I had been on Lupron for years and was then changed over to Eligard (which was very painful compared to Lupron).
Bottom line: I was just tired of getting injections every three months, so I elected to have a bilateral orchiectomy. My wife & I discussed the pros & cons & agreed this was the best for “quality of life”. Simple procedure, short, postop rehab and do not need ADT injections anymore. Yay! I do still take abiraterone tablets as an anti-androgen.