Hi J Marshall,
My story is similar to yours with a few variations. Surgery in 2009, GS 8, PSA started to rise 4 1/2 years later, had pelvic radiation 2018, long story short, started rising again 2021, 9 months Orgovyx 04/23-12/23, PSA was less than .1 after 2nd month. Off all treatment currently, check PSA every 3 months, latest check October, undetectable. HT was/is no picnic, but tried to stay active and was tolerable. My Dr. at U/Michigan is on board for whatever I want to do, so like you, I know the time will come when more treatment will be necessary, but until then I enjoy every day off treatment. I wish you well and hope we can continue the on IADT program for an extended period. Take care.... Bill.