6 Warning Signs You Have An Enlarged Prostate [2021]

An enlarged prostate is a condition that many men suffer from, but few wish to talk about it.

With the latest statistics showing that by the age of 60, 50% of men will have some symptoms of BPH (benign prostatic hyperplasia), it’s time to tackle the rising epidemic.

Benign Prostatic Hyperplasia (BPH) occurs when the prostate expands to twice or even three times its regular size.

As a result, the growing prostate gland gradually presses against the urethra, restricting urinary flow. This results in a range of urinary problems.

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Risk factors for prostate enlargement include; age, ethnicity, family history.

While an enlarged prostate doesn’t necessarily mean you have prostate cancer, it could result from BPH (benign prostatic hyperplasia).

An enlarged prostate can result in painful and embarrassing urinary problems. So to give you a hand, here are the 6 signs of prostate problems and symptoms of BPH to watch out for.

enlarged prostate symptoms

1) Frequency and Urgency

Many of us find ourselves woken by an overactive bladder, and while this might happen once in a while, men with an enlarged prostate will experience frequent urination.

If you find that the urge to urinate constantly disrupts your sleep, this might be one of the first signs of prostate problems such as an enlarged prostate. This is called “nocturia” and is when you have to urinate eight or more times per day.

At times, this urge to urinate may be urgent. This is as the enlarged prostate gland puts increased pressure on the urethra and bladder, making it increasingly difficult to hold in urine.

2) Hesitancy

A second common sign to look out for difficulty urinating and urinary hesitancy. As your prostate presses on the urethra, it can block urine from the bladder going out through the penis. This makes it hard to start a urine stream, and you may find yourself with the inability to urinate.

It can also cause a weak or delayed urine stream, especially at the end of urination. We call this “dribbling of urine.”

3) Pain during urination

The pressure on your reproductive organs and urinary tract can be painful. Some men feel the need to push urine out, which makes it even more painful.

In more severe cases, pain may also be due to infection, resulting from an untreated enlarged prostate.

One of the issues with an enlarged prostate is that it can block the flow of urine from the bladder, which prevents it from emptying completely. This increases the chance of bacteria growing, increasing your risk of developing an infection.

Prostatitis, an inflammation of the prostate, is also a form of urinary infection and will need to be treated.

4) Urinary retention

Urinary retention is when you are unable to empty the bladder completely. It is both a symptom and complication of an enlarged prostate. If you experience this issue, it is important to seek immediate medical care. There are two forms of urinary retention — acute and chronic.

Acute urinary retention will last a short period, while chronic urinary retention remains persistent. The doctor will have to insert a tube known as a catheter into the bladder to drain the urine.

If the condition is severe, the urologist may recommend surgery to remove some of the enlarged prostate tissue or to make cuts in the prostate to widen the urethra possibly.

5) Blood in urine

If you are finding blood in your urine, this could be a possible sign that you have an enlarged prostate. This is known as, and there are two forms.

Microscopic haematuria is when blood is detectable only under a microscope.

Gross haematuria is when the presence of blood in the urine is obvious, and the urine looks red, pink, or brownish.

6) Incontinence

Urinary incontinence is the involuntary leakage of urine. This usually occurs when control over the urinary sphincter is either lost or weakened.

Treatment for an Enlarged Prostate


As men age, their prostate naturally grows larger, but you should act if you are experiencing these signs of prostate problems. Such BPH symptoms can affect you physically and emotionally, and if left untreated, result in serious complications.

Alpha-blockers are a class of prescription medications commonly prescribed to treat BPH. There are several medications available as alpha-blockers. These medications are:

  • Prazosin (Minipress).

  • Terazosin (Hytrin).

They are used to relax muscles around small blood vessels.

By preventing the muscles from tightening, they can help improve blood flow and lower blood pressure.

However, it is essential to note that they can have adverse side effects. Some of the most common side effects include loss of libido, erectile dysfunction, drops in blood pressure, and headaches/nausea.

Finasteride is a 5-alpha-reductase inhibitor, meaning it prevents the enzyme 5-alpha-reductase from converting testosterone into DHT.

Avodart works just like Finasteride and is commonly used in combination with alpha-blockers like Tamsulosin. This provides a rapid onset of symptom relief for patients with severely enlarged prostate glands. Such combination significantly improves urine flow and prevents bladder outlet obstruction.

Although Avodart may offer relief from urinary symptoms, it also has several side effects, including loss of libido, sexual dysfunction, and depression.


Prostate surgery to remove the prostate gland can treat your symptoms. The intervention will depend on the severity of your symptoms.

Your doctor will help you determine the best surgery based on your circumstances. Common surgeries include:

Prostate volume (size) is a critical consideration in selecting the best surgical intervention for your BPH because complications increase with prostate volume.

Natural supplements

Natural supplements have also been shown to be effective in the management of BPH and offering prostate relief.

Saw palmetto is the most commonly used herbal supplement for treating lower urinary tract symptoms.

It works by inhibiting 5 alpha-reductase enzyme activity, an enzyme that converts free testosterone to dihydrotestosterone (DHT).

A review of 17 double-blinded studies examined the effects of pygeum africanum for treating BPH. The results showed that patients were 35% more likely to show symptom improvement. There was also a reduction in urinary retention, nighttime incontinence, and improved urine flow.

Beta-sitosterol is another supplement that can relieve symptoms associated with BPH.

It can be sound in plants, rice bran, wheat germ, corn oils, soybeans, and peanuts. Herbal extracts like saw palmetto, rye grass pollen, pygeum africanum, and contain beta-sitosterol. These extracts are used for treating BPH, and beta-sitosterol may be the key ingredient.

Clinical trials show beta-sitosterol increases the maximum urinary flow rate by about 45%, and men report improved urinary symptoms.


If you’re experiencing any of these signs of prostate problems, natural is the way to go. Not only will natural remedies help to heal your prostate issues and relieve you of uncomfortable symptoms, but they will do so without side effects.

Potent natural extracts such as beta-sitosterol are popular for their healing ability, with studies demonstrating it can improve urinary flow, decrease prostate size, and diminish urine retention.

The challenge with Beta-Sitosterols is getting a significant quantity in combination with the right amount of fatty acids.

Beta-sitosterol compounds are expensive, significantly more so than fatty acids. As a result, many products on the market are upwards of 70% fatty acids, with less than 30% Beta-sitosterol. For Beta-sitosterol to be effective, it needs to be at a ratio of 90% plant sterols to 10% fatty acids, which is exactly the amount in Total Health.

total health

Clinically formulated, Total Health works to combat the root causes of prostate disease, helping to reduce nighttime waking, improve urinary flow and lower PSA in order to get rid of your prostate problems and restore your health.

So, take a look at our Trustpilot reviews to see what our customers think of our products.

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For more information on the effectiveness of Total Health, click here.

Along with the natural supplements discussed, you should have a healthy diet and regular exercise. These will increase your hormone levels and reduce the effect of natural remedies.

Next Up

diet for prostatitis

Find out How To Naturally Shrink Your Prostate With Diet.


  1. Wilt T, Ishani A, Mac Donald R, Rutks I, Stark G.. (2002). Pygeum africanum for benign prostatic hyperplasia.. Cochrane Database of Systematic Reviews. 1 (1), p1044.
  2. Traish, A, Mulgaonkar, A, Giordano, N. (2014). The Dark Side of 5α-Reductase Inhibitors’ Therapy: Sexual Dysfunction, High Gleason Grade Prostate Cancer and Depression. Korean Journal of Urology. 55 (6), p367-379.
  3. McVary, K. (2005). Sexual Function and α-Blockers. Reviews in Urology . 7 (8), p7-11.
  4. https://www.nhs.uk/conditions/prostate-enlargement/treatment/
  5. InformedHealth.org [Internet]. Cologne, Germany: Institute for Quality and Efficiency in Health Care (IQWiG); 2006-. Benign enlarged prostate: What are the pros and cons of surgery? 2008 Oct 13 [Updated 2018 Jan 25].
  6. Suzuki, M, Ito, Y, Yamada, S. (2009). Pharmacological effects of saw palmetto extract in the lower urinary tract. Acta Physiologica Scandinavica . 30 (3), p271-281.
  7. Emberton, M, Cornel, EB, Castro, R. (2008). Benign prostatic hyperplasia as a progressive disease: a guide to the risk factors and options for medical management. International Journal of Clinical Practice. 62 (7), p1076-1086.
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Ben's Natural Health Team

Our team is made up of doctors, nutritionists and certified experts with deep knowledge of metabolic health conditions, as well as writers and editors with extensive experience in medical writing.


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    • Ben's Natural Health Team

      Hi Ray, thanks for your great feedback and glad that you enjoy our content. We publish regularly so keep a look out for new articles! Wishing you good health, The Ben’s Natural Health Team.

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  3. Nick Evetts

    My father died with Prostate Cancer, not of it. This is a very interesting and informative page.

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    • Ben's Natural Health Team

      Hi Patrick, thank you for getting in touch. Yes, there is a shipping option available in the drop-down menu- once you proceed to the checkout page. If you have any further questions, please get in touch with our team via [email protected] and we will be happy to assist. The Ben’s Natural Health Team.

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  6. Abayomi Ososanya

    I was diagnosed as having, prostate cancer, without enlarged prostate gland, when I was having gout I went to the GP, blood sample reads that my PSA was 116.
    Then MRI was done,
    I was immediately placed on 3 monthly injection and subsequently on daily drugs. Up till now out of the 6 warning signs of prostate disease,I have No 1 Frequency and Urgency 2)Hesitancy and (4) Urinary retention which is occasional. My PSA is presently 4.2
    I don’t think I have prostate cancer, since before the diagnoses I do not experience any pain and even after being placed on drugs,

    • Ben's Natural Health Team

      Hi Abayomi,

      Thanks for sharing your experience.

      It would be advisable that you continue to monitor your prostate health with PSA tests and MRI scans for your own peace of mind and to know if you should be taking more decisive action concerning your prostate health.

      As a baseline, you should maintain a healthy lifestyle including the prostate specific ketogenic diet, regular exercise and proper supplementation to support optimal prostate health.

      If you’d like to discuss your situation further please feel free to get in touch with an expert prostate health advisor by emailing [email protected]

      Wishing you good health,

      Ben’s Natural Health Team

  7. Frederick Kola

    Very informative!!!

    • Ben's Natural Health Team

      Hi Frederick, glad that you enjoyed our article. Stay tuned for new upcoming content! Wishing you good health, The Ben’s Natural Health Team.

  8. Charles Stephen

    Dear Sir,
    Are there persons who got healed from Prostate problems with your 3 supplements ?


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