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The short answer: sometimes no immediate treatment is needed. Many slow-growing prostate cancers are managed with 'active surveillance' — careful monitoring instead of immediate surgery or radiation. Whether that is right for you depends on your specific results and should be decided with your specialist.
Prostate cancer behaves differently from many other cancers. Some grow so slowly that they may never cause harm, and treating them immediately can bring side effects without clear benefit. For these cancers, monitoring with regular PSA tests, examinations and repeat checks is a recognised approach.
Active surveillance is not 'doing nothing'. It is a structured plan, and treatment is started if the cancer shows signs of changing. Other cancers do need treatment sooner — the difference lies in the details of your diagnosis.
Questions worth asking your specialist: What do my test results show about how my cancer is behaving? Is active surveillance an option for me? What would make us switch to treatment? What side effects should I weigh up?
Whatever stage you are at, you should not have to make this decision alone or without clear explanations. If you would like a specialist opinion on your diagnosis, you can request an appointment.