Same experience here, as far as what I was told up front about the side effects of ADT. I was told about "man-o-pause" symptoms - hot flashes, night sweats, weight gain, loss of muscle mass, mood swings, fatigue. But no mention of penile atrophy or shrinkage of testicles. I learned about that online (and through experience).

I have about 5-1/2 weeks left on a six-month course of Orgovyx. My testicles are half the size (or less than) they were before I started the ADT. I'm still able to get a half-way decent erection, with some manual stimulation - probably about 5" vs. about 6" before ADT. If that's the extent of it, I'm okay with that. Wife says "no big deal," and I think she's sincere in that.

Bought a vacuum pump after reading/seeing videos online from reputable sources (including Mayo) advocating "use it or lose it." I've used it maybe 20-30 times. It's uncomfortable and I just feel silly using it - so, no more.

Pleased to hear that some have seen reversal of these side effects after the end of ADT - fingers crossed!