My side effects of ADT were very mild. A mild hot flash about once a month. I only had to shave every three days.

There was maybe a very slight loss of strength, but I don't know if that's due to aging. How to tell?

My doctor offered to take me off of ADT 18 months ago, & I initially declined. I changed my mind because I wanted to see if the cancer was gone. It's still there, but the PSA is stable at a very low level (0.09).

No more hot flashes, I have to shave every day, & no perceptible increase in strength.

See my profile for details of my treatment.

I always recommend trying ADT.