@mjm8491
Some people don’t get them, Others get them right away and they are severe. Some people just get light ones and never get real severe ones.

After six years on Lupron and getting hot flashes constantly, I switched to Orgovyx. My hot flashes stopped for five months. Then they came back and they’re a little milder and less frequent than they used to be, but they can be more serious at times.

I think you got the idea, No way to know when or if you’re going to have that problem.

@mjm8491 We don't necessarily get them. Some struggle with multiple HF's day and night and some of us might experience few to none. While on ADT I experienced 2 grade 1 hot flashes and that was it. You might be one of the lucky ones. I know I was.