❝Urologists love to make the money from giving you the shots.❞

+1 for the recommendation to see a cancer specialist (urologic, radiation, or medical oncologist, as the case may be).

Even in the U.S. though, urologists likely aren't all profit-motivated. They might not be paid per injection, especially if they're on salary as part of a hospital, medical center, or HMO rather than in private practice.

Across the border here in Ontario, OHIP pays family doctors by "roster" — the number of patients registered with them — rather than per visit, so there's no profit motive to overtreat. I think the oncologists at the Regional Cancer Centre are salaried as well, and the hospitals themselves get a fixed stipend based on the population they serve, rather than a per-visit fee.

At least in big cities, outpatients can get sent to "infusion centres" for injections of Firmagon, Lupron, etc. rather than having them in a doctor's office. My case was unusual, since I was initially in a wheelchair and it was winter, so Home Care trained my spouse to give me my monthly Firmagon injections at home, which she continued to do for over 2 years, until Orgovyx became available in Canada. I've never heard of anyone else getting ADT injections at home administered by a family member.