A prostate biopsy confirms the diagnosis. A bone scan may be performed to rule out metastasis. Chest xray may be performed to rule out metastasis. Appropriate treatment for prostate cancer is often controversial. Treatment options vary based on the stage of the tumor .
Hormonal manipulation aims at lowering testosterone levels.
Since prostate tumors are dependent on testosterone, reduction of the testosterone level is often very effective in preventing further growth and spread of the cancer. Hormonal manipulation may halt the growth of advanced prostate cancer, or relieve symptoms in people with metastatic disease. This medication is taken once a day. This medication must be taken three times a day indefinitely. Possible side effects include gynecomastia, erectile dysfunction, and diarrhea .