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Since when are you on ADT?
Sorry u mentioned that
In answer to your question. A doubling PSA does indeed raise the chance of active cancer.
The treatment is dependent on where the active disease is and if it has spread anywhere. Also if it has spread anywhere then how many places makes the treatment choice change.
Radiotherapy is certainly a possible treatment that could be offered.
You would need a CT or PET scan first, therefore you will need a referral to your Urologist or a oncologist to decide.
I will flag your call to be closed