Congratulations on completing IMRT and ADT. Have you had a PSA check in the last 6 months? Hopefully your next report will continue to show a downward trend in your PSA. I am not sure what you can expect on your T, but once again hope for good news. With a G9 6 of 12 cores positive and a psa of 65 you had some serious numbers. Welcome to HW, Dracus.
Michael

Hey Dracus. Congrats on making it through all of that!

My treatment plan was almost identical, though I was only 55 at the time. When I came off of Lupron, my testosterone recovered pretty fast; in six months it was higher than my baseline. That's extremely variable. Some men take longer, some never recover testosterone production.

As the T recovers, theoretically the PSA will rise too, to some level. The rate of rise can be fast at first, but it seems what's happening is your PSA is going up to whatever it would have been if you hadn't had Lupron. So it's kind of quickly rising up at first, but should level off sharply. Lupron suppresses PSA the whole time you don't have testosterone, so once that's released the PSA level can bounce up to where it would otherwise have been after radiation.

That's a little wordy, but in short if your T rises your PSA probably will too, but it should level off sharply at a pretty low level.

All the best!

(Mine started rising after a couple of years, and when it reached 1.0 I decided to restart ADT immediately rather than waiting. That's a difficult and very personal decision, which hopefully you'll never have to make!)