Should I do ADT with SBRT for Gleason 4+3 prostate cancer?

Making treatment decisions can feel overwhelming, especially when test results and doctor recommendations seem to conflict. Many people in this community have faced similar situations where they need to weigh different treatment options and seek clarity on their oncologist's reasoning. Consider asking your radiation oncologist for more detailed explanations about the specific benefits they see in your case, and don't hesitate to seek a second opinion if you'd like additional perspective on your treatment plan.

I have intermediate risk 3+4 localized PC. Recent PET scan showed no metastasis.I started Orgovyx a couple weeks ago. I’ll be on it for 6 months. Don’t expect radiation to start until 3/23, and possibly even later than that. Both my Urologist and Rad Onc said it will improve outcomes because cancer cells need testosterone to grow. So far, no side effects. My testosterone was already very low, and my Urologist thought I may not experience any side effects for that reason. So far so good. BTW, if you go on ADT be prepared for sticker shock.

I think that’s the story. However, the Artera test reports that mine is unlikely to be fueled by testosterone, that ADT won’t help. Oh well

How much commission is he making on ADT ? I wouldn’t take it do your homework on it I did out comes no different with it I already told my doctor forget removing my prostate forget ADT IM A Gleason 4-3 I’m going to do SBRT , quality of life is more important to me then more years that are empty years full of side affects

As it turns out, MRI showed TZ lesion. That plus negative ST-ADT marker plus extremely low aggressiveness score said ADT not necessary. SBRT-5 only.