You want to be very careful here. I am 77. I have been on AS for 21 years at a top 5 prostate hospital. About 15 biopsies until 2025 have always been 3+3 or a few times negative. Due to a PSA in the 20s a biopsy was done June 2025 which showed all 3+3 except in one area three samples of 3+4 with less than 5% pattern 4 with no large cribriform. The PSMA was clean. I wanted to continue with AS but the hospital refused and instead recommended 28 radiation treatments. I went to another top 5 prostate hospital to see if it would continue me on AS with my 3+4. The new hospital obtained my biopsy sample and had its pathologist, fellowship trained at a leading institution, examine it. He read the sample as 3+3 !!! The urologist at the new hospital recommended AS and offered, but didn’t recommend as necessary, a Decipher test if it would make me feel more comfortable continuing AS. I requested it although I don’t think it is necessary. We do not yet have the Decipher result.