← Return to IMRT/VMAT Radiation with 6 months of ADT - anyone??

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IMRT/VMAT Radiation with 6 months of ADT - anyone??

Prostate Cancer | Last Active: May 8 7:49am | Replies (47)

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Profile picture for cadaddy @cadaddy

Began ADT w/Orgovyx in October, 2025 followed by SBRT in late November. A blood test in late February, 2026, showed PSA at undetectable level (.02). My RO told me that standard treatment was to continue ADT for 6 more months but I decided to stop it in March and have a PSA/T test in August. He was fine with that. Overall, the only unpleasantness was the side effects after SBRT which lasted about 10 days. The side effects of the ADT were bearable but I noticed a lack of energy - which I pushed through by continuing my normal physical activity - and slight weight gain. My pc was only in the prostate and small lesions in two adjacent lymph nodes. I had a clear PSMA-PET scan and bone scan.

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Replies to "Began ADT w/Orgovyx in October, 2025 followed by SBRT in late November. A blood test in..."

@cadaddy - thanks for sharing. couple questions if you don't mind; if PSMA/PET was clear how do they detect the small lesions in two adjacent lymph nodes.? Why SBRT (short course) over the longer and lower intensity IMRT? What is your age?