These are people who are in a metastatic situation.
For lesser prostate cancers, perhaps your regimen would be sufficient.
Hormone sensitive means that androgen deprivation therapy (ADT) is working.
Castrate resistant means that first line ADT is no longer working.
This doctor and hospital aren’t on the list of top cancer centers. MD Anderson, where I get treatment, is the number 1 cancer center in the world. Sloan-Kettering is a fairly close second. The ratings drop of from there, even for outstanding cancer centers.
My oncologist at MD Anderson really knows what he is doing.
The best strategy for advanced prostate cancer is to go with the next level of treatment for as long as possible. There does come a point where the combination of two treatments can be helpful. I am not amywhere near that point.
Chemotherapy does have a role in treating metastatic prostate cancer, but that is further down the road; and certainly not when it is still hormone sensative.