You don't mention your age, but at 78 I joined this club with pretty low numbers--PSA rose to 7.67 over a few years, MRI saw one 2mm lesion, have a very large prostate (106 cc) so I did the trans perinial guided biopsy and fortunately had only 2 of the pokes out of 23 show bad cells--3+3 and 3+4 with low percentages in each. My PSA in August was 4.67. Seems like there's no rush to get your biopsy done (January is around the corner)--then you can have a better picture of what you're dealing with. If I had these numbers when I was 58 instead of 78, I'd be more concerned. I'm on AS for now and will do the MRI and biopsy dance again in the spring of 2026. Decipher score was at the top of the lowest range. Something else will probably finish me before PC. My dad was diagnosed around my age and he lived to 100 yrs and 10 months. Good luck!