Androgenablation is the therapy of choice for the treatment of advance
d and metastatic prostate cancer. However, in more than half of the pa
tients the disease will ultimately progress within 2 years. Intermitte
nt androgenablation through medical castration maintains the apoptotic
potential. By periodically changing phases on and off treatment the q
ualify of life of the patients is improved. Apart from reduced toxicit
y treatment costs are lowered and tumor progression is possibly delaye
d. In how far survival is influenced is presently not clear and remain
s to be evaluated in further clinical trials.