@heavyphil Phil, you understand the risk/benefit pretty well. My COE monitors psa and testosterone every six months post radiation. That does not fit well with the oncologist that did Active Surveillance on me for 15 years. He uses a monitoring of every 3 months first year, every 4 months second year after radiation treatments . He also uses ultra sensitive psa test exclusively. So far psa undetectable.

My side effects were not overwhelming. And I do heavy exercise of nearly two hours twice a week to combat that. Otis the unknown side effects that really trouble me. I have diagnosed cardiovascular disease, diagnosed osteoporosis, and a mother and grandmother that died of dementia. Those are all risks associated with ADT treatment. My COE oncologist did not seem to care much about my med history outside of treating my PC. So I made the decision using best knowledge that I have and denied further ADT. At 74 years of age, seems reasonable to me.