You definitely need to get a second opinion. If you mention where you live, I could possibly give you an idea of good doctors near you.

If your PSA is rising, you should not do nothing. That can lead to A short overall survival. I can’t tell you how many people have regretted not getting second opinions.

If you cannot handle ADT, the estradiol patch isn’t an alternative that works just as well and has many fewer side effects. That might be what you need to do. There’s also the option of an ARPI alone. Something like Nubeqa or Xtandi, That can control your prostate cancer, but have very different side effects from ADT. Nubeqa Has no side effects for most people.

Don’t Stay with the answers you’re getting now get to a different doctor for a second opinion. Mayo would be a great place to go.