@rlpostrp

Thank you for sharing, it sounds like you and your physician made wise treatment decisions for your particular PCa diagnosis.

I also agreed with my urologist and the recommendation of my Decipher GRID report to pursue active surveillance.

As you indicated in your post that you learned “EVERY PROSTATE CANCER IS DIFFERENT”.

I suppose you are familiar with the 2025 NCCN prostate cancer guidelines.

The NCCN’s Early Stage PCa guidelines indicate that active surveillance is preferred for men with GG1 and a viable option for men with GG2.
https://www.nccn.org/patients/guidelines/content/PDF/prostate-early-patient.pdf
Of course, Active Surveillance means one is being regularly monitored for signs of progression, while enjoying a time while all the potential negative side effects of treatment are a non-issue.

I believe the latest estimate is that ~60% of newly diagnosed PCa men are now selecting AS…a clear majority.

In my particular case, I’ve gone a step further and implemented an exercise protocol (ERASE) that has been demonstrated to slow PCa progression via a randomized clinical trial.

I fully understand that some men may have anxiety regarding the idea of harboring any form of “cancer” in their bodies….I get it….I suppose that just doesn’t bother me….and that’s not a putdown on those who may wrestle with this issue…it’s just that I have always looked at life’s challenges as a motivating factor to implement changes that show promise for a favorable outcome. I understand the risks and fully embrace them; especially based on all that I have learned about low risk prostate cancer.

That said, if at some point in the future my PCa progresses to GG3+, then I will select an active treatment action…but meanwhile all the side effects of my PCa “treatment” have been beneficial.

Thanks again for your post! I didn’t think it took on a harsh tone, as you have experienced a difficult set of circumstances and took appropriate treatment actions.

All the best!