When you have advanced prostate cancer: What living with the disease looks like

President Biden’s metastatic prostate cancer has renewed public talk about the disease—and his ongoing treatment shows many people with advanced prostate cancer can remain active and engaged in life.
New tools (better imaging like PSMA PET) and earlier use of combination and targeted therapies mean men with spread disease are often living longer than they would have a decade ago.
Treatments can affect day‑to‑day life (fatigue, lower libido, weaker bones), so regular screening discussions, personalized care and support from loved ones are important talking points.