Should I try using TRIMIX while on ADT?

ATTN MODERATOR: I’m aware that there is another post here related to TRIMIX. I’ve gone through it and could not find an answer that applies to my situation. In light of that I hope you don’t mind me starting a new thread on this.

Here’s my situation: I’m 69 years old now and in arguably good health except for PCa. Was diagnosed with Gleason 6 prostate cancer in 2020. Opted for focal Brachytherapy. For mix of reasons unimportant for this discussion treatment failed and PCa came roaring back last year. Was diagnosed with stage three prostate cancer with lymph node involvement in December 2023. Had salvage robotic prostatectomy in January 2024 at Northwestern medicine in Chicago. Dr. Ashley Ross. Dr. Ross was able to remove the known cancerous lymph node but was unable to safely remove a cancerous obturator lymph node. Started Orgovyx and Zytiga April 2024. PSA is undetectable now. My medical team wants me to be on both of these for 24 months. I am currently undergoing 33 sessions of IMRT to the lymph node basin.

I’ve been reading that permanent penile atrophy can be a real problem while on ADT. I recently watched a YouTube video presentation by Dr. Mark Scholz of the prostate cancer research Institute that addresses this issue. He was just discussing the viability of Trimix injections to keep penile tissue healthy, even if there is no libido. The idea is that when ADT ends, libido may return and it may be impossible to regain function if too much atrophy has taken place. Speaking frankly, I have zero libido, but have found that with stimulation a 60% erection is possible. I don’t think anything is going on nocturnally though.

Before I reached out to my urologist or oncologist, I thought I’d propose it to the forum and see what opinions others with more experience have. Thank you for reading this and I wish you all well on your journey with PCa!