I'm a bit concerned now. I was a 3+4 with cancer spreading to seminal vesical. Starting 6/12/2024, I went thru 25 sessions of RT as well as monthly Lupron shots at the start of RT. My PSA reading was at 9.52 (2 months prior to 6/12/24 start of Tx) and the next PSA test 10/4/24, PSA dropped to 0.09 and has continued to drop (last PSA reading 4/19/25) was 0.02. I was on Lupron for 7 months and switched to Orgovyx January/2025 as it is to have a quicker recovery period. Thus, on ADT now for 11 months. Originally, Rad Oncologist wanted me on it for 24 months. I now see a urologic oncologist and he feels I might be able to stop ADT at 18 months if my PSA continues to drop and stay undetectable.
The question now for my situation, is it realistic to think that if I remain undetectable, I can stay off ADT AND my T will recover and MAYBE I can end the ADT side effect and try to get back to a somewhat normal life? Please note I understand the cancer can return but is there any chance my life could be closer to what it was?