I would add it also depends on the type of prostate cancer you may have. For example, do you have BRAC1 or BRAC2, or some other genetic marking. Did you start with adenocarcinoma, small cell, basal cell, or neuroendocrine. Some doctors now believe that at the time you are diagnosed you have a mix of prostate cancer cell types. And that micro mutations of those cells can sit around and fester over time and then emerge later because those cells were resistant to treatment all along. This is why doctors now believe in hitting the cancer hard up front with triplet therapy. The idea is to kill as many micro metastases as possible. Cancer cells are kills with radiation and or chemotherapy. ADT and the 2nd generation drugs like Xtandi, Darolutamide, Apalutamide stop cancer cells at the cellular level. Both starve cancer cells of testosterone. But some of cells can go dormant and rise up later. The good news is that all cancer cells must die. They do not die on schedule but they do die. My strategy was kill as much cancer as possible up front - hopefully leaving nothing to come back. But everyone is different and can only handle what they can handle. Some people are afraid of radiation and chemo so they settle for just ADT or one of the other drugs. I wanted to carpet bomb the cancer. I wanted to kill as many cells without killing myself for the greatest outcome. It was hard but the Lord got me through it.

No doctor can tell you your expected outcome. Some cancer just give up and become indolent and others mutate into something more aggressive. They do not know. But, we have lots of treatment options to extend our lives Thank God.