Prostatitis is a swelling of the prostate gland, usually caused by infection. The patient feels urgent needs to urinate frequently and has a burning sensation during urination. Benign prostatic hypertrophy (BPH) is an enlargement of the prostate gland, common among men after 50 years of age. Among other considerations, a metabolite of testosterone called dihydrostestosterone is thought to contribute to the enlargement of the prostate in BPH. The condition is not malignant or inflammatory, but may lead to obstruction of the urethra, interfering with the flow of urine. This can increase frequency of urination, the need to urinate during the night, pain, and urinary tract infections. Since the main function of the prostate is to produce the seminal fluid, a man with BPH can become sterile, although his libido is not necessarily affected.

Prostate New BottleOn the other hand, the male with prostate problems often has serious problems with his sex life, primarily because of the urine retention situation and possible low grade infection. Conventional medical treatment may include antibiotics, drugs that inhibit the conversion of testosterone into dehydrotestosterone, sitz baths, bed rest, regular sexual release, massage of the prostate, avoiding alcohol and drinking excessive fluids, urinating as soon as the urge occurs, and surgery—in some cases. Alternative medical treatment may involve the use of herbs and key nutrients, including Saw Palmetto, Pygeum, Zinc, Alanine/Glutamic Acid/Glycine, and Selenium. Saw Palmetto Saw Palmetto is very effective in acting directly on the enlarged prostate to reduce inflammation, pain and throb. Clinical trials have shown that saw palmetto berries are helpful in reducing inflammation of the prostate in cases of benign prostate hypertrophy.

Saw palmetto inhibits the action dihydrostestosterone, the compound thought to be responsible (in part) for the enlargement of the prostate. In sub-hypertrophied cases, it may also reduce swelling to some degree, but in case of true hypertrophy it is not known whether the herb brings relief by decreasing gland size or by reducing pain and swelling. It also increases the bladder’s ability to contract and expel urine. Saw Palmetto extract is so effective in treating benign prostatic hyperplasia (BPH), that it had been compared in research to the prescription drug Proscar.

Pygeum possesses anti-inflammatory properties which are particularly effective for the prostate. This herb works by inhibiting the formation of prostaglandin PGE2 and PGF2, well known mediators of the inflammatory process. Pygeum extract has been used in the treatment of benign prostate hypertrophy or prostatitis (inflamed prostate gland) at a dose of 100 or 200 mg. per day in two separated doses for periods ranging from one to several months. Significant numbers of patients were treated in open and double blind trials with excellent results and tolerability.

The use of the aforementioned herbs and nutrient may do much to help reduce symptoms of BPH. Nonetheless, self-treatment without medical support is a bad idea. First off, if you have symptoms of BHP, you should first verify with your physician that BHP is the problem rather than, say, prostate cancer. If you want to try some of these natural remedies, speak with your physician, and involve him or her in the process.

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By Gene Bruno, MS, MHS
Huntington College of Health Sciences