I am trying to get a 2nd opinion concerning ADT duration. I am 75 yrs old and just finished 8 weeks of external beam radiation therapy in Europe following a diagnosis of unfavorable 3+4 Gleason with no metastasis or ganglion involvement but some seminal vesicle involvement PSA 9. I had no symptoms was in great physical shape, but it showed up on an MRI and was confirmed by a biopsy an Pet scan. I am starting the 4th month of ADT and doing ok now that the radiation is completed. I have been advised to do 2 yrs of ADT. Is that standard in the United States? I am reading different studies questioning optimal duration. I exercise daily and always have but since starting ADT and the treatment have lingering lower back pain. I am not sure if it is ADT as I never had back pain previously. I also do not know how to find a good specialist to look over my treatment, the results and confirm or advise me as to other alternatives if necessary before I return for the second 6th month shot.