64yo. I have had a high PSA since the first time checked at 40yo between 9 and 35ng/ml. Have had biopsies, recently had MRI and PET/CT F18 PSMA PYLARIFY, no cancer found. No clinc will put me on Trt. I also have BPH prostate 180cc. I have been low testosterone 250ng/dl since I was in my 30’s. Dr at VA put me on 100mg per week at 45yo and it helped some, but the VA changed my dr and took me off due to high PSA. Should I wait to start TRT after surgery or less invasive procedure. Or start now. I’ve raised me testosterone or 500ng/dl through Enclomiphene. Helps some and done see any negative effect or further prostate enlargement. Thank you