Hi Geoff,
In my case, as I said above, I did have a scan (after asking) and the cancer had returned. Now, every three months I get a PSA test and phone call. My fear is that if PSA has shot up then it may have metastasized, so just in case I will scream for a scan. Because, if the news is bad they can put me on some of these fancy drugs asap. It's an extreme case of catching it early.
In your case it may have returned, let's hope not, but if so let's hope it's still only local or, as in my case, local advanced. In either case you would need to be back on Zoladex/Leuprorelin/Prostap, if you are not already.
I could write an essay on the effects of those ****ing drugs, but there seems to be no alternative. Everything they say about them (by that I mean everything you can find on google, not what the doctors warn you about): fatigue, mood changes, tinnitus, light/noise sensitivity, .... is true.
Typical day:
morning: OK, use it well
afternoon: half zombie, irritable, have a nap.
evening: full zombie (television ....bed by 9.30)
Cheers,
Otto