While ADT can reduce your PSA to undetectable Holding off on treatment doesn’t make sense. Yes, they might go a couple months after the ADT shot to have it become more effective but at that point if you need chemo or Pluvicto that should be done Based on how many metastasis are found in the PSMA pet test.

If you have less than five, they may be able to zap them with SBRT, If there are a whole bunch, then chemo and Pluvicto are really the only way to get early Treatment. On top of that, they should have a plan to treat the prostate which if not treated would continue to spread prostate cancer throughout your body.

How About getting a second opinion . Are you working with a center of excellence? You want to make sure you have top notch doctors working on your case? A COE or a genito urinary oncologist would have the best treatment in mind for you. If you are working with a medical oncologist, they are just fine for chemo, but for a general treatment of your cancer, they are not the right doctor. If you’re working with a urologist, they are way out of their depths.