I had an RP And 3 1/2 years later, my PSA started rising, so I had to salvage radiation. 2 1/2 years later, my PSA started rising so they put me on Lupron. Went on for 7 more years With more reoccurrences and more drugs.

Two years ago, the PSMA pet scan showed a metastasis on my spine. Had it zapped with three rounds of SBRT radiation. My PSA has pretty much stayed Undetectable for the last 22 months.

That is the way they handle this, Zapping the metastasis that do show up. It is usually very successful. Unfortunately, when you’re undetectable, there’s no way to do a pet scan to see if there are more metastasis. I’m sure they’re going after the one they last saw In the hope that it will resolve your issue. The only way to find out is to stop taking Orgovyx And see if your PSA rises.