@chunghk1
What was explained to me is prostrate cancer is fueled by tetostorone. Thus when hormone treatments are prescribed it is to lesson tetostorone. That helps what every treatment you are going to have to greatly deminish the growing of the prostrate cancer and helps the outcome of the radiation or surgery outcome.

A Decipher test will more specifically identify the risk of your prostrate cancer and the need for hormone treatments. I was through my biopsies an intermediate risk and recommendation was radiation and hormone treatments. My R/O (Mayo Jacksonville) order Decipher test and bone scan. The results of those test showed that Decipher test was I was low risk and bone scan negative. This changed my treatment plan to radiation treatment only.

I went to UFHPTI and R/O there agreed with diagnosis but ordered another test (PSMA) and it too came back negative so I was not recommended to take the hormone treatments and had 30 rounds of pencil beam radiation treatments.

What radiation does is to damage the cells of the prostrate cancer. Prostrate cancer cells damage cannot reproduce like normal cells of prostrate. So what happens is they eventually die and the normal prostrate cells can and do reproduce making new prostrate cells and repairing themselves.

Thus you can see hormone treatment greatly enhancing the treatment if you diagnosis justifies it as it does have serious side affects. Surgery removes the prostrate all together but unless the cancer cells remained inside the prostrate the cancer will not be cured and you will have PSA levels rise again and again.

Lot to think about but get the tests that help with diagnosis and the right treatment for you specifically.