There's really little reason for most people to still be going through the discomfort of ADT injections any more, except that some insurers don't want to pay the extra $$$ for Orgovyx

(Exceptions: prostate-cancer patients with dementia or other cognitive disorders, where it might be beneficial for the doctor to give the injection to make sure the patient is getting their ADT, and the small number of patients who don't respond to GnRH receptor antagonists.)