Sorry you are going through this, my experience started in July of last year.
If your cancer is aggressive, I would think your doctors would put on on ADT drugs to a least stop it from progressing. My PSA went from 1.1 to 1.9 over the course of a year (2021-2022) I skipped my annual physical and blood tests in 2023 and in July of 2024 when I had my physical. PSA was 62, biopsy in August, Gleason 4+5. PSMA PET scan shows large tumor behind prostate, right lymph node, and in pelvis bones.
Doc put me on ADT drugs immediately and has of Dec, my PSA has dropped to 0.6.
They also did genetic tests on my blood and biopsy samples, I have the BRCA 2 gene, which means I am very high risk for prostate and other cancers.
Just thought I would share this because you don’t want to get to my stage of this disease.
I might have radiation in March, depending on how much the cancer growths have shrunk/died from the ADT treatment. I cannot be cured, but I am treatable for now.