The prostate is a small, muscular gland in the male reproductive system. Your prostate surrounds your urethra and makes most of the fluid in your semen. The muscular action of the prostate helps propel the fluid and semen through your penis during sexual climax. In many men, the prostate can become enlarged. Sometimes it leads to symptoms and, over time, other complications. However, there are treatments.
Enlargement of the prostate is called benign prostatic hyperplasia (BPH). It occurs when the cells of the prostate gland begin to multiply. These additional cells cause your prostate gland to swell, which squeezes the urethra and limits the flow of urine. BPH is not the same as prostate cancer and doesn’t increase the risk of cancer. However, it can cause symptoms that can affect your quality of life. BPH is common in men older than 50 years. Learn more about BPH symptoms.
BPH is considered a normal condition of male aging, and many men older than 80 years have BPH symptoms. Although the exact cause is unknown, changes in male sex hormones that come with aging may be a factor . Any family history of prostate problems or any abnormalities with your testicles may raise your risk of BPH. Men who’ve had their testicles removed at a young age don’t develop BPH.
The most common symptoms of BPH are:
When checking you for BPH, your doctor will usually begin by doing a physical exam and asking you about your medical history. The physical exam includes a rectal examination that allows the doctor to estimate the size and shape of your prostate. Other tests can include:
Your doctor may also ask about medications you’re taking that might be affecting your urinary system, such as:
Your doctor can make any necessary medication adjustments. Don’t attempt to adjust your medications or doses yourself. Let your doctor know if you’ve taken self-care measures for your symptoms for at least two months without noticing any improvement.
Natural treatment can include specific actions or lifestyle changes that you can make to help relieve your symptoms of BPH. These include:
Some people also include natural remedies in their natural treatment of BPH. However, there isn’t evidence that they are effective. Learn more about BPH natural remedies.
When lifestyle changes aren’t enough to relieve your symptoms, your doctor may recommend medication. There are several medications that can help to both treat the symptoms of BPH and BPH itself. These medications include alpha-1 blockers, hormone reduction medications, and antibiotics. Learn more about BPH medications.
Alpha-1 blockers are medications that relax the muscles of the bladder and prostate. Alpha-1 blockers relax the neck of the bladder and make it easier for urine to flow. Examples of alpha-1 blockers include:
Medications that reduce the levels of hormones produced by the prostate gland such as dutasteride and finasteride are commonly prescribed. These are two medications that lower the levels of testosterone. Sometimes, lowering the hormone levels will make the prostate get smaller and improve urine flow. However, these medications may also lead to undesired side effects such as impotence and a decreased sex drive.
Antibiotics may be used if your prostate becomes chronically inflamed from bacterial prostatitis related to BPH. Treating bacterial prostatitis with antibiotics may improve your symptoms of BPH by reducing the inflammation. However, antibiotics won’t help prostatitis or inflammation that is not caused by bacteria.
There are different types of surgical procedures that can help treat BPH when medications are not effective. Some procedures are either not invasive or minimally invasive and can often be done in your doctor’s office or clinic (outpatient procedures). Others are more invasive and need to be done in a hospital (inpatient procedures). Learn more about BPH surgery options.
Inpatient procedures might be recommended if you have any of the following symptoms:
Inpatient procedures include:
BPH and prostate cancer can share many symptoms. Prostate cancer is a more serious condition than BPH. In most cases, prostate cancer needs to be treated. That’s why it’s important to contact your doctor if you have symptoms of BPH. Your doctor can test to make sure that your symptoms aren’t related to prostate cancer