@pemarq, choosing not to have treatment is a personal choice and an option. To inform your decision, I suggest asking very targeted questions of your cancer team, like:
- What are the risks and benefits of treatment specially for me (age, health status, diagnosis)?
- What would progression of disease and quality of life look like for me if I were to do radiation only? ADT only? No treatment?
- My goals in life are ________. Would having treatment allow me to do this?

As others have mentioned, with or without treatment, you might ask for a consult with palliative care. Palliative care helps with full person care and symptom management. Do you know about palliative care? Did you make a decision about treatment or next steps?