You didn't state your age, so was curious about that. I also had a PSA of 6 and a Gleason of 9. However my post surgery PSA has been much slower in rising. I'm now at 0.03 at 22 months post surgery.
I'm using Trimix and can state that it works extremely well. The only ED drug that has worked partially, was Levitra. But I never get more than 75% of a response and it doesn't last that long. Which is why I went to Trimix.
I'm sure other guys will respond to the issue of using Trimix with Lupron. I would go ahead and get the Rx for Trimix.
Age 60, PSA 2007 4.1, PSA 2008 10.0
Diagnosed April 2008, Biopsy: 6 of 12 cores positive, Gleason 4 + 5 = 9
CT and Bone Scan negative, Open surgery at Shawnee Mission Medical Center May 21, 2008
Right side nerves spared, Radical prostatectomy and lymph node dissection
Cather removed on June 3rd, totally dry on July 9th, pT2c, lymph nodes negative
PSA Sept 28, 2008 0.00, PSA Jan 22, 2009 0.00, PSA June 29, 2009 0.00
ED Status- Currently using Trimix, Levitra daily for increased blood flow.
Noctural Erections have completely returned on a nightly basis, same hardness as before.