You never said what is your age - if you are younger person, you would probably bounce back faster after 6 mos of ADT than an older individual. As far as I read it also can depend of an ADT type. Orgovyx seems to clear from body much faster than injectables. It is really a hard call and if your Decipher was lower than avoiding ADT would perhaps make sense, but with aggressive cancer ADT might offer extra benefit.

Wishing you the best of luck with whatever you decide.