I am so very early as a participating "member" of this exceptional group of people, I have so little to share. I do understand your dilemma as to deciding what steps (treatments) to consider. I hesitate to confess this truth about myself, but I wasn't sure I wanted to even see a urologist after my initial elevated PSA (4.3) in May '25. It took two months to see a very respected urologist, and I kept the appointment. He wanted a repeat PSA/Free PSA and prostate specific MRI. I was planning on a big adventure through Southeast Asia in the Fall -- do not want my prostate interfering with my plans for living. I did have the MRI. I am scheduled to see the doc at the end of the month to go over the MRI ("suspicious spot" he said in an email). I am sure he will want to schedule a biopsy. Why wouldn't he? What about my exploration? I am not eager to have my life consumed by and with medical appointments, then treatments. I am tempted to postpone my follow up with him and go to Asia first.... This is tough and not what I expected as a newly retired guy ready to see and experience the world!