Treatment Options

New member: 73, living in Texas, diagnosed Thanksgiving week 2024 after significant PSA increases (2>4, 4>6) in the past two years. Biopsy showed two lesions in the prostate, Gleason 7 (3+4 and 4+3). PET scan followed, revealing three spots in the prostate and activity in right and left iliac lymph nodes. Diagnosis considered N1/M0.

I started Christmas Eve a two-year series of Orgovyx 120mg daily. I had a SpaceOar with Fiducial Markers surgical procedure last week and have a CT simulation this coming week, both in prep for eight weeks of weekday radiation which should take place during February and March.

Can you offer comments after having similar treatment, recommend treatment improvement options, or suggest some good questions for my radiation oncologist or urologist? I have not experienced any physical symptoms other than perhaps increased fatigue from the Orgovyx androgen deprivation therapy.

As a note: I was able to connect with Biologics by McKesson pharmacy to provide 90-day Orgovyx fills, and they were able to connect me with a foundation grant to cover my copay, which would have been $3000 for the course of treatment using my urologist's pharmacy. I'm glad to discuss details.

Thanks much in advance for any insights you're able to share!