The combination treatment may work best for patients with larger prostate glands and higher PSA readings. This examination is usually the first test done. The muscle cells in the prostate are stimulated by molecules called alpha adrenergic receptors. The main side effects of finasteride and how to reduce enlarged prostate dutasteride how to reduce enlarged prostate are erectile dysfunction, lowered sexual drive (libido), and reduced semen release during ejaculation. Urine remains in constant ringing in my ears the bladder and the bladder does not empty completely. Eventually, the bladder muscle cannot overcome the effect of the narrowed urethra. " The prostate gland contains an enzyme called 5 alpha-reductase that converts testosterone to another androgen called dihydrotestosterone. " There could be how to reduce enlarged prostate serious side effects, and some men find that stents don't improve their symptoms. Medically speaking, the correct term how to reduce enlarged prostate for this type of exam is a digital rectal examination (DRE). "When men start having urinary problems, it's hard to know the reason. ) Drugs that block these receptors relax the muscles in and around the prostate, increase urinary flow and improve symptoms, sometimes significantly. These drugs can also help prevent against urinary retention, and possibly reduce the need for future prostate surgery. Alpha-Blockers With BPH, the bladder muscle may gradually become stronger, thicker, and overly sensitive. For most men, these nightly bathroom runs may be the first sign of an enlarged prostate. Finasteride (Proscar) and dutasteride (Avodart), known as 5-alpha-reductase inhibitors (5-ARIs), block this enzyme and thus reduce dihydrotestosterone in the prostate. Sometimes a stent shifts position, which can worsen the symptoms. These drugs work quickly, so symptoms improve within a day or two. General Guidelines for Alpha-Blockers. The doctor also may examine the urethra, prostate, and bladder using a cytoscope, an instrument that is inserted through the penis. Phosphodiesterase-5 (PDE5) inhibitors are used to treat erectile dysfunction (ED). how to reduce enlarged prostate Alpha-adrenergic antagonists, commonly called alpha-blockers, were originally used to treat intestinal worms in humans treatment high blood pressure. It is also being evaluated in combination with selective alpha-blocker drugs. They are most effective herbs that help quit smoking for men with normal to moderately enlarged prostate glands. 5-alpha-reductase inhibitors are not how to reduce enlarged prostate as effective as alpha-blockers in improving BPH and urinary tract how to treat chronic bronchitis symptoms, but they can help modestly reduce symptoms for some men. The 5 alpha-reductase inhibitors are most effective in reducing symptoms in men with enlarged prostates. Because these two types of drugs work in different ways, combinations of the two may control symptoms in select patients more effectively than either drug alone. Because these drugs are short-acting, symptoms return very quickly once a man stops taking the medication. They work by relaxing the muscles around the prostate and bladder neck, so urine can flow more easily. (A positive side effect of finasteride is possible reduction of hair loss related to male hormones and, in some cases, hair growth in men with mild-to-moderate male pattern baldness. However, these drugs take several months before they have an effect so men may not notice any signs of improvement for 3 - 6 months. Surgery for an Enlarged Prostate With regular checkups once a year or more often, doctors can watch for early problems and signs that the condition is posing a health risk or a major inconvenience. These side effects generally subside within a year or two of treatment. This can cause lower urinary tract symptoms. Because lower natural remedy for prostate infection urinary tract symptoms (LUTS) and ED often occur together in older men, researchers are investigating whether PDE5 inhibitors may help improve BPH symptoms. They include sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). They are prescribed for BPH to relax smooth muscles in the prostate. Improvement occurs within days to weeks. Some studies indicate that sildenafil improves urinary symptoms in men who have both ED and LUTS. It begins to contract even when it contains small amounts of urine, leading to frequent urination. BPH is often a diagnosis of exclusion … after we make sure nothing more serious is going on. It's not always obvious what's going on, Slawin adds. Side Effects. 5-Alpha reductase inhibitors: These drugs can partially shrink the prostate by reducing levels of a male hormone -- dihydrotestosterone (DHT) -- which is involved in prostate growth. They neither affect PSA levels nor shrink the size of the prostate. Other symptoms may include trouble starting a stream of urine, leaking, or dribbling. Doctors usually detect an enlarged prostate by performing a rectal exam. And, like gray hair, an enlarged prostate is a natural by-product of getting older, doctors say. Alpha blockers: These drugs don't reduce the size of the prostate, but they are very effective at relieving symptoms. This examination gives the doctor a general idea of the size and condition of the gland. "It lets us know how to reduce enlarged prostate how high the symptom score is … when to start treatment. PDE5 Inhibitors. The doctor inserts a gloved finger into the rectum and feels the part of the prostate next to the rectum. These drugs take longer to work than alpha blockers, but there is urine flow improvement after three months. These drugs can reduce risk of acute retention (inability to urinate) -- and also reduce the need for prostate surgery. In some cases, men experience painful urination or have frequent urinary tract infections. Trouble is, the nightly bathroom runs become more frequent -- eventually edging their way into the daytime routine. This process helps to shrink an enlarged prostate and prevent future growth of the prostate. You may need to take them for 6 to 12 months to see if they work. Stents are expensive, and there can be difficulty in removing them. Many men, however, can control their condition with a single drug. They should see a doctor when anything changes, because there can be bladder cancer, stones, prostate cancer. That's where the BPH Index is especially helpful, Westney tells WebMD.