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Author: Admin | 2025-04-28
It means that the fluid ejaculated may not contain sperm. Therefore, men with BPH should keep this in mind particularly if they still desire to have children.2. 5-Alpha reductase inhibitorsIn order to prevent the prostate from growing or just to shrink it, the urologist may recommend that you take a 5-alpha reductase inhibitor. Such drugs stop the body from producing one of the hormones necessary for prostate growth and enlargement. As a result, the drugs improve urine flow and relieve the symptoms of BPH. The 5-ARIs are most effective in men with very large prostates.The two major 5-alpha reductase inhibitors recommended for BPH are:Dutasteride (Avodart)Finasteride (Proscar, Propecia)Apart from shrinking or stopping the growth of the prostate and relieving BPH symptoms, the 5-ARIs have two other benefits:They reduce the chances that BPH will result in other complications, like bladder damage.They eliminate the need for surgery as treatment for BPH.The full effects of 5-alpha reductase inhibitors may take up to 6 months to be realized. So you must continue taking the medicines for as long as necessary.Side effects of 5-ARIs5-alpha reductase inhibitors are not supposed to be used by women. In fact, pregnant women must never be exposed to the drugs as they can cause birth defects in male fetus. Other side effects of 5-ARIs include:(a) Lower sex drive/libido(b) Erectile dysfunction(c) Retrograde ejaculationSome of these side effects may improve as the body gets used to the drug.The 5-ARI drugs also may reduce the levels of prostate-specific antigen (PSA) in the blood. PSA levels are used to screen for prostate cancer, so a drug-induced drop makes it impossible to use the PSA test. It is advisable to have the PSA test done before you start these drugs. The FDA now requires that the labels on 5-ARIs must include a warning that they may
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