I considered this path as an option, but after doing the research I realized that the initial treatment was worth it but had some thoughts of no longer seeking treatment once the disease got to a certain point or if the impact of it changed my quality of life so much that it wasn't worth it.
To that end, my research on the matter indicated that prostate cancer death is quite painful and the last month or two is you basically being bombed out of your mind on drugs, incoherent as you then waste away. Of course, during this time someone has to care for you and watch you die a probably avoidable death. That last part is the tough one, I would not want to be a burden on someone.
Having watched several family members die of various cancers, including my mother wasting away for years ON treatment, I decided I would not do that. I told my wife "I'll do one round of treatment but won't spend my life getting treated only to have no quality of life". Well, here I am, 7 months after my treatment and it wasn't so bad and my outcome was poster-child worthy so to me that hit the reset button, I would go another round and another until it's too much to bear and then I might consider other paths.
Consider talking to your family and counselors before you make your final decision on the matter. Many of us grew up thinking cancer treatment was straight from hell, but things have improved greatly since those days.
It’s good to hear that you have looked at deaths door and decided it’s not for you.
Yes, it can be a pain to take ADT, But after nine years of it, the side effects are just not that bad. The only noticeable side effect other people see is the occasional hot flashes. The treatments we are getting just seem to have minimal damage to daily life Unless the cancer Spreads a lot and we need chemo or Pluvicto. In that case for a short time, it’s definitely a disadvantage, but it’s a short time and can extend life.
Stick with it, Much better to have a progression free survival.