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Which ADT medication is best?

Prostate Cancer | Last Active: 6 days ago | Replies (31)

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@jeffmarc

A big factor in this is your Gleason score. If it is a seven then six months of Orgovyx is all that really is required by NCCN guidelines. If your Gleason score is higher than you should be on it longer, at least 18 months.

Orgovyx Works exactly the same on your body as Lupron. Other than leaving your system a bit quicker than Lupron, So if the oncologist wants you to have it in your system longer, well, then take it longer.

One thing you need to be aware of. Medical oncologist do not specialize in prostate cancer. You want a Genito urinary Oncologist to be making your decisions, if possible, They specialize in prostate cancer.

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Replies to "A big factor in this is your Gleason score. If it is a seven then six..."

I've got a GU oncologist, and she was fine with six months of Orgovyx. An hour later, my radiation oncologist—her colleague—said I should do six months of Lupron instead of Orgovyx. His reasoning: Lupron lingers longer in the body, and that lingering effect might have a benefit. Hard to know what to do when two experts disagree.