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When Should You Visit a Doctor If You Have Prostate Problems?
If you’re a man in or approaching your 50s, you might be making multiple trips to the bathroom each night. There could be several reasons for the frequent night flights, including issues with the kidneys, ureters, bladder, or urethra. Another common culprit of nightly urination (nocturia) for many men is an enlarged prostate. You may be familiar with the biological term from an advertisement or meeting with a doctor for your annual physical. But what exactly is the prostate? And why does it often become enlarged as men get older? Here’s what you need to know about the prostate and what steps you can take to keep it healthy. What Is the Prostate? Found only in men, the prostate is a gland that sits just below the bladder and surrounds the urethra, which is the tube that carries urine out of the body. About the size of a walnut, the prostate’s main function is to produce seminal fluid. As a man ages, it’s common for his prostate to become enlarged due to hormonal changes, often leading to issues with urination. If left untreated, an enlarged prostate also can increase your risk of developing other conditions such as urinary tract infections or kidney damage. Potential Prostate Problems As the prostate grows larger in middle-aged or elderly men, it squeezes around the urethra, which can block the flow of urine. This can create numerous urinary issues, including: Frequent urge to urinate (especially at night) Weak urinary stream/dribbling Multiple stops and starts Pain when urinating Incomplete emptying of the bladder Feeling like the bladder is full, even after urinating Blood in the urine Incontinence Prostate problems may even have negative effects on your sexual function. What Causes the Prostate to Become Enlarged? An enlarged prostate, or benign prostatic hyperplasia (BPH),¹ occurs when the cells in the prostate gland multiply at an abnormal rate. Although the exact cause of BPH is unknown, there are several factors that can contribute to its development. Age is one of the biggest risk factors for developing an enlarged prostate. As men age, their testosterone levels may decrease while their estrogen levels can increase, leading to cell growth in the prostate gland. Family history also may play a role in creating prostate problems as genetics can influence a man’s likelihood of developing BPH. Other contributing factors include lifestyle choices such as smoking and excessive alcohol consumption. Being overweight or maintaining a sedentary lifestyle also may lead to an increased risk of BPH. Additionally, medications used to treat high blood pressure, high blood sugar levels, and mood issues may worsen symptoms or cause urinary retention. Making healthy lifestyle choices, such as exercising regularly and maintaining a balanced diet, can help reduce the chances of developing BPH or other prostate/urinary issues. How to Treat an Enlarged Prostate Treatment for an enlarged prostate may vary depending on the severity of the condition. In mild cases, your doctor may simply monitor your symptoms and recommend lifestyle changes such as limiting fluids before bedtime or avoiding caffeine and alcohol. For moderate to severe cases, medication may be prescribed to help shrink the prostate gland or relax muscles in the bladder and prostate. Alpha-blockers are commonly used to relieve urinary symptoms by relaxing the muscle fibers that tighten around the urethra. In cases where medication isn’t effective, surgery may be recommended. Transurethral resection of the prostate (TURP) is a common procedure that involves removing part of the enlarged prostate tissue using a scope inserted through the penis. There also are newer, minimally invasive procedures available such as laser therapy or microwave therapy, which use intense heat to destroy excess tissue from the prostate. In general, these options have shorter recovery times and fewer complications than traditional surgery. It’s important to discuss treatment options with your healthcare provider to determine what course of action is best for you based on individual factors such as age, overall health, and severity of symptoms. 3 of the Best Natural Ingredients to Treat a Prostate Problem In addition to exercise and other lifestyle measures, getting the right nutrients through diet and supplements can help support the prostate and relieve BPH symptoms. Here are just a few prostate-promoting nutrients you should be getting via foods and supplements each day. Boron A study involving the role of boron in prostate health² indicated that higher dietary boron intake may be linked to a reduced risk of serious prostate issues. Boron appears to support healthy hormone balance and prostate size regulation. Boron may help support healthy brain function. It helps support the body’s utilization of vitamin D and magnesium, which are important for bone health. Also, boron may help maintain healthy testosterone levels and keep the prostate at a normal size. Foods containing boron include avocados, raisins, and prune juice. To increase levels of the mineral, it’s recommended to take a multivitamin that includes a pure form of boron. BrainMD’s NeuroVite Plus Multivitamin contains 1.5 mg of high-quality boron (as glycinate).* Saw Palmetto Saw Palmetto (Serenoa repens), a fan-shaped tree with thorny leaves, is native to the southeastern U.S. The fruit of this tree has been used in medicines to treat several conditions, including urinary issues in men. Saw palmetto may help improve the flow of urine and decrease the number of trips to the bathroom at night. By inhibiting 5-alpha-reductase (which can increase inflammation), saw palmetto may help prevent prostate growth. One study¹ showed that men who received a saw palmetto supplement showed reduced urinary tract symptoms compared to a placebo. For maximum benefit, it’s recommended that you purchase a saw palmetto supplement that’s standardized to 85-95% total fatty acids. Zinc This mineral is necessary for the functioning of at least 2000 enzymes and other proteins vital for our life processes. Zinc is crucial for healthy development of the brain and other organs. All our cells need zinc to maintain the structure of their DNA and the actions of their genes, but also for a diverse array of other essential cell functions. Zinc is crucial for the body’s antioxidant defenses and helps defend against free radical toxins. This mineral also is urgently needed during pregnancy and for childhood development, sexual maturation, and male fertility. Research³ shows that many men over the age of 50, especially those dealing with BPH, are low in zinc. One study found that men with an enlarged prostate have an average of 61% less zinc⁴ in their prostate tissues than men without the condition. The best way to raise zinc levels is to take a chelated form of the mineral, which can help increase absorption. NOTE: It’s recommended to consult with a nutritionally-informed healthcare practitioner before starting any supplement regimen. When Should You Visit a Doctor About an Enlarged Prostate? An enlarged prostate is a common condition that affects many men as they age. While having an enlarged prostate isn’t always a cause for concern, it’s important to monitor any symptoms you may be experiencing and speak with your doctor if you have concerns. Though BPH often can be managed with lifestyle modifications, some cases may require additional steps to rectify the issue. If you’re experiencing symptoms such as frequent urination, difficulty starting or stopping urine flow, or a weak urine stream, it may be time to schedule an appointment with your healthcare provider. These symptoms may indicate an enlarged prostate and shouldn’t be ignored. Also, if you notice blood in your urine or experience pain during urination or ejaculation, seek medical attention right away. These could be signs of a more serious condition and may require immediate evaluation and treatment. Scheduling regular check-ups with your doctor is a smart way to maintain good prostate health. Men over 50 should discuss risk factors for developing prostate problems and get regular blood work, including a PSA test, if recommended by their doctor. Early detection and treatment can help manage symptoms and prevent complications down the road, so don’t delay in reaching out to a trained medical professional if you’re having urinary or prostate problems. [wc_box color="inverse" text_align="left" margin_top="" margin_bottom="" class=""] Quick Tips to Improve Nightly Urination Reduce your intake of liquids 2-4 hours before you go to sleep Refrain from drinking caffeine during evening hours Limit alcohol consumption, especially during evening hours Fully empty your bladder when you urinate Try not to take unnecessary medications that can worsen urinary issues Exercise your Kegels daily to help improve bladder control [/wc_box] At BrainMD, we’re dedicated to providing the highest purity nutrients to improve your physical health and overall well-being. For more information about our full list of brain healthy supplements, please visit us at BrainMD. *These statements have not been evaluated by the FDA. This content is for informational purposes only. It is not meant to substitute for medical or healthcare advice from a physician, nor is it intended to diagnose, treat, cure, or prevent any disease. Consult your healthcare provider before beginning a new health regimen. Scientific References: ¹Lim, K. B. (2017). Epidemiology of clinical benign prostatic hyperplasia. Asian Journal of Urology, 4(3), 148–151. https://doi.org/10.1016/j.ajur.2017.06.004 ²Cui, Y., et al. (2004). Dietary boron intake and prostate cancer risk. American Journal of Epidemiology, 159(9), 915-924. ³Sauer, A. K., Vela, H., Vela, G., Stark, P., Barrera-Juarez, E., & Grabrucker, A. M. (2020). Zinc deficiency in men over 50 and its implications in prostate disorders. Frontiers in Oncology, 10, 1293. https://doi.org/10.3389/fonc.2020.01293 ⁴Christudoss, P., Selvakumar, R., Fleming, J. J., & Gopalakrishnan, G. (2011). Zinc status of patients with benign prostatic hyperplasia and prostate carcinoma. Indian Journal of Urology, 27(1), 14–18. https://doi.org/10.4103/0970-1591.78405
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What Are the Best Ways to Promote Testosterone Levels?
Did you know that testosterone isn’t just a male hormone? Both men and women have testosterone. In fact, men and women have virtually identical types of hormones. The relative amounts of the various hormones can differ and traditionally assigned gender differences often come from these variances in hormone levels.¹ Testosterone Essentials Testosterone is a vital hormone that’s important for male development. It’s responsible for the deepening of the voice, the growth of facial hair, and many other features typically associated with maleness. Besides being an androgenic, or masculinizing hormone, testosterone is also an anabolic, or tissue-building hormone across the gender spectrum.² Though men have more testosterone than women, women produce and need testosterone too (just as men have some estrogen), just in smaller amounts. In both men and women, testosterone helps protect the nervous system and helps ward off low mood and serious cognitive and memory issues.³ Testosterone is the primary hormone responsible for libido in men, and likely helps maintain libido in women.⁴ Like many hormones, testosterone levels decrease with age.⁵ The aging process can leave some men with low testosterone levels that have been shown to increase anxiousness, low mood, and a host of other issues.⁶ Testosterone also can be prematurely reduced (at any age) by long-term stress, environmental pollutant exposures, insulin imbalance, narcotic use, and many other lifestyle factors.⁷ Some men go through a form of menopause called “andropause.” This phase can begin even in their 40s and 50s. The complications surrounding andropause include a wide array of manifestations, some of which also occur in women going through menopause.⁸ Common Signs of Low Testosterone in Men Low libido Decreased frequency of morning erection Difficulty maintaining an erection Fatigue Loss of ability to engage in vigorous activity Falling asleep after eating Memory loss Loss of pubic hair Sadness and irritability Lowered ability to experience pleasure Lowered endurance Loss of facial hair Loss of motivation at work Increased body fat and reduced lean muscle Low bone density Hot flashes Excessive sweating Hormones and the Brain Hormones are chemical messengers produced in the body that control and regulate the activity of certain cells or organs. Hormones such as estrogen and testosterone play a key role in helping maintain the health and vitality of your brain and body.⁹ Communication between the brain and hormones is bidirectional. The brain sends out signals that instruct your body’s glands to produce and release hormones, and hormones travel back to the brain and influence its activity.¹⁰ The human body produces hundreds of hormones, but the following five probably have the most direct influence on brain/mental health: thyroid (energy regulation), melatonin (sleep patterns and 24-hour cycling), estrogen (cognition and mood), progesterone (sexual behavior, stress, and mood), and testosterone (mood, motivation, sexuality, and strength).¹¹ Hormonal Imbalances When hormones are healthy, you tend to feel vibrant and energetic. When hormones are off, you’re likely to feel off. This may change the way you think, feel, and act. There are many potential causes of hormonal imbalances in both men and women. The most common causes are diet, stress (from the hormone cortisol), environment, age, or lifestyle.¹² Women are more likely to experience imbalances in estrogen, progesterone, and thyroid. In men, low testosterone levels are common. Both women and men can have imbalances in other hormones that affect the brain. If you don’t get your hormones checked, you may never know the root cause of your issues. Hormone Replacement Therapy Those who have low insulin, or use narcotics regularly for pain control, can have low testosterone. Many women on birth control pills can have an extremely low testosterone level because of the increase in SHBG (sex hormone-binding globulin) caused by the pills, that absorb the available testosterone. Women suffering from fatigue, extreme pain, low mood, and other issues often have very low testosterone levels and can improve dramatically with testosterone replacement. Testosterone can be replaced at any age and in both genders. Testosterone replacement therapy can help: Relieve low mood Revive libido Return motivation Revitalize energy There are hundreds of studies showing the medical benefits of testosterone replacement therapy. Not only is testosterone helpful for improving libido and mood, but also for improving cognition, cardiac function, wound healing, muscle strength, stamina, recovery, and energy.¹³ However, it’s crucial that testosterone and any other hormone used for replacement therapy be chemically identical to the hormones the body makes (“bioidentical”).¹⁴ It’s also important to understand that hormone replacement therapy has risks of adverse effects and should be undertaken only in close cooperation with an endocrinologist – an MD-level hormone specialist. Proper Testing As is the case with many hormones, having your testosterone in the “normal range” doesn’t always mean it’s optimal. It’s essential to check your free testosterone level in addition to your total testosterone level, due to the SHBG issue noted above. Ideally, your hormones should be in the upper-third of the normal range. Moving up from the lower third to the upper third of the normal range can dramatically improve your quality of life. Your testosterone level can only be fully assessed in the context of your other sex hormone levels, so be sure to get a broad profile hormone lab assessment. If you feel like you’re experiencing a hormone imbalance, don’t settle for the typical “your blood tests are normal so you’re fine” response from your doctor. Seek out an endocrine specialist who can assist you through the process of hormone optimization, which can be lengthy and complex. Supplements & Foods That Promote Testosterone Levels Several foods are helpful for supporting healthy testosterone levels in the body. Many of these include vitamin D and zinc, which assist the body in making testosterone. Testosterone-boosting Foods [wc_box color="inverse" text_align="left" margin_top="" margin_bottom="" class=""] Beans – such as chickpeas, legumes, and lentils, are good sources of zinc. Beef – liver is rich in vitamin D and some lean cuts of beef are high in zinc. Egg Yolks – provide carotenoids like lutein and zeaxanthin, and are a good source of vitamin D. Oysters – are an excellent source of zinc, which can help with low T. Tuna – is low in calories, rich in protein, and high in vitamin D, which is linked to testosterone production. [/wc_box] Natural Supplements that Promote Testosterone When purchasing supplements, be sure to look for these ingredients that can help support healthy testosterone levels: [wc_box color="inverse" text_align="left" margin_top="" margin_bottom="" class=""] Ashwagandha – is a powerful adaptogen that can help reduce stress and increase testosterone levels. Panax Ginseng – is more potent for male health than any of the other ginsengs. Vitamin D3 – sometimes called the “sunshine vitamin,” this vitamin very likely assists with testosterone production.¹⁵ Zinc – is essential for at least 100 enzymes and has been linked to healthy testosterone levels in the body.¹⁶ [/wc_box] Support your testosterone levels naturally with these nutrition and lifestyle recommendations for optimal health and well-being. At BrainMD, we’re dedicated to providing the highest purity nutrients to improve your physical health and overall well-being. For more information about our full list of brain healthy supplements, please visit us at BrainMD. These statements have not been evaluated by the FDA. This content is for informational purposes only. It is not meant to substitute for medical or healthcare advice from a physician, nor is it intended to diagnose, treat, cure, or prevent any disease. Consult your healthcare provider before beginning a new health regimen. References: 1. Basaria S. Male hypogonadism. Lancet. 2014;383(9924):1250-1263. 2. Moffat SD, Zonderman AB, Metter EJ, et al. Longitudinal assessment of serum free testosterone concentration predicts memory performance and cognitive status in elderly men. J Clin Endocrinol Metab. 2002;87(11):5001-5007. 3. Fink G, Sumner BE, Rosie R, et al. Testosterone control of brain function: effects on cognition and mood. Front Neuroendocrinol. 1999;20(3):229-260. 4. Traish AM, Saad F, Guay A. The dark side of testosterone deficiency: I. Metabolic syndrome and erectile dysfunction. J Androl. 2009;30(1):10-22. 5. Grossmann M, Thomas MC, Panagiotopoulos S, et al. Low testosterone levels are common and associated with insulin resistance in men with diabetes. J Clin Endocrinol Metab. 2008;93(5):1834-1840. 6. Wang C, Nieschlag E, Swerdloff R, et al. Investigation, treatment and monitoring of late-onset hypogonadism in males. Aging Male. 2008;11(1):1-27. 7. Weinstein MM, Heaton JP. Andropause: hormonal changes in middle-aged men. Exp Gerontol. 2014;50:77-82. 8. Roth MY, Amory JK. The effect of low testosterone on health in aging men: a review. Aging Male. 2014;17(3):161-170. 9. Fink G. Hormones and the brain. Front Neuroendocrinol. 1999;20(3):229-260. 10. Traish AM. Hormonal regulation of mood and behavior. J Androl. 2009;30(1):10-22. 11. Grossmann M. Hormones, Health and Aging. J Clin Endocrinol Metab. 2008;93:1834-1840. 12. Reis E, Ramalingam AT, Chokkalingam U. Effect of vitamin D and zinc supplementation on testosterone levels: A meta-analysis. Clin Nutr. 2020;39(2):447-455. 13. Araujo AB, O'Donnell AB, Brambilla DJ, et al. Prevalence and incidence of androgen deficiency in middle-aged and older men: estimates from the Massachusetts Male Aging Study. J Clin Endocrinol Metab. 2004;89(12):5920-5926. 14. Zinc & testosterone. Curr Urol Rep. 2016;17(5):36. 15. Wang C, et al. The Modern Approach to Testosterone Therapy. Aging Male. 2008;11(1):1-27. 16. Roth MY. Vitamin D, Zinc, and Testosterone Production. Clin Nutr. 2020;39:447-455.
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