Yes , as @mjp0512 said, treatment should be personalized according to many mentioned parameters.

Some of those are : age, comorbidities, Decipher, gleason, time lapsed before recurrence, germ-line genetic results etc etc.

If your original diagnosis did not include high risk features (gleason over 8, cribriform, IDC, EPE, positive margin, short doubling time etc.) you might need only 6 mos of ADT. You may ask for Orgovyx which has lower incidence of side effects and clears faster from the body.

Also, there are new studies that show that Estradiol patch can be equally effective so you might ask about that - some doctors are already open to prescribing it although they are rare as "unicorns" at present time .

Wishing you the best of luck and complete eradication of cancer 🍀.