My 84-year-old Dad had an advanced prostate cancer with spinal and pelvic metastases diagnosis in 2024. Gleason score 9. He has been receiving hormone injections every three months and was doing well initially. In October 2025 his PSA began to rise slightly, so a daily tablet of Bicalutamide was added. We have now been informed that his most recent PSA has risen again and is currently 18, and he is being referred to Oncology. He is generally well in himself and has no symptoms from the prostate cancer that are troubling him. His main difficulties come from other health issues rather than the cancer itself. While he does not want to be “messed about with,” as he puts it, we would like to understand whether there are still hormone based treatment options that could help and whether any are worth trying in his situation.
