Vaginal Dryness During Menopause
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Read MoreMedically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on November 28th, 2023.
Benign prostatic hyperplasia (BPH) affects over 50% of men by age 60, causing frequent nighttime urination, weak urine flow, and incomplete bladder emptying.
The standard therapeutic dose is 320mg daily, typically split into 160mg twice daily with meals—effects may not appear for 4-6 weeks of consistent use.
Clinical studies show mixed results, with some trials demonstrating modest improvements in urinary symptoms while larger placebo-controlled studies found no significant difference.
Gastrointestinal side effects occur in 10-15% of users, including nausea and diarrhea, while 2-3% may experience sexual dysfunction or testicular discomfort.
This supplement significantly increases bleeding risk when combined with warfarin, aspirin, or NSAIDs, and can interfere with PSA test results used for prostate cancer screening.
Saw palmetto is a palm plant native to the Southern coastal regions of the United States. Its berries have been used for centuries as a natural remedy for various health issues, particularly for treating enlarged prostate, also known as benign prostatic hyperplasia (BPH). While some small studies have shown benefits, larger studies have not consistently proven its effectiveness in reducing prostate size or easing urinary symptoms associated with BPH.
Saw palmetto (Serenoa repens) is a short palm tree that grows up to 4 feet tall and has fan-shaped, sharp leaves. The plant produces berries that have been used as medicine by Native Americans to help with urinary problems in men.
Some small studies suggest that saw palmetto may help with BPH symptoms in several ways:
Reducing the frequency of nighttime urination
Improving urine flow
Easing painful urination
While saw palmetto is primarily used for BPH, some people take it for other reasons, such as:
Low sex drive
Hair loss
Low sperm count
Migraines
Ongoing pelvic pain
However, studies have shown limited results for saw palmetto's effectiveness in treating these other conditions.
For BPH, studies have used a daily intake of 320 milligrams of saw palmetto split into two doses. Dosages may vary in other forms, such as tinctures. It is essential to consult your doctor for personalized advice. It may take 4 to 6 weeks for saw palmetto to have an effect.
While side effects are uncommon and typically mild, the most common ones include:
Nausea
Stomach pain
Bad breath
Constipation
Diarrhea
Vomiting
Some men taking saw palmetto have also reported erection problems, testicular pain, and tenderness in the breasts. It is crucial to discuss potential interactions with your doctor or pharmacist, as saw palmetto may interact poorly with medications such as aspirin, NSAIDs, blood thinners, and hormone treatments. When combined with ginkgo biloba or garlic, saw palmetto might significantly increase the risk of bleeding.
People with pre-existing diseases or health conditions should consult their doctor before using saw palmetto. It is not recommended for children or women who are pregnant or breastfeeding.
In conclusion, while saw palmetto is a popular herbal supplement for treating enlarged prostate (BPH), its effectiveness is not consistently proven in large studies. It is essential to consult your healthcare provider before taking saw palmetto or any other supplement to ensure safety and avoid potential interactions with medications or underlying health conditions. For more information on saw palmetto and other herbal supplements, visit the National Center for Complementary and Integrative Health.
While generally well-tolerated, saw palmetto's benefits for prostate symptoms remain scientifically uncertain, and it carries meaningful drug interaction risks. Men considering this supplement should discuss it with their healthcare provider, especially if taking blood thinners or planning prostate screening. If you're experiencing urinary symptoms or have questions about treatment options, Doctronic can provide personalized guidance.
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