After a prostatectomy, your PSA should drop to undetectable. If it doesn’t, then there is prostate cancer somewhere in your system. The most likely location is where the second doctor has recommended you have radiation.

Getting on ADT for six months can stop your cancer from growing and can reduce the size so that radiation works better.

I’ve faced those decisions and know many people that have. I had a prostatectomy and 3 1/2 years later it came back (my PSA hit .2) And I had salvage radiation. That gave me 2 1/2 years before it came back another time. At that point I went on ADT and I’ve been on it for nine years since. Nobody knows I have prostate cancer unless I tell them. I do get hot flashes, but that is the only obvious thing that people see. After 15 years of prostate cancer, I leave a pretty normal life do a lot of exercising every single day. I do have the BRCA2 genetic issue, which is why my cancer keeps coming back. Getting prostate cancer so young can be caused by genetic problems.

Getting an hereditary, genetic test is a good idea. If you have certain genetic issues, there are new drugs to treat them. You can get one free here, If you live in the USA.

Prostatecancerpromise.org

They will send you a kit and in about three weeks a genetic counselor will call you to discuss the results. Don’t check the box to have your doctor involved. In that case they won’t send anything until they speak to your doctor.