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Side effects and PSA after photon radiation.

Prostate Cancer | Last Active: Oct 6, 2025 | Replies (30)

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Profile picture for garyhu @garyhu

Hello - my journey is as follows - gleason 8 psa 47 n also in seminal vesicles. Started orgavux in April 2025 - psa end of April < 3 - finished 28radition treatments mid August. 1st psa test 2weeks after radiation- < .01. My question is your decision to stop adt - my oncologist wants 3yrs. I'm thinking 9months. What influenced your decision to stop after 6months. Everything I read says stopping adt if psa is undetectable is not being reckless. This Gary

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Replies to "Hello - my journey is as follows - gleason 8 psa 47 n also in seminal..."

@garyhu
With a Gleason 8 NCCN Recommends 18 months ADT. The Seminal vesicle issue is something that makes PC much more aggressive.

Your doctor is just trying to be protective, To prevent the cancer from coming back sooner. If you do decide to stop Orgovyx You should get monthly PSA test to make sure your PSA is not rising.

I’ve been on ADT for almost nine years. I do have to exercise a significant amount compared to before I had PC. I run on a track a mile twice a day, every day. I try to get to the gym three times a week and usually do. Weight training is critical to prevent a muscle deterioration, You may quickly notice a beer belly. Doing a lot of situps can offset that. Just some things to consider.