My case is different because I was simultaneously on Abiraterone with the Orgovyx. So I don’t know which, but I had hot flashes starting the end of week 2. I completed the 6 mos intensive treatment with radiation in the middle, January 30. Flashes continued until (I hope) about two days ago. But they were becoming less noticeable.

My understanding based on the continuous volley of questions I fired in a friendly, curious way to the NP, nurses, Docs and staff is that symptoms track to your Testosterone level. When it gets toward zero, your metabolic functions are messed up. Sounds like yo are not there yet. Like others who commented here, exercise is critical to surviving better. Also what you eat, I found myself more sensitive to Carbs and had to watch that.

Without its Testosterone, the body says “what the heck, where is my Testosterone, you’re screwing with my metabolism and hormones, dude.” What I noticed were the flashes, fatigue, intermittent cognitive slowness, and of course, the obvious: Doctors refer to ADT sometimes as “chemical castration,” and I wondered whether my attitude, presence and interests in the opposite sex would change. They absolutely did not. I was and am in recovery, still totally Male in my thoughts and interests. But ability to do anything about it? Zip. Nada. Zero. Limp city. I may write about it at some point. Along the way since I had to have the intensive and definitive radiation for high risk, I got gold pellets placed around the offending gland in a procedure that required, among other things, for me to be in stirrups. LOL. That and the essentially menopause-like effects, including some emotional volatility which for me was being short tempered. It all gained me terrific insight to the opposite sex. I put a box fan near the bed pointed at me on low, because the flashes mostly bothered me at night. Now in recovery mode, (they tell you it takes a couple months or so) some of the short tempered-ness and stuff is on replay. But whatever.

But the capper was the stirrup experience, feet up and wide, buck naked below the waist, a couple of pretty nurses and a tech down there, a higher level tech at my side chatting with me about music preferences. How did I, as an older man who grew up working as a farm hand, who had a family of kids and now grandkids, end up in stirrups with those helpful onlookers? It is a comedy. Having got through it, I learned a LOT.

Bottom line, I believe it tracks to Testosterone level and every man is different both side effects as well as how long things take. It’s very humorous if you let yourself look at it, and a fascinating, occasionally intense, educational experience. Hang in there.