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My name is Dave, 66yo, Gl 7, 4+3, SVI, 61 PSA. Biopsy showed 4 of 16 specimens were 4+3, all others were minimally low. Was given the option of Prostatectomy or 5 week daily course of radiation concurrent with ADT Lupron. I chose the Rad but I've since decided against the Lupron due to all the "hormone hell" accounts I have read and going to tell my Onc. I would like to try Orgovyx and Nubequa.

We are just finishing up one year of Immuno-Therapy for Melanoma and, Taking into account the totality of my lifestyle including Anxiety & Insomnia, I have also decided to go with short term rather than long term for the same reasons as the ADT side effects. My Onc. says just wait and see what side effects I encounter but, I have to have a firm plan in place. If the side effects are minimal and I can function, I have no intention to stop working, I might extend the ADT.

Any & all thought are welcomed. Thankful for this group. God Bless
#RockOn

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Replies to "My name is Dave, 66yo, Gl 7, 4+3, SVI, 61 PSA. Biopsy showed 4 of 16..."

@csimadera1
I was on Lupron for six years and Orgovyx For three years. The drugs do the same thing and cause pretty much the same side effects.

Nubeqa is a good option. After six months, you may be able to stop Orgovyx since you are a 4+3.

You could do that and see if your PSA starts to rise again. If you were to stay on Nubeqa It probably would not rise for a long time, But it would make sense to stop both drugs and see how you’re doing.

The guidelines say that unless you have other aggressive issues, six months is enough ADT.

Were any of these things found in the biopsy intraductal, cribriform, Seminal vesicle invasion, EPE or ECE. (Extraprostatic extensions extra capsular extensions). They can make the cancer much more aggressive and extend the amount of time you need to be on ADT.