate cancer cells rely on androgens for growth, suppressing these hormones can significantly reduce tumor size, slow progression, and relieve symptoms in advanced or metastatic prostate cancer.

How Does Androgen Deprivation Therapy (ADT) Work?

ADT targets the body’s hormonal environment in three ways:

1. LHRH Agonists/Antagonists: These medications signal the body to stop producing testosterone.

2. Anti-Androgens: These drugs prevent testosterone from attaching to prostate cancer cells.

3. Surgical Orchiectomy:A permanent solution that involves surgically removing the testicles.

 

By depriving the tumor of hormones, cancer growth is delayed and symptoms are managed more effectively.

 

What Are the Different Types of Androgen Deprivation Therapy (ADT)?

 

Medical ADT

  1. LHRH Agonists: Leuprolide, Goserelin
  2. LHRH Antagonists: Degarelix
  3. Anti-Androgens: Bicalutamide, Enzalutamide

These drugs can be administered via injections or pills and are typically repeated monthly or quarterly, depending on the drug type and dosage.

Surgical ADT

Orchiectomy: Surgical removal of both testicles. It’s a one-time procedure that immediately lowers testosterone to castrate levels. Though effective, it is permanent and less commonly chosen due to its psychological impact.

Intermittent ADT

Patients may undergo cycles of hormone therapy followed by breaks. This approach may reduce side effects while maintaining disease control.

What Is the Standard Treatment Protocol for ADT in India?

1. Initial Assessment:

   - PSA blood tests, testosterone levels, imaging (MRI, CT, PET-CT)

   - Complete medical evaluation

2. Treatment Planning:

   - Multidisciplinary tumor board reviews

   - Selection of medical vs surgical ADT

3. Therapy Initiation:

   - Injection-based therapy (e.g., Leuprolide every 3 months)

   - Optional orchiectomy for rapid and long-term suppression

4. Ongoing Monitoring:

   - PSA & testosterone checks every 3–6 months

   - Imaging every 6–12 months for metastatic cases

   - Side effect monitoring

5. Supportive Care:

   - Bone density scans and supplements

   - Diet and exercise planning

   - Emotional and sexual health counseling

Why Choose India for ADT?

India combines high-quality medical expertise with affordability. Top oncologists are trained internationally and work with advanced diagnostic tools and therapy options. International patients benefit from:

- Shorter waiting times

- Personalized treatment

- Competitive pricing

- Accredited hospitals

Why Is Dr. Ankur Bahl a Preferred Choice?

Dr. Ankur Bahl is a prominent oncologist specializing in genitourinary cancers, particularly prostate cancer. He offers:

- Over 15 years of oncology experience

- Internationally recognized protocols

- Fluent English communication

- Access to cutting-edge therapies

His expertise ensures safe, personalized, and effective treatment for foreign patients.

What Medical Equipment and Tools Are Used?

  1. Depot Injection Systems: For sustained drug release
  2. Drug Delivery Ports: For long-term medication management
  3. Advanced Imaging: MRI, PET-CT, and bone scans
  4. Lab Monitoring Tools: For PSA and hormone levels

How Do International Patients Access ADT in India?

1. Remote Evaluation: Share reports via email or hospital portal

2. Visa Support: Medical visa assistance provided

3. Arrival & Admission: Airport pickup, interpreter support, and local travel coordination

4. Treatment Execution: Day-care or short-term admission for injections or surgery

5. Post-Treatment Monitoring: Virtual consultations, lab test coordination, prescription renewals

 

What Is the Cost Breakdown for ADT in India?

Service

Estimated Cost (USD)

Initial Consultation

$50 – $100

PSA & Blood Tests

$200 – $400

Imaging (MRI/PET)

$400 – $800

LHRH Injection (per dose)

$150 – $300

Annual Medical ADT (Injections Only)

$1,200 – $3,000

Surgical Orchiectomy (Optional)

$1,000 – $1,800

Annual Follow-up & Monitoring

$500 – $1,000

 

 

How Does the Cost Compare Globally?

Country

Annual Cost for ADT

India

$1,200 – $3,000

United States

$12,000 – $20,000

Thailand

$5,000 – $8,000

 

What Are the Benefits of ADT in India?

- Cost-effectiveness:** World-class treatment at one-fourth the price

- Expertise: Board-certified oncologists

- Supportive Services: Medical visa, travel, food, and accommodation help

- Continuity of Care: Virtual follow-ups and coordination

How Is Long-Term Monitoring Handled?

Regular follow-ups include:

- PSA Monitoring: Every 3 months

- Bone Health: DEXA scans and supplements

- Cardiovascular Monitoring: ECG, cholesterol checks

- Hormonal Balance: Managing side effects with medications and lifestyle support

What Kind of Travel Support Is Provided?

International hospitals assist with:

- Visa invitation letters

- Language translators

- Transport and lodging

- Dedicated international patient teamsIndia’s combination of affordability, skilled oncologists, and supportive healthcare infrastructure makes it a top choice for prostate cancer treatment through ADT. Patients receive timely, effective, and personalized care.

Consult Dr. Ankur Bahl today and begin your journey toward recovery—with expert care you can afford.

Frequently Asked Questions

No, ADT is not a cure but a highly effective disease management therapy, especially for advanced or metastatic prostate cancer. It works by reducing or blocking testosterone, the hormone that fuels prostate cancer cells. By lowering testosterone levels, ADT helps shrink tumors, delay cancer progression, reduce symptoms, and improve quality of life. In some cases, ADT is used alongside radiation or after surgery to reduce the risk of recurrence. Patients often remain on ADT for months or years, depending on how aggressive the cancer is and how well it responds to treatment.
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