Have to agree with Russ777 - my surgical treatment 4 yrs ago did not do the trick and now PSA is rising.
I’ve been told by Sloan that I will receive hormones (don’t know how long yet) and about 40 radiation sessions. I was totally against hormones but I’ve come to realize that my Gleason 4+3 must be on the more aggressive side. Now I want to throw everything possible at it to KILL it. The hormones really weaken it, cut off its fuel (T) and makes the radiation more effective.
But just my opinion and I do agree with the others that PSA drops slowly after radiation and may take 18 months to reach nadir. Best of luck!

Can you further explain what you mean when you say “No ADT Will not disguise effectiveness of IMRT”? I recently completed 39 rounds of IMRT and six months of Orgovyx. My PSA scores are down from when I started these treatments. I’m trying to figure out if my lower PSA scores are driven by the Orgovyx (off for 3 weeks before the PSA test) Or the IMRT treatments (completed 12 weeks prior to the latest psa test). PSA was most recently 0.014. While disappointed that it wasn’t undetectable at the first test, I’m hopeful that the radiation treatment will, overtime, drive PSA down further.