Natural Remedies for Enlarged Prostate
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    Natural Remedies for Enlarged Prostate

Natural therapies for enlarged prostate aim to correct the hormonal imbalances that have caused the prostate to enlarge. One factor that has been identified as a contributor to enlarged prostate is the over consumption of alcohol. A 1993 study of men in Hawaii concluded that an alcohol intake over at least 25 ounces per month was a risk factor for enlarged prostate.

(Chyou PH, Nomura AM, Stemmermann GN, Hankin JH. A prospective study of alcohol, diet and other lifestyle factors in relation to obstructive uropathy. Prostate 1993:22;253-264).

Saw palmetto has been shown to be effective through numerous clinical trials over the last 30 years. The herbs nettle and pygeum have also been shown to be effective for relieving symptoms associated with an enlarged prostate. They may be used alone or in conjunction with saw palmetto. Numerous animal and human studies have indicated that candicidin, an antifungal anti-biotic with hypocholesterolemic properties has the ability to significantly reduce prostate size.

Saw palmetto (serenoa repens) is a shrub which can be found growing along the coasts of Georgia and Florida. Saw Palmetto works to prevent enlarged prostate problems associated with BPH by inhibiting the conversion of testosterone to dihydrotestosterone (DHT), the hormone that scientists believe causes prostate cells to multiply.


(Marks LS, Hess DL, DoreFJ. Tissue Effects of Saw Palmetto and Finasteride: Use of Biopsy Cores for In Situ Quantification of Prostatic Androgens. Urology 2001;57:999-1005).

Pygeum Africanum is an evergreen tree found in the higher elevations of Africa. For centuries the native peoples have used the powdered bark of this tree as a treatment for urinary disorders. Scientific testing of bark extract led to development of the modern fat soluble extract available today. The active ingredients of the extract are pentacyclic triterpenes, sterolic triterpenes, fatty acids, ferulic acid esters which work synergistically to reduce serum prolactin levels, thereby reducing uptake of testosterone and synthesis of dihydrotestosterone (DHT) in prostate cells. The sterolic constituents in the extract also compete with testosterone, inhibiting its build-up in the prostate, as well as reducing prostate inflammation by inhibiting synthesis of inflammatory prostaglandins within prostate tissue.

The roots of the Stinging Nettle plant (urtica dioica) are a popular treatment for enlarged prostate in Europe. An Iranian double blind, placebo controlled study involving 588 men found that nettle root is significantly more effective than a placebo in reducing all of the major symptoms of enlarged prostate. It is believed that the mechanism of action by which stinging nettle improves symptoms may be that it inhibits the binding of DHT to cytosolic receptors.

(Safarinejad MR. Urtica dioica for treatment of benign prostatic hyperplasia: a prospective, randomized, double-blind, placebo-controlled, crossover study. J Herb Pharmacother. 2006;5:1-11).

Zinc has been used for many years to help correct the condition . A daily zinc supplement totalling 50 to 100 milligrams is frequently recommended to help shrink an enlarged prostate. There is a higher concentration of zinc in the prostate gland than in any other organ of the body. A 1977 study by Fair and Heston showed that zinc deficiency results in prostate enlargement. Infections and high levels of stress can rob the body in general, and the prostate in particular, of zinc. It is important then, that all men get at least their daily recommendation of 15mg of zinc. A daily zinc supplement totalling 50 to 100 milligrams is frequently recommended to help shrink an enlarged prostate.

(Fair, W. R. and Heston, W. "Prostate Inflammation Linked to Zinc Shortage" Prevention 113: June, 1977)

Amino Acids

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Three amino acids (glycine, alanine, and glutamic acid) have been identified as having a beneficial effect on enlarged prostate. In a placebo controlled double blind study, Dumrau et al gave a supplement containing these three amino acids to 45 men with enlarged prostates. After three months, about half of these men reported reduced urgency, frequency, and/or less delay starting urine flow, compared to 15% or less of the men who received a placebo. Although the precise mechanism of action is unknown it is believed that these amino acids reduce the amount of swelling in the prostate tissue.

(Dumrau F. Benign prostatic hyperplasia: amino acid therapy for symptom relief. Am J Geriatr 1962;10:426-430).

A 1988 study involving 100 patients with enlarged prostates tested the effectiveness of pygeum and amino acids as a combination treatment. Results suggested that the combination treatment offered significantly better results than either compound on its own.

(Menendez Fernandez H, et al. Use of amino acids as a combination in the treatment of prostatic hypertrophy. Arch Esp Urol 1988; 41:495-499).

Grass Pollen

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Two double bind, placebo controlled studies found that grass pollen can improve the symptoms of enlarged prostate. The grass preparations used were 92% rye, 5% timothy and 3% corn. In the first study, which involved 103 men, 69% of those who took the grass pollen had reduced their number of trips to the bathroom during the night, compared to 37% who took a placebo. The amount of urine remaining in the bladder following urination was reduced in the treatment group by 24 ml and by 4 ml for the placebo group.

(Becker H, Ebeling L. Conservative therapy of benign prostate hyperplasia (BPH) with Cernilton®N. Results of a placebo-controlled double-blind study [translated from German]. Urologe [B]. 1988;28:301–306).

In the other study, which involved 57 men, 69% of men who took 92gm of grass pollen extract daily for six months showed significant improvement of night time frequency of urination, compared with 29% of the placebo group. An important finding in this study was that the prostates of the men taking grass pollen significantly decreased in size according to ultrasound measurements taken.

(Buck AC, Cox R, Rees RWM, et al. Treatment of outflow tract obstruction due to benign prostatic hyperplasia with the pollen extract, Cernilton: a double-blind, placebo-controlled study. Br J Urol. 1990;66:398–404).

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