What's your experience with Orgovyx (relugolix)?

At the suggestion of my urologist, no removal of the prostate was suggested. I started taking orgovyx in march of 2021 for prostate cancer. PSA of 14. In addition I receive 45 radiation treatments. Initial reaction was mild but got progressively worse. Sweats at any time, lack of energy, gaining weight after I had just lost 80 pounds, overall feeling of being tired all the time. After 12 months my PSA level was down to .2 and my T level was at zero. A further 12 months go by and my PSA level is still .2 but my T level is now at 133. Still tired all the time, no sex drive at all and starting to have balance issues and numbness in legs and feet. Diagnosed with peripheral neuropathy After seeing many doctors, the leg and balance issues were probably caused by the radiation treatments. Forward to July 2024. T level is at 120 PSA level is still at .2. Still tired all the and stumbling is getting worse. Meeting with neuropathy specialist to determine treatment. Wish someone had informed me of the drawbacks of not removing the prostate and using orgovyx and the 45 radiation treatments.

Been on Orgovyx for almost a month. I have a history of slow intestinal transit but was able to manage it with OTC meds. Orgovyx seems to have made my constipstion much worse. Fear I will have to stop it. Was scheduled for four months. I think 1 month is all I can do. Maybe every other day? Will discuss with RO. Anyone else dealing with this issue? Constipation is listed as one of the side effects of Orgovyx. Thanks!

Yes. I too have a MUCH slower transit time since my surgery and no one seems to know why. Not constipated ( dry hard stool) but trouble bearing down and voiding - probable pelvic floor injury from that f***ing ‘less invasive’ robot.
Anyway, I have been on Miralax for FIVE years - it does work - and I have been using HEALTHY FIBER , which is a non fermentable, non bloating supplement available on Amazon 3X/day.
With all that I still had to get a Squatty Potty to enhance the abdominal pressure when on the toilet. What was once one of the most pleasurable parts of my day has become torture. Hope these tips are of helpful! Best
Phil

Forgot - I am on Orgovyx also and starting salvage radiation next week, ergo the NON bloating fiber supplement. Gas is a NoNo for radiation!

Hello, golferdto,

Really sorry to hear you are not doing better! Just wondering: are you still on Orgovyx? If not, how long were you on it? If you are still on it, has that been continuous since March 2021? Are you an older person?curious because I am 72.5 yo and am doing four months of Orgovyx and 40 IGRT sessions with Halcyon equipment. Thanks! Best wishes for better days! 🙏🏼

I am currently 75 and was on it from March 2021 to March 2022. I really didn’t start feeling the effects until after I stopped taking it. One of the primary issues I found was the list of side effects when I started was minimal. No it seems like there are about 36 or so. I also had 45 radiation treatments and just found out that I have extensive peripheral neuropathy which was probably caused by the radiation. Neuropathy cause problems with the nerves and cause balance issues. I really wish I had the prostate removed in conjunction with a small amount of radiation.

I am 89 with a Gleason of 5-5 and taking Orgovyx for three weeks. Have had hot flashes and no bowel problems. Feel just fine. Have request for PSMA pet scan. Applied for about two wks ago with Advantage plan. First scan was regular one and said bones and lym nodes were normal so hope for the best and prepare for the worst

No Radiation recommended for you?

Not yet. Waiting for scan approval. MD appointment in 2 weeks. Moving slowly

hopefully there is no metastases. we are same age. It is both good and bad. It is good that we didn't have this disease earlier. It is bad because we may have tolerated the treatment better if we were a bit younger!
Good Luck to you