When I was confronted with a similar treatment decision, here’s what I did —>

One of the understandings I had with my doctors was that quality-of-life and successful treatment were equal priority for me. The ultimate decision came down to side-effects and quality-of-life (and what insurance would pay for, of course).

With every other major decision in my life where I have the time to decide - buying a house, a car, choosing a career, going on vacation, etc. - I make a list of what I want and what I don’t want. With all other factors being statistically equivalent, this decision for prostate cancer treatment was no different than any other major life decision.

(As a retired computer engineer, everything comes down to a spreadsheet…..) So, I put together a spreadsheet and listed across all treatment options that I had thoroughly looked into. Then listed down all possible & possibilities (%) of side-effects from each type of treatment, and gave each one a score. The one with the lowest total “score” ranked highest. I then took that list, and narrowed it down based on the prevention and cautionary activities available related to each individual type of treatment.

I then “scored” the quality of life priorities that came out of my introspection, and compared that final score result with the treatment options score result.

The score that was closest matching was my 1st choice, 2nd closest was my 2nd choice, etc. For me, Proton ranked at the top.

I hope you can find a viable pathway to your decision.