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Does saw palmetto make BPH worse?

Saw palmetto can help alleviate some of the symptoms of BPH by stopping prostate growth. These symptoms include: frequent urination. increased urination at night (nocturia)

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What is saw palmetto? Saw palmetto is an herbal remedy that people sometimes use to treat benign prostate hyperplasia (BPH), which is a condition that occurs in men. BPH is an enlargement of the prostate that isn’t due to cancer. An enlarged prostate puts pressure on the urethra, either blocking urine flow or increasing it. BPH can be uncomfortable. It may prevent you from being able to urinate, even though you feel the urge. Other times, you may be unable to stop urinating completely, or dribbling might continue after urination. How effective is saw palmetto? Early studies showed that saw palmetto might help reduce BPH symptoms. However, when researchers repeated the studies, they didn’t get the same results. Even so, many men continue to use saw palmetto in an attempt to reduce BPH symptoms. Early studies started with doses of 320 milligrams of saw palmetto every day. Researchers in a study published in the Journal of the American Medical Association investigated whether doubling and then tripling that dose increased effectiveness. Even at higher doses, saw palmetto remained ineffective. In fact, the study found no difference over placebo. Some evidence suggests that saw palmetto improves nocturia in men, which is a frequent urge to urinate at night, but any noted improvement has been modest. According to the National Center for Complementary and Alternative Medicine , a branch of the U.S. Department of Health and Human Services, people use saw palmetto to treat a variety of other conditions. Even though there isn’t sufficient evidence to show that it works for any of these conditions, people use it to treat: alopecia, or hair loss

low sex drive

urinary problems

hormone imbalances

prostate cancer

pelvic pain It’s not just men who use saw palmetto. Some women have tried using it to enlarge their breasts, according to the Mayo Clinic. Scientific evidence hasn’t shown it to be effective. According to the University of Michigan Health Service, people used to think saw palmetto increased sperm production and sex drive in men, but that hasn’t been shown to be true. Is saw palmetto safe? Although studies don’t prove saw palmetto’s effectiveness, clinical trials have shown that saw palmetto is safe. Even at high doses, no serious adverse reactions were reported. Minor side effects include a variety of stomach problems, and even bad breath. In extremely rare cases, liver problems have been reported. Always ask your doctor before taking saw palmetto to make sure that it doesn’t interact with other medications you may be taking. Proven BPH treatments and advice on herbs While herbal supplements may help with some conditions, always talk with your doctor before beginning a regimen. Other treatments for an enlarged prostate exist. Sometimes, a doctor will closely monitor you and advise you to modify daily habits to improve symptoms. For example, diet and certain prescription medications can cause prostate problems. If the problem is severe, several medications exist to treat BPH. You can take them either alone or in combination with other therapies. Minimally invasive procedures also can provide relief.

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Will saw palmetto lower PSA levels?

There has been some concern that saw palmetto could mask prostate cancer by lowering prostate-specific antigen (PSA) levels. However, a randomized study10 of more than 1,000 patients did not demonstrate this effect on PSA levels. The same study showed that finasteride decreased PSA levels by 41 percent.

Treatments for BPH can be evaluated by their effect on symptoms such as diminished urine stream, post-void dribbling, overflow incontinence, and urinary retention, or by less useful measures such as urine flow rate, changes in prostate size, and residual volume. In a Cochrane Review, investigators conducted a meta-analysis of randomized controlled studies comparing saw palmetto with placebo or other drugs.6 [Evidence level A: systematic e r view of randomized controlled trials RCTs] The review combined the results of 21 trials with durations of four to 48 weeks. The 21 studies included a total of 3,139 men with a mean age of 65 years (range: 40 to 88 years). According to the International Prostate Symptom Scale, these men had moderate symptoms, with an average urologic score of 14.4 points out of a possible 35 (moderate BPH symptoms range from eight to 19).6 In the 13 studies that reported symptom scores, saw palmetto improved symptom scores, individual symptoms, and flow measures more than placebo. Patients and physicians were more likely to report improvement in symptoms with saw palmetto treatment than with placebo. In the12 studies that reported nocturia results, saw palmetto reduced nocturia by 25 percent compared with placebo.

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