Hopefully, things will settle out for you.
Curiosity questions:
> RT treatment for Gleason 8 (i.e., high risk) is typically RT + 12-36 months of ADT. Curious as to why only 6 months of ADT?
> With the cardiac issues, did they consider using Orgovyx rather than Lupron? Much less risk of cardiac side-effects.
> Regarding the “back door plumbing" issues, is that due to intestinal damage or rectal damage? What is the diagnosis? What treatments are you getting?
Good advice: research and make the final call.
(At 65y, with a localized, 7(4+3), PSA of 7.976, I had 28 sessions of proton radiation (70 Grays total) + 6 months Eligard. Lost libido (but everything still worked) and muscle atrophy. That was it. No lingering adverse side-effects.)
@brianjarvis
ADT was one max dosage of 45mg. I opted not to continue due to side effects. Doc concurred. Turns out it was enough.
Orgovyx was never mentioned.
Rectal damage. No treatment. Very manageable. I am quite regular. In AM 2 or 3
trips and usually good for rest of day. Only thing I do now is provide a PSA to radiologist every 6 months.