Hi Nick I’ve been on Decapeptyl for 3 1/2 yrs now as I’m incurable. I think it’s a much kinder drug than some of the others. I get hot flushes but no big deal. Very little weight gain , no moobs , still have some libido. Worse effect is knackered knee joints , muscle loss , memory problems , brain fog etc. I think they have all accumulated over time. Good luck