I was also diagnosed in January with Gleason 3+4 and a high Decipher number. Originally my urologist mentioned hormone injections, but my RO was adamantly against it. His position was that I have low grade cancer that can be cured without dealing with the QOL issues associated with ADT. The small reward associated with ADT was not worth the risk, in his mind. The two docs got together and now they uniformly state that I will be cured without ADT. I am currently undergoing IMRT/IGRT and keeping my fingers crossed that the docs are right.