I don't have an answer to your specific question because my PCa treatment did not require ADT. But I know that PCa has changed me and thus has change my relationship with my spouse. Many other things over the decades have change both of us in ways big and small, in ways good and bad and thus have changed our relationship. Maybe the relationship is better in some ways and maybe worse in others. But we are in it together for the long haul (42 year and counting) and my relationship is the most precious thing in my life. Sorry for responding but not answering your question. I do wish you and your spouse the best on your journey!