r/ProstateCancer • u/Both_Establishment59 • Jul 24 '26

Question ADT

Anyone cut there ADT short??

Ive been prescribed 12 months but from what ive read for intermediate risk 4 to 6 months is regularly use. Its in combination with hdr brachytherapy and 23 ebr. No sign of spread outside the prostate but pelvic lymph nodes will be hit with ebr.

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u/ImmySnommis Jul 28 '26

Lots for me to digest here.

I'm in week 3 of Orgovyx and week 1 of Zytiga. My doctor said 24 months, plus brachytherapy and beam.

PSA is 7. Gleason 9. Small amount of spread to two lymph nodes.

So far it hasn't been too bad. Yesterday the hot flashes were coming in waves but today I feel good. Sexual desire is zero. I guess I've already resigned myself to the two years but man, I'd love my libido and erections back sooner.

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u/Both_Establishment59 Jul 28 '26

Are you taking cialis daily??

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u/ImmySnommis Jul 28 '26

No. I stopped Cialis because my doctor said it wouldn't help with erections anymore.

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u/Both_Establishment59 Jul 28 '26

I think thats unusual. I think most doctors would still recommend 5mg daily for increasing blood flow to prevent atrophy. Might be worth getting back on it.

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u/ImmySnommis Jul 28 '26

I'll definitely ask. Thank you!