FROM OUR EXPERTS
In 1992, Merck introduced a revolutionary drug finasteride (Proscar) . This drug was the first drug introduced that reduces the size of the prostate, rather than treating the symptoms (like doxazosin and tamsulosin do). By reducing the volume of the prostate, the tension on the urethra caused by the enlargement of the gland is diminished and symptoms as a result of prostatic enlargement are diminished. Symptoms do not dissipate immediately when using this drug, but rather it takes 6-12 months until patients notice significant improvement in their symptoms. This drug is in the category of a 5 alpha-reductase inhibitor (5-ARI). These drugs work by interfering with the metabolism of testosterone to a byproduct know as dihhydrotestosterone (DHT). DHT is the potent byproduct that is responsible for facial and body hair growth, deepening of the voice, and prostatic growth. DHT also plays a role in male pattern balding and acne development. The drug Propecia (a form of finaster...
BPH; Benign prostatic hypertrophy (hyperplasia); Prostate - enlarged
The choice of a treatment is based on the severity of your symptoms, the extent to which they affect your daily life, and the presence of any other medical conditions. Treatment options include "watchful waiting," lifestyle changes, medication, or surgery.
If you are over 60, you are more likely to have symptoms. But many men with an enlarged prostate have only minor symptoms. Self-care steps are often enough to make you feel better.
If you have BPH, you should have a yearly exam to monitor the progression of your symptoms and determine if any changes in treatment are necessary.
For mild symptoms:
Urinate when you first get the urge. Also, go to the bathroom when you have the chance, even if you don't feel a need to urinate.
Avoid alcohol and caffeine, especially after dinner.
Don't drink a lot of fluid all at once. Spread out flui...
Risk Factors The major risk factors for prostate cancer are age, family history, and ethnicity. Age Prostate cancer occurs almost exclusively in men over age 40 and most often after age 50. Two-thirds of prostate cancers are found in men over age 65. By age 70, about 65% of men have at least microscopic evidence of prostate cancers. Fortunately, the cancer is usually very slow growing and older men with the cancer typically die of something else. Family History and Genetic Factors Heredity plays a role in some types of prostate cancers. Men with a family history of the disease have a higher risk of developing prostate cancer. Having one family member with prostate cancer doubles a man's own risk, and having three family members increases risk by 11-fold. A specific gene, named HPC1 (for hereditary prostate cancer) was the first of several genes linked to inherited types of the disease. Scientists are researching other genetic variations that may increase prostate cancer risk. A gene is a sho...
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