End of treatment (I hope)

First diagnosed in April 2023 at age 66, after blood work for a routine physical came back with a PSA of 8.2. Urologist re-ran the blood test, and it returned a PSA of 6.5. MRI indicated a couple of PI-RADS 4 lesions, confined to the prostate. TRUS biopsy came back positive for the areas the MRI had highlighted - Gleason 6. Started active surveillance. Next PSA, October 2023 was down to 5.7.

Then blood work last April came in with a PSA of 9.1. Re-test by the urologist came back at 10.9. Second MRI report said nothing had changed. Second biopsy (a "saturation" biopsy, with 28 cores) came back with a mix of Gleason 6 and Gleason 3+4 results. Genomic test score put me at a little above average risk for adverse results. So we decided to treat it. I was leaning toward radiation therapy and Urologist and Radiation Oncologist both said I was a good candidate, so we went that route, along with six months of ADT.

3-1/2 weeks into ADT (and about a month before the start of radiation treatments), blood work had my PSA down to 3.4 and T down to 7 (from 485 in April). So the Orgovyx was doing its job.

Wrapped up 28 sessions of EBRT on 12/31/24. Side effects from that have pretty much disappeared. Took the last of 180 doses of Orgovyx this morning. Looking forward to a slow climb back to something resembling "normal" starting tomorrow.

Have a blood draw scheduled for 4/14/25 - the first since the end of radiation. I have my fingers crossed!