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Treatment for BPH focuses on alleviating bothersome symptoms that often interfere with a man’s quality of life. Men with minimal urinary issues may only need to make lifestyle changes; those with more pronounced symptoms or complications from an enlarged prostate may require medication or a minimally invasive surgical procedure to restore urinary function and quality of life.  Your doctor can help you determine which treatment is most appropriate for you.

Medications for BPH

Medications can relax the muscles around the neck of your bladder, making it easier to urinate. Other types of medications can help shrink the prostate. Medications typically must be taken long term and some patients may experience side effects, including dizziness, headaches, or sexual dysfunction. One-quarter of men stop taking BPH medicine for reasons such as being unhappy with side effects or not getting enough relief of symptoms. If medication therapy isn’t working effectively for you, talk to your doctor about other treatment options.

Types of BPH Medications:
  • Alpha Blockers: Medications used to relax the muscles around the prostate and bladder neck. This BPH treatment does not reduce the size of the prostate, but works quickly. It typically begins treating BPH symptoms within one to two days.
  • 5-Alpha Reductase Inhibitors: Medications used to partially shrink the prostate gland by controlling the creation of DHT (dihydrotestosterone). This BPH treatment usually takes about three months before symptoms will lessen.

Lifestyle Changes

  • Avoid caffeine, acidic drinks such as colas, tomato and orange juices, and alcohol. Cold medications containing antihistamines or pseudoephedrine can cause urinary problems. Constipation can also make it more difficult to urinate.
  • Limit evening beverages and urinate when you first feel the urge.
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