Prostate Cancer Treatment: Options, Drugs, and What Works Today

When it comes to prostate cancer treatment, the medical approaches used to slow, stop, or eliminate cancer growth in the prostate gland. Also known as prostate cancer therapy, it includes everything from surgery and radiation to hormone blockers and newer precision drugs. This isn’t one-size-fits-all. The right path depends on how far the cancer has spread, your age, overall health, and even your personal goals—whether that’s curing it, controlling it, or just keeping symptoms manageable.

Most men start with androgen deprivation therapy, a treatment that cuts off testosterone, the fuel prostate cancer cells need to grow. Also known as hormone therapy, it’s often the first line of defense for advanced cases. Drugs like leuprolide or degarelix knock down testosterone levels, and many men see results for years. But it’s not magic—side effects like fatigue, weight gain, and loss of libido are common. Some men even develop resistance over time, which leads to the next step: targeted therapy, drugs designed to attack specific genetic weaknesses in cancer cells. Also known as precision medicine, it’s changing the game for men whose cancer keeps coming back. Treatments like enzalutamide and apalutamide don’t just lower hormones—they block cancer’s ability to use what’s left. And for those with specific gene mutations, PARP inhibitors like olaparib can be life-extending.

What you won’t find in every guide is how often these treatments overlap. Radiation might follow surgery. Chemotherapy might come after hormone therapy fails. And new drugs are being added every year. The posts below dig into the real-world details: how certain medications interact with other prescriptions, what side effects actually feel like, how to tell if a treatment is working, and which options are most affordable. You’ll see how drugs like dutasteride—often used for enlarged prostates—can sometimes play a role in prevention. You’ll find warnings about drug interactions that could make side effects worse, and real stories about managing fatigue, bone loss, or urinary issues during treatment. This isn’t theory. It’s what men are dealing with right now.

There’s no single answer, but there are better answers—and they start with knowing what’s out there. Below, you’ll find practical guides written by people who’ve lived through it, doctors who’ve seen the patterns, and researchers tracking the latest breakthroughs. No fluff. Just what you need to ask the right questions and make smarter choices.