Understanding your advanced prostate cancer (APC)

Helping you understand the journey from diagnosis to treatment

Every patient’s journey is different, and understanding your symptoms and test results may seem overwhelming.

Always remember to talk to your treatment team if you have any questions about your APC.

Common prostate cancer symptoms

  • Blood in the urine or semen
  • Difficulty getting an erection (erectile dysfunction or ED)
  • Pain in the hips, back, chest, bones, or other areas
  • Weakness or numbness in the legs or feet
  • Loss of bladder or bowel control
  • Weight loss
  • Problems urinating such as the urge
    to urinate more often or a slow or weak urinary stream, especially at night

FIRMAGON is indicated for advanced prostate cancer

Prostate cancer in the US: 2018

Total number of
estimated new cases

Percentage diagnosed
at the local stage

Median age
at diagnosis

Percentage alive 5 years
after initial diagnosis

Number of men diagnosed
with advanced prostate cancer

APC testing

As part of a patient’s diagnosis, there are a variety of tests that may be given to better understand a patient’s treatment needs. Some tests may be repeated throughout your treatment to monitor how well they are working. Ask your doctor for regular updates to check your progress.

Gleason scoring system

The Gleason score is one of the most accurate ways of determining the aggressiveness of prostate cancer.

Pathologists will determine a patient’s Gleason score by examining tissue samples from a prostate biopsy and comparing the cancer tissue pattern with normal tissue. The higher the score, the more likely the cancer is to spread.

What does my Gleason score mean?


Low Risk

Cancer is likely to grow and spread slowly


Medium Risk

Cancer is likely to grow but may not spread quickly


High Risk

Cancer is likely to grow and spread more quickly

Most cancers are grade 3 and above; grades 1 and 2 are not often used

Have A Voice

Every month is an opportunity for you to connect with your treatment team

Make monthly visits matter by getting involved in your treatment plan.

Get the doctor discussion guide
I like the regularity of the monthly shot and the chance it gives me to build a relationship with my treatment team.
Actual patient quote
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