Benign Prostatic Hyperplasia (BPH), commonly known as an enlarged prostate, is a non-cancerous condition that affects many men. Oftentimes it begins around 50 years of age, and the incidence of this condition sharply increases with age. It is a very common condition, whereby 50% of men have BPH by 60 years of age and 90% of men are affected by BPH by the age of 80 years.
The prostate is a small gland located just below the bladder that plays a role in producing semen. As men grow older, normal hormonal changes that occur in the body lead to changes in the size of this gland. This enlarged growth directly causes pressure against the urethra, which is a tube that carries urine out of the body, leading to unwanted changes in urination.
Common Symptoms of BPH
The prostate enlargement associated with BPH is not life threatening, but it can significantly impact an individual’s quality of life. Many of the symptoms can negatively impact day to day life.
Common symptoms include:
• Frequent need to urinate, especially at night
• Difficulty starting urination
• Weak or interrupted urine stream
• Feeling that the bladder isn’t completely empty
• Urgent need to urinate
• Discomfort or pain during urination
While medications and surgery are available, many men turn to natural remedies to manage their symptoms. Here are some of the most researched natural ingredients that have shown promise in supporting prostate health.
1. Saw Palmetto (Serenoa repens)
What it is: A type of palm-based plant that is native to southeastern United States, saw palmetto berries have been used in traditional medicine for centuries.
How it helps: Saw palmetto is one of the most widely studied natural ingredients for BPH. It is believed to work by inhibiting the activity of an enzyme called 5-alpha-reductase. This enzyme functions to convert testosterone to dihydrotestosterone (DHT). DHT is a hormone that directly encourages the prostate gland to enlarge in size. So, the berries from saw palmetto work to limit this prostate enlargement by impacting hormonal pathways, thereby reducing the symptoms associated with BPH. A 2020 review published in the journal Urology concluded that saw palmetto extract can significantly reduce nighttime urination and improve urinary flow in men with mild to moderate BPH.
2. Stinging Nettle (Urtica dioica)
What it is: A plant that has been used in herbal medicine for thousands of years. It is native to Europe, North America and North Africa. The leaf portion contains tiny hairs, that if touched with a bare hand can lead to a stinging and burning sensation.
How it helps: Stinging nettle root is believed to work similarly to saw palmetto. It has a direct impact on the hormonal factors that contribute to the enlargement of the prostate gland. Additionally, the leaf portion can help encourage urination, allowing for a healthy flow and stream. A double-blind clinical study published in Planta Medica found that stinging nettle extract improved symptoms such as urinary frequency, urgency, and flow in men with BPH when used regularly. It’s also often used in combination with saw palmetto for synergistic benefits.
3. Parsley (Petroselinum crispum)
What it is: A common culinary herb that adds a hit of flavour to many dishes. From an herbal medicinal perspective, parsley is rich in flavonoids and antioxidants which can offer a variety of health benefits.
How it helps: Parsley acts as a mild diuretic, which can help encourage and improve urine flow. Individuals who consume this herb, especially in a liquid tea format will note that their urinary flow is stronger and can help reduce frequent bathroom trips.
4. Cranberry (Vaccinium macrocarpon)
What it is: A tart berry that adds a punch of flavour to drinks, baked goods, turkey stuffing and more. This tasty fruit is native to North America. It has been touted to help prevent urinary tract infections (UTIs) and provide a rich source of the antioxidant proanthocyanidins.
How it helps: Though not traditionally used for BPH, cranberries may support overall urinary tract health. This can be especially beneficial for men who experience recurrent urinary tract infections or bladder irritation due to incomplete bladder emptying from BPH. The strong proanthocyanidin compounds can prevent bacteria that cause a bladder infection from physically adhering to the bladder tissue, effectively preventing the onset of an infection.
5. Chamomile (Matricaria chamomilla)
What it is: A gentle herb often consumed as tea, chamomile has calming, anti-inflammatory, and antioxidant properties. This herb is native to Europe and western Asia.
How it helps: Chamomile may help relax that muscles that make up the bladder and gently reduce inflammation, potentially improving symptoms like urinary urgency and frequent nighttime urination. Additionally, its calming effect can also help support a restful night’s sleep, which is often disrupted in men with BPH.
Summary
Benign Prostatic Hyperplasia (BPH) is a common part of aging, but its symptoms don’t have to rule your life. Natural ingredients like saw palmetto, stinging nettle, parsley, cranberry and chamomile offer gentle, well-tolerated ways to support your prostate and urinary health. Backed by a growing body of research, these herbs can be a valuable part of a comprehensive plan to help you feel better and live more comfortably.

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