"First off, my sympathies. The combination therapy is a bit of a barrage to the prostate. I believe that boost first then IMRT is fairly standard. However, I have also found reference that the sequence doesn't seem to matter. I had LDR brachytherapy with Palladium seeds on October 3 and started IMRT four weeks later. That was the preference of my RO. The last of my 25 treatments is tomorrow. I'm also on six months of Orgovyx.

I have had some days that were better than others. Some with more frequent urination, some with more bowel symptoms, hemorrhoids, many nights with little or no sleep as a result. Ibuprofen has helped with the prostate inflammation, phenazopyridine not so much. I take Tamsulosin twice daily but am not sure if it is necessary (I'll reduce the dose once radiation concludes)."

Congratulations on finishing your radiation therapy!! Did you get to ring the bell?

Did your side effects "stack up" when you began the IMRT? That is, were you still suffering the side effects from the brachytherapy when you began the IMRT? Those sleepless nights were/are the worst!