PSA rising again after just 6 months on Enzalutamide

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Hi all

After diagnosis in July 2021 and starting Enzalutamide in October, my PSA was initially settling at less than 1. Now it has started to rise again - 2.1, 4.7 and 13 in the last 3 months. The readings are all taken at the end of the 4 week Firmagon injection period. 

I'm speaking to my oncologist in April. The question is what might be my best treatment including the newest drugs? I have extensive metastasis but I'm in general good health and mobility. 

I'd be grateful for your thoughts and the questions to ask?

Best wishes