Yes, having the PSA go to .08 was the push to do additional therapy, but my surgeon and oncologist had mentioned it at the three month date, with the PSA at .01, and my positive margins. The same day I got the .08 news, I had my first Zoladex injection. (Thank God for U.S. healthcare!) I don't know why Zoladex - just went with the doctors recommendation. Two months later I started my radiation treatments.
I remained active for the two years of hormone treatments, and I feel that helped with the fatigue issues. I walk an hour every day, and continue to officiate high school sports. I called them "warm flashes", but they're irritating - suddenly sweating for no good reason at all. Hormones take about 9 months to wear off, so those still persist.
As my surgeon told me as I started radiation, it would probably kill off the nerves he saved, and he was correct. There's still some hope, but kicking cancer and increasing my chances for a longer life are more important.
Bottom line - keep up your spirits. Be thankful that you have second chance options. You appear to have done a lot of reaearch, and that will help as you make your decision. Good luck!
Age 57 at diagnosis (2006), PSA 4.7 (up from 3.2 one year previous)
Biopsy November 8, 2006 1 of 10 cores positive 5% LEFT Side Gleason 3+3
Robotic surgery January 19, 2007
Post Surgery Pathology Stage T3a, Gleason 3+4, positive margins and capsular penetration RIGHT Side
Post Surgery PSA: March 5, 2007: 0.01 5 month PSA 0.08
Adjuvant therapy began June 26, 2007 with Zoladex injection
Radiation began August 23, 2007, ended October 8
First post radiation PSA, December 18, 2007: 0; March 2008 - still 0; July 2008 - 0; Sept. 2008 - 0; Dec 2008 - 0; March 2009 - 0; Final Zoladex injection!