Instead of ADT, you could consider estradiol. A recent study called the patch study found that taking estradiol Was just as effective as ADT and had many fewer side effects. People lived just as long whether they were on estrogen or ADT.

You can look up information about it on the web, and here are a couple of links to check about it.
https://www.urotoday.com/categories-media/2101-centers-of-excellence/localized-prostate-cancer-coe/4308-patch-trial-evaluates-transdermal-estradiol-in-non-metastatic-prostate-cancer-duncan-gilbert.html
https://www.renalandurologynews.com/news/transdermal-estradiol-may-offer-another-option-for-high-risk-prostate-cancer/