My understanding is that ADT confers significant benefit with higher Gleason scores.
I’m not sure that depression will get worse with a 6 month course. It might. But I don’t think it’s a given.
If I were in your shoes, I’d consider 1 month shots, and start with an understanding that if it gets too hard, you can discontinue the shots. But I’m not in your shoes, only you can decide what’s right, for you.
I am however, in my 3rd month of ADT, and so far, only mild hot flashes, no other side effects. But everyone is different
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