Hi GJones1982, and a warm welcome to the forum, though I'm sorry you have to be here and for your dad's diagnosis.

I have metastatic prostate cancer, for nearly 3 years now, and unlike oligometastatic, which is classed as an early form  of stage 4  prostate cancer, mine had spread to 13 places and due to co-morbidities I was limited to hormone therapy HT and radiotherapy RT, I started HT on diagnosis, with aggressive  RT, 20 fractions 76gy in April 2022 to the whole pelvic area. At my last MDT meeting I had no evidence of cancer, except for 1 lymph node, which will be "treated", with SABR, and I have just 6 weeks ago started treatment plan B. I know just because my cancer can't be detected, doesn't mean it's not there 

That your dad is fit and healthy is great news, and with only 1 met, will be a big plus with treatment, I understand my treatment doesn't match any of your dad's options, but even in just 3 years prostate cancer treatment has made big strides, and the most important thing on this journey is the trust you have in your team 

If I had been diagnosed today, I would have opted for triple therapy, (2)I have a few friends who have had it with very good results, but your choice must be the right one for your dad. My best wishes to you both 

Eddie xx 

Hi Gaz, you are welcome, and thank you for your good wishes. As you have probably read all treatments come with the risk of side effects, which, if any and how hard they affect you is impossible to know beforehand, though fatigue is common to almost everyone to some degree, but by working on your fitness now, this will mitigate it's impact and be helpful through recovery, The main chemo drug for prostate cancer, docetaxel, which for chemotherapy is often quite easy to manage.

Eddie xx

I'm 63yo diagnosed with advanced metastatic prostrate cancer in July aggressive and widespread throughout my bones lower back, spine, neck and lymph modes my PSA was a whopping 1,973 on monthly Hormone therapy injections since diagnosis and enzalutamide tablets for last three months seems to have slowed things down and my PSA results from blood test in December was down to 2.2 so hopeful these two treatments are working for me.

Hi Freddy61,  I'm sorry to hear you too have advanced MPCa, it's a tough hand we've been dealt, I too am on HT injections "Prostap3", and Enzalutamide, though only been on Enzalutamide for 6 weeks, so don't know how effective it is for me, but it's good to see it's working for you my friend, that's some drop, and I will have everything crossed it continues helping for some time yet, my best wishes to you.

Eddie 

That’s an incredible drop in PSA—thank you for sharing your journey, and I really appreciate you taking the time to offer insight. It’s so encouraging to hear that the hormone therapy and Enzalutamide are working well for you, especially given how aggressive your diagnosis was.

While my dad’s situation is different, hearing real experiences like yours helps me feel more hopeful about treatment options and what might be possible for him. I will  share with him so thank you.

It sounds like you’ve been through a lot, and I admire the strength and resilience it must take to keep pushing forward.

Wishing you continued success with your treatment, and thanks again for sharing

Gaz