What treatment options work best for Stage IV prostate cancer?

Thank you for sharing your situation and reaching out to the community for support. Stage IV prostate cancer treatment has evolved significantly, and many patients find success with the approaches your doctor mentioned - hormone therapy, targeted radiation, and combination treatments can all play important roles in managing advanced prostate cancer. The community members here have valuable real-world experience with these treatments and can offer insights about what daily life looks like during treatment and what they wish they had known earlier in their journey.

Google “Stampede Trial.” It’s what my doctor followed for treatment of my Stage IV (T3b, N1,M0) regionally metastasized cancer. I’m 7 1/2 years post treatment and still showing no detectable PSA.

15 years since diagnosed, past 5 years it metastasized and after targeted radiation, I was three times put on androgen deprivation therapy (different schedules of doses), abiraterone (Zytiga) and a steroid to combat additional metastasis the past few years which lowered my PSA to near negligible levels. However, definitely do some research on side effects of hormone therapy because not only does your testosterone decline (medical castration) but so does your estrogen levels which combine to impact amount and degree of side effects. Much of the impact on everyday life can also depend on dosage, schedule of treatments (monthly, every 3 or 6 months), medicine of choice, and bodily responses.