Coming up on 2 years of Lupron. What now?

It is hard to believe it will 2 years next month since Richard's surgery. He has been doing ok on the Lupron. The weight gain and the loss of libido are the things that bother him the most. H has worked hard at the gym this whole time but he has probably gained about 10-15. He is maybe a little more tired but is still working about 50 hours a week. He would like to be done with it but at the same time he is a bit fearful about what if anything will happen next.
His regularly scheduled appt with the M.O. is next month. He will get his next 3 month Lupron shot which will take him to 2 full years on Lupron. The dr. originally said 6 months on Lupron and then freaked out when he found out that no lymph nodes were tested. Then he said 2-3 years. The RO is deferring to the MO but we have the feeling that he thinks 18 months would have been ok. He just had a bone scan and cat scan which came back clear. The MO even told us about Taxotere but we think he was letting us know about that option even though at this time there isn't strong proof of the benefit for a guy like Richard. Maybe 20% improvement.
I have read on this forum of G9 guys whose drs have had them on Lupron for 18 months. With the exception of the G8 and the small amount of cancer at the apex are their other reasons to stay on it for another year. Even with the small amount of cancer at the apex the pathologist put him at T2 instead of T3.
So let me know what you all think. Are there any new studies to narrow that course of treatment. He has had surgery, radiation and 2 years of Lupron. Can he wrap up his treatment and just follow closely for any PSA increases? If it would sadly rise can't he hop back on the Lupron. His continence is about 95% His only problem is if he has a few beers. He really wants to get back to feeling normal hopefully.

Up4thefight ... I will be getting my last lupron shot in early May, As you can see from my sig. I was TB3 Gleason 9 with both seminal and nerves. I have put much research and thought into even getting this last shot because of the side effects of Lupron. Joint pain has really been a problem especially in my fingers and thumbs, haven't slept more than 5 hrs in a row since surgery, Gained almost 30 lbs even tho I kept active as I could, didn't watch my diet good enough I suppose. One of the things I have noticed is I forget words, or even friends names when I walk up to them, and my spelling has really suffered I use to win spelling contests when I was in school. There is a good article that Redwing posted about effects of ADT you might want to read. The only good thing I can say about Lupron is that I have remained undetectable but I can say that this will be my last shot unless my PSA was to go up. As far as what you guys should do only you and your team can make that decision. If you want to read about some of the experiences that other guys have had while going down this path read the ADT and SRT Journey thread I'll update it for you. Wish you the very best in whatever you decide.

Larry

Thanks for the input. I did forget to mention my husband is lately experiencing joint pain especially in his hands. It is really uncomfortable. Is there anything in particular that you take for it. My husband hates to take anything.