I had a similar experience. I went 2 years after RP with < .02 than it started to rise. My Gleason was 3 4. The pathology showed pt3a and two margins could not determine margins. There was cribform, EPE and the 4 was 40%. The pathologist made it a group three. It went to .15 PSA over the next year and a decipher test was done which was .92. I had 2 psma/pet scan one before and one after being placed on adt. I have been told by two different medical facilities that I should go through radiation treatment. As other people have said if i have a chance to kill it off, i want to do it because it is very aggressive at .92. I have only been on Orgovyx for two months and it messes with my mind emotionally and stress/anxiety (other issues than the cancer) which I do not like so hopefully after radiation I will be able to stop, they originally told me 6 months but for some reason the prescription was for 11 refills.