Who to believe? I go to the source of the info, rather than what Walsh, Myers or anyone else opines. A good question to always ask is "What's the evidence to support that?" and "What's the quality of the evidence?"
Well, the evidence for you comes from a recent database analysis (not a randomized clinical trials) with long-term follow-up. They simulated the effect of early ADT by looking at survival of men who started ADT only on evidence of rising PSA vs those who waited for more evidence. Whether or not you think this study provides sufficient quality proof to act upon is up to you and your doctor. It certainly should not be ignored.
It found that there was no survival advantage to earlier ADT unless
there was evidence of metastasis, symptoms, or a short PSA doubling time
. You certainly do have a short PSA doubling time - a little over 3 months.Immediate versus deferred initiation of androgen deprivation therapy in prostate cancer patients with PSA-only relapse. An observational follow-up study
Based on their analysis, you would have a survival advantage by starting ADT now rather than waiting.