I believe Finasteride is a mild ADT designed to treat benign prostate enlargement while still leaving a functional level of testosterone. It's likely that your PSA increased because of the cancer itself (which still had enough testosterone to feed it).

Taking stronger ADT designed specifically for prostate cancer, like Orgovyx (Relugolix), Lupron (Leuprolide), or Firmagon (Degarelix), will likely starve the cancer of testosterone and bring your PSA down to undetectable levels, at least for a while.

Best of luck!

The number for your PSA is doubled because of the drugs you are on.

You say you can’t do that, I suppose you mean, can’t do hormone therapy.

Dying from prostate cancer is extremely painful, My father died from it and the last few couple of weeks he was on so much morphine for the pain he couldn’t carry a conversation. When I was a teenager, he had all of his molars ground down and crowned without Novacaine. He came home for dinner and ate after that procedure. Wouldn’t catch me doing that without Novacaine, he had a very high pain tolerance, not high enough for prostate cancer.

The fact is you can do it, you don’t want to do it. Your cancer will undoubtedly come back. Your life will be much shorter without it, Is it really worth it?