I had a prostatectomy in 2010, Radiation In 2014 And I’m still here 15 years later. I hit stage four in about 2020 with one metastasis, I was able to have it zapped With SBRT.

Have they discussed the option of using surgery to remove that lymph node? Stage four is when the cancer spreads outside the prostate, which yours has.

Going on Lupron is the easiest way to extend your life, but, you Could go on an Estradiol Patch instead of Lupron. The recent patch study conclusion found that it worked just as well, but had many fewer side effects. You wouldn’t need genetic testing to make sure you don’t have BRCA1 or BRCA2 which makes that patch deadly. You Should get hereditary genetic testing, you can get it from Mayo without a problem, just ask. One of these drugs will stop your cancer from growing and can shrink it, That’s why you want to use them.

I was on Lupron for seven years and Orgovyx for one year, Yes, it gives me hot flashes and my muscles deteriorated a lot so I have to go to the gym three days a week to get my strength back. The brain fog is no fun, but there are ways to work around it when talking to people. You need Lupron or Estradiol, don’t let the fear of those drugs shorten your life. You get used to the drugs after a while?

We could give you a lot more information If you told us what your Gleason score was after your prostatectomy, That tells how aggressive your cancer is. You may need more than just Lupron if it is high, Something like Zytiga or One of the lutamides.