Looking for Alternative BPH treatments

Posted , 7 users are following.

I'm a 47 year old made who was diagnosed with BPH 3 years ago.  The side effects of prescription medication don't appeal to me, so I'm looking for natural remedies.  Thus far I've tried saw palmetto, pygeum, vitamin d3, selenium, stinging nettle and several "blends."

None seem to work well, so I'm looking for alternatives.  I don't have trouble initiating urination, and I don't experience frequent urination during the day.  My primary sympton is having to get up after about 4 hours of sleep to urinate.  This wouldn't be so bad but it sometimes takes me several hours to fall back asleep...and if I have something to do I'm often exhausted the next day.

Also, I don't know if it's related but I've had erectile dysfunction for about the same length of time.  For this I've tried viagra, cialis (both regular and daily), staxyn and levitra.  They all had minor effects but since I haven't been dating I don't know their "full" effect."  Again, it may be unrelated.

Any suggestions would be much appreciated.

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  • Posted

    I've been impressed with the participation rate at this forum.  Unless I missed it, it doesn't appear there's a forum for erectile dysfunction on this site.  I'm curious if anyone knows of an active forum for ED anywhere?

    Thanks.

    • Posted

      Hi Chris,

      If you look under the A-Z there is an Erectile Dysfunction group which takes you to https://patient.info/forums/discuss/browse/penis-disorders-3405

      We group similar conditions together as we cannot have individual topics on every condition. If you want to start a discussion there, include Erectile Dysfunction in the title of the discussion. This helps in searching and other users seeing the topic quickly. If the subject does become popular we can split it out from the main group. I am still in the process of rationalising the forums groups to tidy it all up but it is a slow process.

      Hope this helps.

      Alan

      Emis Moderator

  • Posted

    Chris, I am 76 years old.  This gives me a somewhat unique perspective on health issues as every health issue is magnified by my age.  I.e. .A cold may become a sinus infection, a cough can become pneumonia, a minor twist of the ankle or knee can result in days of recovery, an antihistimine for allergies can stop up my prostate almost completely, a fall could break a hip, a rotator cuff tear cannot be repaired because of the condtiion of ligaments at my age, etc, etc. Ths being said I know that there is one single factor that keeps me going; my body condition. I'm 6'4", 228 pounds, about the same as in college, my cholesterol is ok, my blood pressure and heart rate are good. I still have an active sex life in spite of the damn prostate meds I took for bph for years. I give myself testosterone injections every two weeks to maintain my manhood to some extent. I am convinced without question that most of my quality of life is because of my lifestyle, I eat very selectively, I limit drinking although I love a good margarita and a glass of wine. I watch my weight daily and reduce aggressively if I gain a few pounds. My wife and I have worked out at the gym for years and I built up pretty impressive muscleature for my age. I wasn't impressed with what the gym was doing for my leg strength, balance and endurance. (You young guys will someday realize that having sex requires real endurance and leg strength). We decided to walk aggressively instead of work out in the gym. It was just too easy to get off the treadmill or stepper when you get a bit tired. So we decided not long ago to walk out a paved country road about 2 1/2 miles at a pretty good pace. My wife is one heck of a walker and I have to keep up. Then at the end of 2 1/2 miles there's no way to get home but get after it. Can't get off this treadmill!! We go every other day and the first few times I was staggering when we got home, but we both loved it. Now it's easier so we can walk faster. Our sex life is better and more frequent, I can run up stairs, my balance is perfect.  Even my upper body is toned and slimmed from just this forced hike to get back home. I don't mean to imply that you may be in poor physical condition but if you are try strenuous walking, you may be very surprised at the benefit it brings to you. Good luck!!               
    • Posted

      Thanks for your input, Ron.  For nearly 5 years I've been jogging for 30 minutes daily, weigh 165lbs (5' 11") and eat only organic/vegan the last 1.5 years.  In general I'm in good health...it's just this mild BPH and strong ED that had me concerned.  Of course, I won't know the full extent of the latter till I date again...but it does bring up fears that make me less interested in dating...so I'm working on doing what I can to self-heal.
    • Posted

      Man, you are doing a lot the right way. Why not testosterone shots? As long as you don't have prostate cancer it's not dangerous. You just have to have a PSA at regular intervals to make sure that your PSA is not increasing. I have annual check-ups along with my annual physical. I give myself 1ml in the thigh every two weeks. Any body builder will tell you that this is a minimal dosage. I see a difference in my libido and sexual ability although nothing really drasic. It's just helpful. My testosterone level is within normal range anyway but a little boost is a good thing for a 76 year old. I'll bet it will help you too. My uro prescribes it for me. 
  • Posted

    Hi Chris,  I have had BPH for many years and am taking 5MG of Cialis right before bed.  This has controlled my symptoms so I don't have urgency.   It also helps with ED.  But for sleeping I have found that not drinking any liquids (just a few sips of water before bed) really makes a difference.  I sometime don't get up in the night at all, or and sometimes just once.  Used to be 3  times on average. 
    • Posted

      It may have been coincidence but I twice did not keep my liquid intake up during during hot weather when away from home. Each time I passed blood for a couple of day. My doctor later put it down to a burst blood vessel in my prostate.

      With retention I always felt that it was better to drink a lot to help flush out the bladder rather than accumulate stagnant urine. 

    • Posted

      Hi Derek,

      I'd warn that hydrating doesn't work with full retention, it makes matters worse. For a long while i was using water to "prime the pump" when I had trouble urinating. One night I was only going a teaspoon or two at a time so I continued drinking water. I was up all night and by the morning I went to the ER and begged for a cath. They cathed me and I voided 1400ml. The next day I bought caths and learned to use them. Some people cath with no problem. I did get several UTI's from cathing. I had cipro on hand and when I started cathing bi weekly, and then monthly,  I took a single cipro just prior to cathing. That prevented any additional UTI's. However, every time I had a cystoscope procedutre I wound up with a UTI.  

    • Posted

      Thanks, Terry.  I tried 5mg. daily cialis and although it showed initial promise with bph and ed the results weren't profound, and I had strong side effects (lower back pain and achey legs).  I try to drink as little liquids as possible during the 4 hours before bedtime, and that allows me to sleep 4 or 5 hours before I awake.  Hopefully the melotonin I ordered will help me fall back asleep more quickly as that's the worse part (laying in bed not feeling tired after I awake).
  • Posted

    Hello Chris,

    Compared with many aspects of the in-depth advice you have already received, the manner in which I have managed to  cope with trouble voiding,  PVR  and related sleep issues for the last decade ( I am  now 71 ),   may seem too simplistict.  But for what it is worth and if it might help,  here goes :

    1 ) I am a Brit who lives in a mainly hot country ( Australia ) and hydrate* very well during the day to ensure that my urine is never more coloured than light lemony. ( *water,  at either room temp or warm to hot [ but definitely not iced ) up until 6-7 pm after which I try to sip only. Ideally we should give caffeine a miss, so I use de-caf both tea and coffee at home,  and out if they've got it ;  but I don't freak or draw attention to myself if there's nothing else and, in the moment,  enjoy the good old days. ( It's therapeutic to escape invalid-ism and be uncomplicatedly social from time to time ).

    2 ) At night I use the SAS surveillance ops method of container urination. ( a v. clean capped 2 litre milk bottle. Easily found next to the bed and whole-process-usable without lights / fully waking up. Security against mishap ( minor/ rare ) is a bath towel laid over a large bin liner.

    3 ) During The Falklands Campaign,  Temazepam 10mg x 2 was issued as this allowed for sleep,  sometimes of 1-2 hrs only,  but with full operational cognisance/ ability on awakening.  Up until 4-4.30am I will use this,  with expected arousal at 7-7.30am.

    4 ) Retiring early,  whilst not always satisfying the ' entertainment-gap ' is also therapeutic.

    Finally and whilst wishing to not cause alarm,  are you currently under ongoing medical supervision ?  Have a PSA  test / DRE ruled out Prostate Cancer ?  If no testing has occurred, it would not be a waste of time to establish a bench - mark.

    Wishing you all the best and early relief.

    Dudley

     

    • Posted

      Hi Dudley. +1 for the bedside urinal bottle. You are the only other person I've seen on these forums who uses one. I doubt if waking, voiding and going back to sleep takes more than 2 minutes for me since I started using one. I tried to get my father in law to use one but he refused. Wound up breaking his leg one night  going to the bathroom when he was in his 90's. The break got infected and he never recovered.
    • Posted

      Thanks Dudley.  As you are the 2nd person to bring up urinating in my room I am considering this as I can imagine it would allow me to drift back to sleep more easily.  I've not yet been tested for prostate cancer but may do so during my next visit.
    • Posted

      It is not a new idea. At one time everyone had a chamber pot under their bed.
    • Posted

      First catheters in their top hats and now chamber pots under the bed. You're a regular BPH historian. Just kidding, I enjoy your humor.  
    • Posted

      The PSA benchmark suggested by Dudley is crucial. I established mine in about 1995 and have been able to compare to this annually every year since with no change other than a quadrupling one time. I had it tested again immediately and it was back to normal. These labs can make mistakes so realize that there can be human error in everything.  The actual level can be normal within some bounds, it's a change that is a red flag, so you have to set the benchmark. Also, the meds can reduce the PSA somewhat. Good luck
    • Posted

      A lot of us Brits still have chamber pots!

      in the house we bought in 1967 the owners had left a very nice one under the bed. I often wondered if they were too embarrased to ask for it back. 

      When you were a child did your family have them? Here a lot of old houses did not have indoor toilets. No fun going out to the toilet during the night.  

    • Posted

      No, we didn't have a chamber pot but we did have an outhouse for a while when I was really young. It had to be a good distance from the house. Of course they never had any lights or heat and despite popular belief we never had a Sears Roebuck catalog or corncobs. It did have a quarter moon shaped hole in the door though, just like in the movies.    

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