This is exactly what my radiation oncologist said when I asked the same question. So by staying on ADT drugs for a year after radiation is finished, what is accomplished?

Once the radiation therapy is finished, and some time period after while it's still working, isn't this simply postponing the inevitable? You decimate the cells only while your on the drugs, but when you stop, if they are still there undamaged by the radiation....they can start to grow again.

My surgeon prescribed the orgovyx for two years. My RO says 6 mos is a reasonable amount of time. I don't know which one to believe is best at this point. A lot is going to be determined by my next full blood test. If the orgovyx is bringing up liver enzymes and blood sugar etc.. I may stop and see what happens.

Anyone have any experience / knowledge they can share regarding this?

Thank you . I’ve already had salvage radiation without Hormone Therapy. So my next treatment for my recurrence will be Lupron according to my oncologist and urologist. Did not know if it would kill any of the cancer cells.