I'm almost exactly where you are. I had RP surgery in November 2024, and have a low but rising PSA. We made the decision to move forward with radiation because of some of the adverse factors (bladder neck invasion, cribriform and others) that made recurrence likely. I had the Lupron Oct. 15 and started radiation this week. No issues with the radiation after 3 days but the hot flashes from Lupron are miserable.

I've pretty much convinced myself that dealing with cancer and the regular testing is my new normal. The guys in my monthly support group have been dealing with this for 5-10 years. The testing is less often for them, but it's still there. I'm 68 so 10 years of testing would make that 78, which is about as far into the future as I'm willing to consider.

The nurse yesterday recommended a product called Cylease from a company called Boiron. The flyer says it's for menopausal women but I'm planning to try it. I wake up 4-5 times a night with hot flashes or night sweats, so I'll try anything at this point.