Definitely seek out counsel from your health team, engage in personal research and education, and most of all, breathe and relax because you are not alone and there are long-term viable treatment plans for this chronic condition. Here is an entry point into the topic starting with 1. castrate sensitive hormone treatment (ADT) should be an option to consider, this could keep your PSA low for months, years or even decades with an initial round of treatment and then intermittent therapy. 2. castrate resistant treatment with a wide variety of drugs not limited to PARP inhibitors, androgen receptor signal inhibitors, and more. 3. platinum based chemotherapy such as docetaxel and other targeted drugs. 4. theranostic techniques such as Pluvicto.

Just to fast track to a personal comment about the inquiry about Pluvicto, I'll be 53 this year and will finish 2 years of ADT this fall, and had RALP 12 years ago. When the BCR happened my first choice was "lets solve this with Pluvicto" and while my medical team explained the US protocol to qualify, the more important insight was that the oncologist said "we want you to live for a long time, and science has no idea of the potential harmful effects of nuclear medicine 10 or 20 years or more, after usage". In general, treatment methods that are effective and also have manageable side effects should be your first option. Trust me, ADT sucks, but all things considered, I'm complaining about side effects and the other option would be going to chemotherapy or just sailing off and letting the cancer win, ... and that ain't going to happen on my watch!

keep the faith