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@austin7

Most effective sequence of treatments for metastatic prostate cancer?
After 44 external beam radiation treatments + ADT in early 2021, my PSA has now been rising and I have metastatic prostate cancer. I am getting conflicting information on the most effective sequence of treatments:
> Continue ADT forever + 2nd Generation Hormone Therapy (Xtandi) and when that stops working move to Chemotherapy (Taxotere)
OR
> Continue ADT forever + Chemotherapy (Taxotere) and upon completion follow up with 2nd Generation Hormone Therapy
And finally, where in this sequence should Provenge be used?

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Replies to "Most effective sequence of treatments for metastatic prostate cancer? After 44 external beam radiation treatments +..."

Hello @austin7 and welcome to Mayo Clinic Connect. I can see you are interested in learning from other members based on their experiences given the conflicting information you have been given. Can I start by asking if the conflicting information has been coming from the same oncologist/team or if you have seen multiple oncologists and each had their own opinion?