First, you need to find out if you have a slow growing or fast growing cancer. Your PSA should tell you. If it goes considerably higher or if it increases at a very fast pace, then choose a treatment/ Otherwise do active surveillance. My Gleason score was a 4+3 seven. I had an enlarged prostate so I chose removal. My cancer jumped to my lymph nodes so I did 44 photon radiation treatments and two years of Lupron injections. I have no energy or muscle. My libido is gone. I wear a depends and have to urinate often. I get very little sleep. I was a healthy 72 year old when it was discovered. I am now 75 with a body that does not work very well. The good news is I am still alive.