I am very sorry you are going through this issue. I agree with the others that you need to find a good oncologist that treats prostate cancer. If in fact this is prostate cancer, then starting treatment is absolutely required. I was diagnosed de novo with stage 4 prostate cancer over 3 years ago. I'm doing fine and have remained in deep remission and undetectable. I am on ADT, Nubeqa, and Xgeva (for the bones). I had 10 rounds of radiation to the spin and 4 additional rounds to my ribs. I then had 10 cycles of Chemotherapy. The standard of care is 6 cycles of chemotherapy, but if you have the strength you can request more. There are studies that show that >= 8 cycles of chemotherapy increases overall survival. So, I went in that direction. But this is a personnel decision between you and your oncologist. Discuss your treatment options with your oncologist.