Graybeard, the Lupron in your system is definitely an issue; it takes longer to wear off than Orgovyx. so I don’t think you can really gauge your response to the mix until that is completely out of your system.
Also, you may want to skip your PA and oncologist altogether, and seek the advice of a Doctor Who specializes in men’s sexual health; the radiation oncologist deals in generalities and the PA merely parrots what they say so you’ll probably get nowhere with either of them.
Phil