I posted this for someone else a few minutes ago, but it seems appropriate for your question as well.

Your biopsy results do not look good. The PSA is low now, But knowing what it was before treatment would be more important, the decipher score is quite high. Saying that you had a chance of reoccurrence is pretty high. You don’t mention your Gleason score and that could be a major factor in what the ADT decision would be, But your biopsy results say you should be on ADT.

With the T3b, you probably should be on it for 18 months to two years. Your chance of reoccurrence is a lot higher if you don’t do that.

If you can get Orgovyx for ADT It can be real beneficial. That’s because the testosterone level comes back very quickly, for most people, after stopping Orgovyx.

3 1/2 years after I had surgery and my PSA started rising they gave me a 6 Month Lupron shot, two months before giving me salvage radiation. I had no side effects at all from that shot, Didn’t even realize I should have had any. I was only 62 at the time that may be a factor

My brother at 75 had six months of Lupron And had side effects for about nine months after, because it took a while for his Testosterone to come back. It wasn’t something he couldn’t live with. It was just annoying..

I’ve been on ADT for almost 8 years, I’m 78.. I really have no side effects that bother me. I run on the track 1 mile twice a day and go to the gym three times a week. When I was on it for the first three or four years, I didn’t do any exercises, I did run a computer consulting company and was constantly on the run, Diving under desks was a normal occurrence, I think my activities kept me in good shape. The only side effect that bothered me was hot flashes, and my oncologist resolved that with a depo-provera shot every three months. Now, After almost 8 years on ADT the hot flashes are very seldom and very light. No one I know or meet has any idea I have prostate cancer.

Just some things to think about when you consider going on ADT for a short period of time.