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Breast Cancer awareness starts with prevention.
Prostate health is a broad topic that includes both common noncancerous conditions and more serious concerns, and understanding the difference matters. Benign prostatic hyperplasia, or BPH, is the most common prostate-related condition in men over 50 and can lead to lower urinary tract symptoms including frequent urination, weak stream and nighttime waking. At the same time, prostate cancer is the second leading cause of cancer death in American men and the cancer men most commonly report fearing. Regular screenings, including PSA testing where appropriate, and honest conversations with a healthcare provider are important tools for any man navigating these concerns. A common misconception worth addressing is the assumed link between testosterone therapy and prostate cancer risk. More recent research has not found a statistically significant increase in prostate cancer incidence in men receiving testosterone therapy with healthy baseline prostate status, though individual evaluation and monitoring remain essential. Management approaches for BPH range from lifestyle modifications to prescription medications, including compounded formulations prepared by specialty pharmacies when standard options are not appropriate. Pharmacy Solutions also carries pharmaceutical-grade supplements such as Pro-Balance Pro-Prostate and Metagenics Concentrated Ultra Prostagen, which feature studied ingredients including saw palmetto, pygeum africanum and amino acids shown to support urinary comfort and prostate function. If you need help finding a provider who specializes in men’s urological health, we can help connect you.
I appreciated that the team at Pharmacy Solutions took time to explain everything clearly. It felt good to finally have a conversation about something I had been avoiding for years.
BPH is a noncancerous enlargement of the prostate gland and is not a form of cancer. While both conditions can cause urinary symptoms, they develop through different processes in different zones of the prostate. BPH involves the growth of cells in the transition zone that surrounds the urethra, while prostate cancer typically develops in the peripheral zone. A healthcare provider can help determine the cause of your symptoms through appropriate evaluation.
This is one of the most common concerns men have when discussing hormonal health. While a connection between testosterone and prostate cancer was historically assumed, more recent research has not found a statistically significant increase in prostate cancer incidence in men receiving testosterone therapy who have healthy baseline prostate status.[9] Testosterone therapy does require a thorough baseline evaluation including PSA testing and ongoing monitoring. Discussing your individual risk factors with a qualified healthcare provider is the most important step before pursuing any hormonal therapy.
Prostate changes often begin after age 40, with symptoms becoming more common in men over 50. Research suggests that roughly half of men in their 60s and up to 80% of men in their 70s and beyond experience some degree of prostate enlargement.[1][2] However, not all men with an enlarged prostate will develop noticeable or bothersome symptoms.
Lifestyle modifications may help manage mild symptoms for some men. Strategies such as reducing evening fluid intake, limiting caffeine and alcohol, practicing double voiding techniques, scheduling regular bathroom breaks and maintaining a healthy weight have been associated with improved comfort. Your healthcare provider can recommend specific approaches based on your situation.
Saw palmetto, pygeum africanum and beta-sitosterol are among the most studied supplements for prostate health. Research has placed saw palmetto alongside commonly prescribed medications for BPH in certain clinical studies, with comparable outcomes for urinary symptom scores and flow rate.[11] Pygeum africanum has been widely used in Europe, particularly in France, as a botanical approach to urinary and prostate wellness.[12] Certain amino acids including glycine, alanine and glutamic acid have also been studied for their potential supportive role.[13] Pharmaceutical-grade options including Pro-Balance Pro-Prostate and Metagenics Concentrated Ultra Prostagen are available through Pharmacy Solutions. Discuss any supplement use with your healthcare provider.
Consider speaking with a healthcare provider if urinary symptoms interfere with sleep, daily activities or quality of life. Symptoms such as blood in the urine, pain during urination, fever, or sudden inability to urinate warrant prompt evaluation. Even mild symptoms are worth discussing during routine checkups to establish a baseline and monitor changes over time.
Compounding pharmacies can prepare customized formulations based on a prescriber’s instructions when commercially available medications are not the right fit. This may include adjusting dosage forms, combining ingredients, preparing different strengths or creating formulations without certain additives. A 503A compounding pharmacy like Pharmacy Solutions works directly with your healthcare provider to prepare medications tailored to your individual needs.
[1] Berry SJ, Coffey DS, Walsh PC, Ewing LL. The development of human benign prostatic hyperplasia with age. J Urol. 1984;132(3):474-479.
[2] American Urological Association. Benign Prostatic Hyperplasia (BPH) Guideline. https://www.auanet.org/guidelines-and-quality/guidelines/benign-prostatic-hyperplasia-(bph)-guideline
[3] Parsons JK. Benign Prostatic Hyperplasia and Male Lower Urinary Tract Symptoms: Epidemiology and Risk Factors. Curr Bladder Dysfunct Rep. 2010;5(4):212-218.
[4] Roehrborn CG. Benign Prostatic Hyperplasia: An Overview. Rev Urol. 2005;7(Suppl 9):S3-S14.
[5] National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Prostate Enlargement (Benign Prostatic Hyperplasia). https://www.niddk.nih.gov/health-information/urologic-diseases/prostate-problems/prostate-enlargement-benign-prostatic-hyperplasia
[6] Wilt T, Ishani A, MacDonald R, et al. Beta-sitosterols for benign prostatic hyperplasia. Cochrane Database Syst Rev. 2000;(2):CD001043.
[7] American Cancer Society. Cancer Facts & Figures 2024. Atlanta: American Cancer Society; 2024. https://www.cancer.org/research/cancer-facts-statistics/all-cancer-facts-figures/2024-cancer-facts-figures.html
[8] National Cancer Institute. Prostate Cancer Statistics. SEER Cancer Statistics. https://seer.cancer.gov/statfacts/html/prost.html
[9] Calof OM, Singh AB, Lee ML, et al. Adverse events associated with testosterone supplementation in aging men: a meta-analysis of randomized, placebo-controlled trials. J Gerontol A Biol Sci Med Sci. 2005;60(11):1451-1457.
[10] Wilt TJ, Ishani A, Stark G, MacDonald R, Lau J, Mulrow C. Saw palmetto extracts for treatment of benign prostatic hyperplasia: a systematic review. JAMA. 1998;280(18):1604-1609.
[11] Debruyne F, Koch G, Boyle P, et al. Comparison of a phytotherapeutic agent (Permixon) with an alpha-blocker (Tamsulosin) in the treatment of benign prostatic hyperplasia: a 1-year randomized international study. Eur Urol. 2002;41(5):497-507.
[12] Barlet A, Albrecht J, Aubert A, et al. Efficacy of Pygeum africanum extract in the medical therapy of urination disorders due to benign prostatic hyperplasia: evaluation of objective and subjective parameters. Wiener klinische Wochenschrift. 1990;102(22):667-673.
[13] Feinblatt HM, Gant JC. Palliative treatment of benign prostatic hypertrophy. Value of glycine, alanine, glutamic acid combination. J Maine Med Assoc. 1958;49(3):99-101.
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