I just started ADT and will be starting SRT shortly. G7, but unlike you (3+4). No lymph nodes involved as far as we know.
I was going to pass on HT. My RO left it to me, but he qualified that by saying “if you were ambivalent, and left it entirely to me, I would do ADT”. So he clearly preferred it.
My Uro/Surgeon, advised me that if my RO suggests ADT S called for, I shouldn’t “negotiate” (his words), just do what he says. I thought that was good advice. So two things.....
1. With g7(4+3), and lymph node involvement, I would be all over ADT
2. I think, generally speaking, we should all do our research, but in the end, have an RO you really trust enough to put yourself in his/her hands, and do so.
I am not a doctor, just another guy without a prostate
Dx Age 64 Nov 2014, PSA 4.3
BX 3 of 12 cores positive original pathology G6
RALP with Dr Ash Tewari Jan 6, 2015
Post surgical pathology G7 (3+4), - ECE, - Margins, -LN, -SV (+ frozen section apex converted to negative)
PSA @ 6 weeks 2/15, .<02, remained <0.02 until January 2017, .02, repeat Feb 2017, still .02. May 2017-.033, August 2017- .033 November .046, March 2018 .060. June 2018 .068, July 2018 - .082, August 2018, .078, August 2018 - .08
Decipher test, low risk, .37 score
My story.... tinyurl.com/qgyu3xq
My PSA History - /drive.google.com/file/d/1ltbG8x-iyH3k9pEltudhXt9u1krRwJSH/view?usp=sharing