I would not trust a TRT clinic to give advice or medical care for PCa. Hope you are now being treated by a Urologist.

You are likely at a very early stage in the process. There are many steps to go thru and waiting is tough.

It seems very promising that you have a doctor that has ordered an MRI. My former urologist did not, I had to seek care elsewhere.

Options are active surveillance or treatment. Treatment is surgery, radiation or focal therapy.

It's not easy deciding next steps. There's a chance you won't even need treatment now, active surveillance is an option for many. There's a chance that the lesion is small and non-aggressive, even a chance the lesion will not be visible on MRI. There's even a chance the pathology report is incorrect; my July 2025 biopsy was determined as 3+4 (by a Mayo Clinic pathologist even), but was later downgraded to 3+3 by another Center of Excellence Pathology Board. Some people choose to get a second reading of the biopsy.

I'd say next steps are to have your doctor order a Decipher test on your biopsy cores. That will help determine the aggressiveness of the lesion. Then you will also want to know if you have any genetic mutations for prostate cancer, which can help you & your doctor determine next steps. You can search for "Promise Registry" for the genetic mutations test. You have to send in a spit sample and they test it, when I did it last year it was free, guess it still is.

The odds are on your side. It's tough to do, but just keep working thru the process step-by-step. Keep reading and learning, some people are lucky to have a good doctor(s) to lead them through the process and others are not...but the fact that you are on this discussion board shows that you are gaining knowledge. Smart move!