You are taking Lupron and Darolutamide And your PSA has risen. One rise is not definitive, You need to get at least one more if not, two more PSA test to make sure it actually is going up.

You don’t mention any treatment at all other than the drugs. Many doctors these days, want to remove the prostate to prevent it from causing further metastasis, Even though the cancer has spread into other spots of the body, when you have multiple metastasis they’re probably going to want to do radiation not surgery. You should also get SBRT to zap the Metastasis that are there. While they talk about a maximum of five metastasis getting zapped, I know people that have gone back for many more than that.

You have lot of things that can be done, Need to get moving on it.

At this point if you really are getting a rise In PSA then chemo is usually the next step.

Are you seeing the right type of oncologist? With your case, you should be seeing a Genito Urinary Oncologist not a medical oncologist. You should also consider getting a second opinion, Unless you had much more done than you’ve mentioned, it seems like you are being under treated.

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