Connect
← Return to ADT injection: Benefits worth the toll it will take on my body?
Discussion
ADT injection: Benefits worth the toll it will take on my body?
Prostate Cancer | Last Active: 8 minutes ago | Replies (70)Comment receiving replies
Newbie here!
Thanks for all the great information in this thread.
I'm 59 yrs old an just started the "journey". PSA's of 4.38,5.58 and 5.03 in oct, dec 2025 and Feb of 2026, respectively.
Had MRI, then biopsy, then psma Pet Scan to determine stage 2 with a gleason 3+4. Unfortunatley they found a 3 cm mass in my kidney at the same time. So, biopsy, another MRI and then a final stain test right before i was scheduled for partial nephrectomy......and the last test confirmed bengin tumor in the kidney. So....back to the prostate cancer.
I've settled on the SBRT treatment in about 3 months after they give me hormone injection.
My QUESTION for the group is: Is Eligard or Firmagon the better option? My reading says Firmagon but I'm scheduled for Eligard injection tomorrow......ANY advice would be appreciated. Good luck to all of you!!!
Thank you, Daniel
Replies to "Newbie here! Thanks for all the great information in this thread. I'm 59 yrs old an..."
@dantewedge
Firmagon is a problem. You have to get it injected into your stomach every month. After a while it causes a lot of problems for most people. Orgovyx is A pill you take once a day and is similar to firmagon. It is a lot more preferable. Both of them are antagonists. Lupron and Eligard are both agonists, using luprolide.
Talk to your doctor about this. There’s no reason you have to take Firmagon And get Monthly stomach injections. Orgovyx Has fewer side effects than Eligard say most people on it, Your testosterone comes back quicker when you stop taking it and it has a lower chance of arteriosclerosis Building up in your arteries.
@dantewedge Orgovyx if you can get it. I did 3 months of Lupron and went anemic. I had my primary do a blood panel prior to starting treatment to look at lipids and hemoglobin. At 3 months lipids were good and hemo dropped to anemic levels and the huffing and puffing during anything strenuous started. Switched to Orgovyx and the anemia corrected but LDL started rising. Self-advocacy is extremely important during these treatments. Don't be an old man that sits there and just takes what is given to you. Our niece is the GM of a residential retirement community and stated that is a big problem among seniors. Stay informed, ask questions even if they don't want to hear them.
Connect
@dantewedge
A very good question...I can only speak from my experiences, But I started on Eligard and was on it for about 1 year or so then developed serious CV issues (Narrowly avoiding heart failure and narrowly avoiding what could have been a major stroke, PVC's, etc.)
I researched it and found Firmagon, and been taking the injections monthly and have had no CV issues since (2 years now).
Be mindful, however, that the belly injection is extremely painful for about 4-5 days. For me, It hurts to bend over (tying shoes, etc), finding a comfortable sleeping position, etc...If you can handle short-term pain, I would strongly suggest Firmagon! Eligard almost killed me!
Blessings
PS: stage IV, metastatic castration resistant...on Pluvictio now...