You are definitely in a sticky situation. You’ve got a high PSA, but they can’t find anything. As I mentioned before this is frequently because the metastasis are just too small. The benefit of hormone therapy is that it will usually prevent the metastasis from growing any further, For at least a couple more years.

I’ve been on hormone therapy for nine years, It’s not a lot of fun, but it’s kept me alive and people that I know have no idea that I have prostate cancer unless I tell them. That’s how little hormone therapy actually affects your appearance to others.

You could consider the other option, which is the Estradiol patch. It has many fewer side effects than ADT and is just as effective according to studies done in England. Look up the patch study if you want to find out more information. I know one doctor that does not like it because there are blood clot risks, You need to give a tested monthly to make sure your estrogen levels aren’t too high. There are videos over at ancan.org by Richard Wassersug PhD discussing the fact that he has been taking estradiol for over 10 years and how well it works. This could give you more information about this option.