That's a doubling time of about 4.2 months.  That is nothing to mess around
with.  It's back and it's back with a vengence.  I know 48 is awful young to
get hit with libido altering drugs.  I was 48 when my doubling time was
clocked at a little over 6 months.

I went on Lupron.  I'm closing in on 53 and my PSAs are below the radar.  I
work full time, half of the time outside.  I play with my grandkids, helped
my son build a shed, went out sport shooting with a pump shotgun the other
day, go up and down 20 stairs multiple times daily, and pretty much maintain
a normal life; except when I go to bed.

I suspect his oncologist is going to tell him the initial dose is not really
debateable.

The good news is, after that first dose, his libido will be heightened
significantly for a few days.  Take advantage of it.

And, insist on a refund for the botched PSA test!

I'm sorry to hear of the resurgence of the PSA.

Hormone therapy is a pain in the butt, but it's bearable.
As I understand it, all the indications seem to be that it
should be used as soon as possible after a recurrence.
Waiting doesn't do any good.  I suggest that he get
the first treatment when he's in the office next week.

Now I'll tell you something surprising.  Sex is not impossible
on hormone therapy.  I was on for about six months (a
four month treatment plus a couple more before the
testosterone came back).  I completely lost interest in
sex.  I looked at my lovely wife and still loved her as
much as ever, but couldn't remember what I was supposed
to do about it.

However we had sex anyway.  Not as often as before, but
still with some regularity.  I would start out just going through
the motions.  Then, ten minutes or so into it, things would
start to happen.  As she became aroused I found, to my
surprise and delight, that I did too.  And then, as I.B. Singer
once said, a miracle would happen. :)

I think we're getting nearer to some new and more effective
drugs for recurrent prostate cancer.  There's a chance that
if your husband hangs in there with HT, he can live a surprisingly
normal, and a surprisingly long life.  It's worth trying.

Best of luck to both of you.

   Alan