I am being aggressively treated at UCLA for Gleason 9 PC that had only spread to the seminal vesicles, had RP, was on lupron and Erleada for 13 months. I personally am in favor of aggressive treatment and the side effects of the treatment so far have been manageable. I am 75 and I am hoping to be around for another 10 years. I have recently retired and I worked long and hard to get to retirement. I feel that retirement is the dividend to my years of work. I want to enjoy this dividend and not lose it to this damn cancer. So I always opt for aggressive treatment and aggressive frequent testing given by my UCLA doctors while being mindful of the reasonable quality of life issue. My quality of life is less than pre cancer, but still damn good.