I'm a fit 74 year old. I had the same (3+4) Gleason score as you on my second biopsy, a year after the first 3+3. I ultimately decided to have radiation treatment, but the reasoning is possibly useful to you. Yes, I could have continued Active Surveillance, but we already see that the cancer is growing, even if it's not high risk. The doc said he could not endlessly do biopsies. I had a Decipher test (highly recommended) that showed relatively low risk and no need for hormone therapy, but still...how long do you want this growing within you? That's a question every man needs to answer for himself. What I found is all the tests and medical appointments were very stressful and it was affecting my mental health and my partner's. I decided let's treat this now rather than later and try to move on with life.