Hi . I can't personally speak to treatment with Orgovyx, but I can tell you that, while it has been found to have many of the same side effects as Lupron. It has also been found to be more effective that Lupron reducing testosterone, with fewer cardiac issues and quicker reduction in side effects upon completion of treatment. This page from the National Cancer Institute goes into further details: https://www.cancer.gov/news-events/cancer-currents-blog/2021/fda-relugolix-prostate-cancer-androgen-deprivation-therapy#:~:text=In%20a%20large%20clinical%20trial,treatment%2C%20leuprolide%20(Lupron). Hopefully others will chime in with their experiences. Best, Richard (ProstateCancer.net Team)