I agree. I was not told about penile or testicular shrinkage/atrophy. I would not have consented to treatment if I had known. I am 73, Gleason 9, one year after stopping ADT, still 0 PSA and 0 testosterone. I told my urologist that I wanted my testosterone back no matter what. I was thinking I would go on TRT but he suggested Clomophene instead for two months, then re-test both PSA and testosterone. I am almost one month in, feeling a little better, still some hot flashes but not quite as often. The Chlomophene is supposed by bypass the pituitary and directly supply LH to the testicles. If the little guys are still able to produce after two years of no LH, they should start working again. We will see....