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What is Benign Prostatic Hyperplasia?
- Results from benign growths of epithelial glandular tissue which causes hypertrophy if the prostate gland.
- Enlargement causes increase frequency, urgency reduced force in urination with nocturia and reduced sexual function
- 4th most common diagnosis in men 50% of men over 50 and 90% of men over 80.
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Main risk factors for BPH?
- Obesity
- Genetic
- Testosterone levels (specifically DHT) due to decreased rate of removal and an increase in 5-alpha-reductase
- Estrogens affect growth and differentiation of prostate and are increased due to increased aromatization of androgens due to adipose tissue, increased insulin, increased alcohol intake.
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Diagnosis of BPH:
- Digital rectal examination
- Urine Test
- Blood Test
- PSA testing
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Conventional treatment of BPH
- Lifestyle changes
- Bladder training
- Bladder relaxant medication and diuretics
- 5-alpha-reductase inhibitors
- surgical interventions
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Nutritional therapy for BPH:
- Physical activity to:
- Increase bloodflow to area
- Reduce adipose tissue
- Reduce stress and SNS activity which causes contraction of prostate smooth muscle
- Avoid pesticides
- Increase fruit and veg
- Zinc
- Omega 3
- Vit D
- Selenium
- Low fat, high veg and high protein
- Avoid alcohol, caffeine, fizzy drinks, artificial sweetenersÂ
- 5-alpha-reductase inhibitors (Saw Palmetto, lycopene, flaxseeds, lignans, nettle)
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