@slowdo If you’re tracking testosterone (T) levels, that will indicate when treatments have ended.
> what was your T level before starting ADT?; what is your T level now? (If T levels are still low, that may explain why you’re still suffering major hot flashes and poor sleep quality.)

Your PSA should increase slightly once the ADT leaves your system and T levels begin to rise significantly. I would wait until then before considering a testosterone boost,

Actually, a 2.0ng/ml rise in PSA above nadir (called the Phoenix Criteria) is the clinical definition of biochemical recurrence (BCR) following initial radiation. That’s a number you don’t want to reach. (See attached chart showing my PSA at the start, during, and since radiation. If my PSA ever exceeds 1.0ng/dL, we’ll start discussing next steps well before a 2.0ng/ml rise in PSA has occurred.)

In addition to regular testing of Total PSA going forward, you’ll want them to also test and track:
> Free PSA
> PSA Velocity
> PSA Doubling Time

> A separate question: Did you have a DEXA scan prior to starting ADT?

Also, they should be checking all of your other bloodwork (i.e., CBC & CMP) to ensure that the radiation treatments haven’t caused any other issues.