Second option is what I would do. I was also 3+3 =6 with biopsy and mri I chose prostatectomy (surgery) . Father had prostate cancer at 52 , I was 58 @1 year ago. Turns out good decision, I was actually 3+4=7 and high risk 93% according to dicipher test. Presently cancer free undetectable psa . I hope all goes well for you.