{"id":21364,"date":"2022-01-01T11:25:00","date_gmt":"2022-01-01T11:25:00","guid":{"rendered":"https:\/\/www.bensnaturalhealth.com\/blog\/?p=21364"},"modified":"2026-05-28T04:17:25","modified_gmt":"2026-05-28T04:17:25","slug":"what-causes-an-enlarged-prostate","status":"publish","type":"post","link":"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-health\/what-causes-an-enlarged-prostate\/","title":{"rendered":"What Causes An Enlarged Prostate?"},"content":{"rendered":"Prostate problems usually remain anonymous and unknown for men before reaching 40 years old. After that age, you have many reasons to learn about prostate health.\n\n<!-- \/wp:post-content -->\n\n<!-- wp:paragraph -->\n\nUnderstanding what your prostate is and what causes enlarged prostate is paramount. It is the only way to detect <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK481489\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urinary symptoms (opens in a new tab)\">urinary symptoms<\/a>, solve them, and avoid further complications.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nMen usually ask what causes an enlarged prostate. When this gland grows very big, they think it is due to prostate cancer. Actually, there\u2019s a common misunderstanding that benign enlarged prostate causes cancer or erectile dysfunction (1).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nNowadays, prostate enlargement is as common as diabetes and heart disease. As such, it requires our attention even if we do not have any urinary symptoms.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"what-is-an-enlarged-prostate\">What is an enlarged prostate?<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nThe prostate is an essential gland in the male reproductive system. It contributes to the semen volume and synthesizes a substance that supports sperm cells.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis gland is below the urinary bladder, surrounding the urethra. In the bladder neck. Thus, as it grows, it can put pressure over the urethra or the urinary bladder. However, what is an enlarged prostate? Is it the same as prostate cancer?\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAn enlarged prostate is simply a gland that increased in size. It is not caused by cancer. Another medical term is benign prostatic enlargement, where benign means there\u2019s no cancer. Another name is <a href=\"https:\/\/blog.bensnaturalhealth.com\/bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"benign prostatic hyperplasia (opens in a new tab)\">benign prostatic hyperplasia<\/a> (BPH).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nWhen we talk about hyperplasia, we refer to an increase in number and not size. Thus, in prostatic hyperplasia, there are more prostate cells (2). However, they remain the same size as normal <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostate-nodule\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostate tissue (opens in a new tab)\">prostate tissue<\/a>. Such an increase in the number of cells causes an enlarged prostate. It usually starts in men after the age of 40. But they typically find out when they are near their 50s (3).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn some cases, an enlarged prostate grows evenly. In other instances, prostate growth is more irregular. When the overgrowth is near the center, it presses the <a href=\"https:\/\/blog.bensnaturalhealth.com\/urethra\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urethra (opens in a new tab)\">urethra<\/a> on the outside.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAs a result, the urethra becomes narrow, compromising the urine flow. As a result, 1 out of 3 men over 50 years old report urinary symptoms. In the majority of cases, they are caused by an enlarged prostate gland (3).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"align\":\"center\",\"id\":30697,\"sizeSlug\":\"large\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image aligncenter size-large\"><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"symptoms-of-an-enlarged-prostate\">Symptoms of an enlarged prostate<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAs mentioned above, the most common symptoms of an enlarged prostate are urination problems. It\u2019s because the prostate portion surrounding the urethra narrows the normal passage of urine. These problems become worse as the patient gets older.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe progression prolongs which some patients may not even realize. They learn to live with the symptoms and sometimes won\u2019t even report them. However, it is crucial to recognize the <a href=\"https:\/\/blog.bensnaturalhealth.com\/6-warning-signs-enlarged-prostate\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"symptoms of an enlarged prostate (opens in a new tab)\">symptoms of an enlarged prostate<\/a> and consult your doctor.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nHere\u2019s a list of the most important symptoms (2, 4).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"the-urgency-to-urinate\"><strong>The urgency to urinate<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nThis is a sudden and unexpected urge to urinate due to an irritation of the urinary bladder.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"frequent-urination\"><strong>Frequent urination<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nPatients report going to the bathroom several times throughout the day, sometimes with a normal <a href=\"https:\/\/blog.bensnaturalhealth.com\/frequent-urination-in-men\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urinary volume (opens in a new tab)\">urinary volume<\/a> each time, and sometimes with a reduced urinary volume.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"nocturia\"><strong>Nocturia<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nUrinary frequency is increased in the night, (<a href=\"https:\/\/blog.bensnaturalhealth.com\/nocturia\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"nocturia (opens in a new tab)\">nocturia<\/a>) and patients need to wake up several times to urinate. In severe cases, it contributes to <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostate-issues-and-sleep-problems\/\" target=\"_blank\" rel=\"noreferrer noopener\">sleep problems<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"urgency-incontinence\"><strong>Urgency incontinence<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAs a result of the sudden urge to urinate, some patients may even leak urine unexpectedly. This is a type of <a href=\"https:\/\/blog.bensnaturalhealth.com\/urinary-incontinence\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urinary incontinence (opens in a new tab)\">urinary incontinence<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"urinary-hesitancy\"><strong>Urinary hesitancy<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nA difficulty to start the urine stream.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"urinary-intermittency\"><strong>Urinary intermittency<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nWhen the flow of urine is not continuous. Instead, patients stop and resume the urinary steam several times to empty their bladder.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"weak-urinary-stream\"><strong>Weak urinary stream<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nThe stream of urine is weak and slow.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"straining\"><strong>Straining<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nPatients need to push hard and force their pelvic muscles to empty the bladder fully.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"terminal-dribble\"><strong>Terminal dribble<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nWhen the main urinary stream finishes, patients have continuous drops of urine. They keep going for longer than usual and are sometimes followed by another urinary flow.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"post-micturition-dribble\"><strong>Post micturition dribble<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAfter passing urine, the patient experiences an involuntary loss of urine. It is a common cause of wet pants after going to the bathroom.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"a-sensation-of-incomplete-emptying-of-the-bladder\"><strong>A sensation of incomplete emptying of the bladder<\/strong><\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nPatients feel the bladder is not completely empty. They usually push harder and manage to continue passing urine.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"other-symptoms\">Other Symptoms<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nNote that <a href=\"https:\/\/blog.bensnaturalhealth.com\/sexual-health\/causes-of-ed\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"erection problems (opens in a new tab)\">erection problems<\/a> are not on the list, as many people believe. In some cases, patients with an enlarged prostate may experience more severe symptoms. Urinary retention is a complication of prostate enlargement that usually appears in patients who:\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:list -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul><!-- wp:list-item -->\n \t<li>Have a very <a href=\"https:\/\/blog.bensnaturalhealth.com\/best-prostate-supplement\/\" target=\"_blank\" rel=\"noreferrer noopener\">large prostate<\/a><\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Are aged 70 years or older<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Have a high level of PSA (<a href=\"https:\/\/blog.bensnaturalhealth.com\/psa-test\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Prostate-Specific Antigen (opens in a new tab)\">Prostate-Specific Antigen<\/a>)<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li>Have already experienced moderate to severe urinary symptoms<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- wp:list-item -->\n<ul>\n \t<li style=\"list-style-type: none;\">\n<ul>\n \t<li><a href=\"https:\/\/blog.bensnaturalhealth.com\/urinary-retention\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Urinary retention (opens in a new tab)\">Urinary retention<\/a> can be either chronic or acute.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<!-- \/wp:list-item -->\n\n<!-- \/wp:list -->\n\n<!-- wp:paragraph -->\n\nThey are <a href=\"https:\/\/blog.bensnaturalhealth.com\/best-prostate-supplement\/\" target=\"_blank\" rel=\"noreferrer noopener\">complications of BPH<\/a>, each one with different symptoms:\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"acute-urinary-retention\">Acute urinary retention<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nIt is a medical emergency where patients are unable to pass urine. The urine flow is completely blocked, and it accumulates in the bladder, increasing its size. Acute urinary retention is very painful, appears suddenly, and needs immediate treatment.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPatients usually feel a lump or swelling in the lower portion of the abdomen. This portion becomes tender, and symptoms resolve when the bladder is emptied.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPatients with acute urinary retention may have this problem again in the future. They need <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostate-medication\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"treatment for BPH (opens in a new tab)\">treatment for BPH<\/a> (benign prostatic hyperplasia). Thus, they are usually prescribed with an alpha-blocker to prevent this problem (5).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"chronic-urinary-retention\">Chronic urinary retention<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nIn these cases, patients have very severe <a href=\"https:\/\/blog.bensnaturalhealth.com\/lower-urinary-tract-symptoms\/\">urinary symptoms<\/a>. They can still urinate but never achieve complete emptying of the bladder. The symptoms develop slowly, and sometimes patients do not realize.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSometimes, they feel a lump or swelling in the low abdominal area. However, they do not feel any pain. Chronic urinary retention can cause a urinary infection or <a href=\"https:\/\/blog.bensnaturalhealth.com\/bladder-stones\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"bladder stones (opens in a new tab)\">bladder stones<\/a>. That\u2019s why some patients see blood in the urine and require a urine test. When it is not treated, it can damage the kidneys and the urinary bladder (6).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nYou won\u2019t probably have all of these symptoms at the same time. Some men have an enlarged prostate without symptoms. Also, keep in mind that many other factors can trigger the urinary symptoms above. For example, cold weather can make you feel some <a href=\"https:\/\/blog.bensnaturalhealth.com\/overactive-bladder\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"urinary urgency (opens in a new tab)\">urinary urgency<\/a>. Some medications may wake you up several times to urinate.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nMoreover, urinary infections can cause a higher frequency or urinary incontinence. Thus, if you have the symptoms above, talk to your urologist to find out the cause.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn some cases, you might need a transrectal ultrasound to complete the diagnosis. Many cases are relieved with medications. Others need a <a href=\"https:\/\/blog.bensnaturalhealth.com\/urolift\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostatic urethral lift (opens in a new tab)\">prostatic urethral lift<\/a>, and only a few require laser surgery or invasive surgery.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"causes-of-an-enlarged-prostate\">Causes of an enlarged prostate<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nIt is challenging to trace the exact causes that trigger an enlarged prostate in a given patient.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nHowever, we know about several <a href=\"https:\/\/blog.bensnaturalhealth.com\/risk-factors-for-bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"risk factors (opens in a new tab)\">risk factors<\/a> associated with benign prostatic enlargement. Having one of these can increase the chance of prostate enlargement in men.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"hormones\">Hormones<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nThe relationship between hormones and <a href=\"https:\/\/blog.bensnaturalhealth.com\/radical-prostatectomy\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostate size (opens in a new tab)\">prostate size<\/a> was postulated back in 1895. In his studies, Dr. J. William White applied bilateral castration in patients with BPH. The prostate decreased in size, and urinary symptoms improved. Thus, it was clear that androgens in men had an important role in increasing prostate size. Later on, Dr. Huggins showed that castration is effective in treating <a href=\"https:\/\/blog.bensnaturalhealth.com\/metastatic-prostate-cancer\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"metastatic prostate cancer (opens in a new tab)\">metastatic prostate cancer<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"dht\">DHT<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAfter these classic studies about prostate size and androgens, more advancements helped us understand why it happens. We now know that dihydrotestosterone (<a href=\"https:\/\/blog.bensnaturalhealth.com\/dht\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"DHT (opens in a new tab)\">DHT<\/a>) is a metabolite of testosterone. DHT triggers the differentiation of the prostate in the fetus. It is also responsible for the virilization of genitalia in men.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nLater on, it contributes to other secondary sexual characteristics. In the prostate, DHT binds to the androgen receptor. After doing so, it triggers transcription genes that produce <a href=\"https:\/\/blog.bensnaturalhealth.com\/how-to-lower-psa-levels\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"PSA protein (opens in a new tab)\">PSA protein<\/a> and promote cell proliferation. Several growth factors are synthesized, and apoptosis is silenced. That\u2019s why androgens are associated with prostate growth.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"testosterone\">Testosterone<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nBut there\u2019s not always a direct correlation between serum <a href=\"https:\/\/blog.bensnaturalhealth.com\/sexual-health\/signs-of-low-testosterone\/\">testosterone<\/a> and its effects in the prostate. That\u2019s because the prostate has a separate microenvironment. In the prostate tissue, testosterone can be converted into DHT due to central machinery.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThus, there\u2019s an androgen environment inside the prostate, which can be different from the outside. That partly explains why BPH is more common in older age when testosterone levels decline. Another explanation is that androgens contribute, but they are not the only hormones involved in BPH.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:image {\"align\":\"center\",\"id\":30680,\"sizeSlug\":\"large\",\"linkDestination\":\"custom\"} -->\n<figure class=\"wp-block-image aligncenter size-large\"><\/figure>\n<!-- \/wp:image -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"estrogen\">Estrogen<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nMen have very low <a href=\"https:\/\/blog.bensnaturalhealth.com\/sexual-health\/natural-aromatase-inhibitors\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"estrogen levels (opens in a new tab)\">estrogen levels<\/a> compared to women, but this hormone may be another cause of BPH. Aging men reduce their testosterone levels, but their estrogen levels remain the same.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAs their estrogen to testosterone ratio increases, their risk of BPH increases as well. Studies have also identified a correlation between serum estrogens and prostate volume. Thus, it is clear that they have a role in prostate enlargement (7).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAnother hormone with a key role in prostate enlargement is <a href=\"https:\/\/blog.bensnaturalhealth.com\/diabetes-health\/insulin\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"insulin (opens in a new tab)\">insulin<\/a>. Recent studies suggest that high levels of insulin triggered by the diet can cause hypertension and BPH. That\u2019s why elderly patients with prostate problems usually have <a href=\"https:\/\/blog.bensnaturalhealth.com\/diabetes-health\/hypertension\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"high blood pressure (opens in a new tab)\">high blood pressure<\/a>, too (8)\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"aging\">Aging<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAs we age, a series of body changes favor prostate enlargement and lower urinary tract symptoms. Even in experimental mice, the prostate mass increases as a result of aging alone.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe proliferation of prostate tissue usually appears in the anterior and ventral portion of the prostate. However, it may also appear in the portion that surrounds the urethra. The prostate tissue multiplies, and the number of prostate ducts increases as we age. At the same time, the rate of apoptosis (programmed cellular death) is significantly reduced.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThis pattern is common in the aging prostate, regardless of predisposing <a href=\"https:\/\/blog.bensnaturalhealth.com\/estrogen-defeating-supplement\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"hormonal factors (opens in a new tab)\">hormonal factors<\/a>. Independent from any other cause, their prostate undergoes fibrosis and collagen deposition. As a result, the prostate lobes and the central portion start to grow.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAt the microscope, they have thicker collagen bundles that accumulate over time. When such a deposition is at the midpoint of the prostatic urethra, it usually causes lower urinary tract symptoms, as described above (9).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nBesides these independent factors associated with aging, we have steroid hormone changes as described above. <a href=\"https:\/\/blog.bensnaturalhealth.com\/sexual-health\/testosterone-booster\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"Testosterone levels (opens in a new tab)\">Testosterone levels<\/a> decrease, estrogen levels remain the same, and the estrogen to testosterone ratio increases.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"family-history\">Family History<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAging and hormonal changes are common in all men as a predisposing factor for BPH. However, there is also epidemiologic data that suggest a possible genetic predisposition as well. For example, some studies on enlarged prostate causes indicate that <a href=\"https:\/\/blog.bensnaturalhealth.com\/bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"BPH (opens in a new tab)\">BPH<\/a> is more common in black males.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThat\u2019s why a study published in the American Journal of Epidemiology evaluated family history and its relationship with BPH. Moreover, the study assessed the growth of the prostate and the severity of the urinary symptoms.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe authors report that most patients have a mild risk of developing severe urinary symptoms. Sometimes no risk at all. But when they have a family history of prostate enlargement, the risk increases by 1.3 times. The relationship is more robust if this relative was younger than 60 years at the moment of the diagnosis. It is also stronger for brothers with prostate enlargement as compared to fathers.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn other words, if you have brothers or a father with prostate enlargement, you\u2019re most likely having the same thing. The symptoms are more likely to be moderate or severe, and you need to look after your prostate. That\u2019s the only way to prevent severe symptoms and the consequences of prostate enlargement.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nInterestingly, the study also showed that many men with moderate to severe prostate symptoms were ignorant or forgot about their real family history of prostate enlargement. Recalling or registering this information is very important, and may change the way your doctor addressed the problem. Thus, be sure to record this data and report it to your doctor if you\u2019re asked about family history.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAccording to these studies, there\u2019s a genetic inheritance associated with <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/pmc\/articles\/PMC3062123\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostate enlargement (opens in a new tab)\">prostate enlargement<\/a>. There may also be environmental factors in the family. But so far, no significant findings have confirmed the former or the latter (10).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"physical-inactivity\">Physical inactivity<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nMany studies have evaluated the effects of <a href=\"https:\/\/blog.bensnaturalhealth.com\/exercise-prostate\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"physical activity (opens in a new tab)\">physical activity<\/a> in the human prostate. In many cases, physical activity prevents prostate overgrowth. In other cases, it is useful to control the symptoms and improve the quality of life. Either way, physical activity appears to be beneficial.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nOn the contrary, physical inactivity, sedentary behavior, and obesity tend to favor BPH.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAccording to many studies, obese men hold a higher risk to suffer BPH symptoms and <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostatitis-vs-bph\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostatitis (opens in a new tab)\">prostatitis<\/a>. Others have an asymptomatic enlargement of the prostate. Regardless of the method and the definition of obesity used by the studies, all of them agree.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n<h3 id=\"obesity\">Obesity<\/h3>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nObesity is a predisposing factor for prostate enlargement, and it worsens urinary tract symptoms. An increase in waist circumference is positively associated with an increase in prostate volume. Additionally, it is associated with a <a href=\"https:\/\/blog.bensnaturalhealth.com\/psa-level-dangerously-high\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"higher PSA  (opens in a new tab)\">higher PSA <\/a>and a higher score in the <a href=\"https:\/\/blog.bensnaturalhealth.com\/ipss\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"IPSS (opens in a new tab)\">IPSS<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThere are many possible explanations for this association. For example, <a href=\"https:\/\/blog.bensnaturalhealth.com\/diabetes-health\/obesity-and-diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"obesity (opens in a new tab)\">obesity<\/a> increases <a href=\"https:\/\/blog.bensnaturalhealth.com\/abdominal-pressure-and-frequent-urination\/\" target=\"_blank\" rel=\"noreferrer noopener\">abdominal pressure<\/a>, and this increases bladder pressure, too. More adipose mass will also increase the estrogen to testosterone ratio. There\u2019s also an increase in the activity of the sympathetic nervous system, which may worsen the urinary symptoms.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAdditionally, the adipose tissue contributes to inflammation and oxidative stress. It causes microvascular problems, ischemia, and a prostatic environment that favors enlarged prostate (<a href=\"https:\/\/www.cancer.gov\/types\/prostate\/understanding-prostate-changes\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">BPH<\/a>) (11).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nOn the contrary, physical activity reduces the risk and the severity of symptoms in patients with BPH. For example, a recent study evaluated nocturia and its relationship with physical activity. The study showed that independent of the underlying pathology that causes nocturia; patients improve their symptoms when they are physically active.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAs such, patients who are physically inactive or live a sedentary life are at risk for two reasons. One of them is a higher risk of becoming overweight or obese. These patients have a mechanical, endocrine, and inflammatory burden favoring prostate enlargement.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nSecondly, they do not get the protective effects of <a href=\"https:\/\/blog.bensnaturalhealth.com\/pelvic-muscle-exercises-for-your-prostate\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"exercise for BPH (opens in a new tab)\">exercise for BPH<\/a> and lower urinary tract symptoms. They experience more severe symptoms and a more profound decrease in their quality of life (12).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"diet\">Diet<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nSome studies have evaluated the epidemiology of prostate enlargement concerning <a href=\"https:\/\/blog.bensnaturalhealth.com\/enlarged-prostate-diet\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"dietary factors (opens in a new tab)\">dietary factors<\/a>. Their authors suggest that dietary habits play a role in BPH. However, we still need more data to know the exact nutritional etiology favoring prostate enlargement.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nEthnic and geographic differences found in epidemiologic studies do not always have to do with genetics. They may respond to lifestyle and dietary habits instead.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nFor example, a study performed in China showed that BPH is more prevalent in the country among people who eat more animal protein and saturated fat instead of whole grains and <a href=\"https:\/\/blog.bensnaturalhealth.com\/general-health\/vitamin-c-benefits\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"vegetables (opens in a new tab)\">vegetables<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nIn Japan, another study reported an association between BPH and consuming daily meat and regular dairy. Thus, a review of the scientific literature suggested that BPH incidence is lower in Asia due to a high-fiber, low-fat diet, which is prevalent in this area (13).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:spacer {\"height\":\"20px\"} -->\n<div class=\"wp-block-spacer\" style=\"height: 20px;\" aria-hidden=\"true\"><\/div>\n<!-- \/wp:spacer -->\n\n<!-- wp:heading -->\n<h2 id=\"diabetes-and-heart-disease\">Diabetes and heart disease<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAs we grow older, the risk of <a href=\"https:\/\/blog.bensnaturalhealth.com\/diabetes-health\/metabolic-syndrome\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"metabolic problems (opens in a new tab)\">metabolic problems<\/a> and prostate enlargement increases. However, studies suggest a more direct association between <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostate-health-and-diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\">diabetes and BPH<\/a>.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nPatients with diabetes and an enlarged prostate have a higher chance of developing severe symptoms. This is maybe because both conditions cause urinary symptoms that overlap.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nHowever, other studies show that diabetes patients have a higher median growth of the <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostate-gland-function\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostate gland (opens in a new tab)\">prostate gland<\/a>. The association is not very clear, but it seems evident now there is a link between BPH and insulin.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAdditionally, consider that <a href=\"https:\/\/blog.bensnaturalhealth.com\/diabetes-health\/type-2-diabetes\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"type 2 diabetes (opens in a new tab)\">type 2 diabetes<\/a> can promote BPH through vascular disorders affecting the prostate. In a model of experimental hypoxia, researchers found that abnormal blood flow can stimulate prostate growth. This tissue responds to hypoxia by secreting growth factors to promote angiogenesis (13).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nOther vascular problems are positively associated with prostate health, too\u2014for example, ischemic heart disease. According to studies, the frequency of <a href=\"https:\/\/blog.bensnaturalhealth.com\/diabetes-health\/coronary-artery-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\" (opens in a new tab)\">coronary artery disease<\/a> is higher in men with prostate enlargement. Moreover, researchers suggest that these conditions are closely related to one another.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThe association still remains elusive, but it is apparently explained by atherosclerosis, which causes an abnormal flow pattern and hypoxia in the prostate. This pathologic condition triggers the release of growth factors and causes an enlarged prostate (13).\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n\n<!-- \/wp:heading -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\",\"orientation\":\"horizontal\"}} -->\n\n<!-- \/wp:buttons -->\n\n<!-- wp:buttons {\"layout\":{\"type\":\"flex\",\"justifyContent\":\"center\",\"orientation\":\"horizontal\"}} -->\n<div class=\"wp-block-buttons\"><!-- wp:button {\"backgroundColor\":\"luminous-vivid-orange\"} -->\n<div class=\"wp-block-button\"><\/div>\n<!-- \/wp:button -->\n\n<\/div>\n<!-- \/wp:buttons -->\n\n<!-- wp:paragraph -->\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading -->\n<h2 id=\"conclusion\">Conclusion<\/h2>\n<!-- \/wp:heading -->\n\n<!-- wp:paragraph -->\n\nAn enlarged prostate is not the same as <a href=\"https:\/\/blog.bensnaturalhealth.com\/prostate-cancer\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"prostate cancer (opens in a new tab)\">prostate cancer<\/a> but causes similar symptoms. Patients with lower urinary tract symptoms should check their prostate after reaching 40 years.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nAfter this age, prostate enlargement becomes more prevalent. That\u2019s especially the case if we have other predisposing factors, such as obesity and sedentary behavior.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nHormones play a significant role in the development of BPH, as well as family history. It is also essential to look after your diet, trying to increase your intake of fruits and vegetables.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:paragraph -->\n\nThere\u2019s an additional protective effect from physical activity, which may also reduce the incidence of diabetes and <a href=\"https:\/\/blog.bensnaturalhealth.com\/general-health\/heart-disease\/\" target=\"_blank\" rel=\"noreferrer noopener\" aria-label=\"heart disease (opens in a new tab)\">heart disease<\/a>; all of them conditions strongly related to a high incidence of prostate issues.\n\n<!-- \/wp:paragraph -->\n\n<!-- wp:heading {\"level\":3} -->\n\n<!-- \/wp:heading -->","protected":false},"excerpt":{"rendered":"<p>Prostate problems usually remain anonymous and unknown for men before reaching 40 years old. After that age, you have many reasons to learn about prostate health. Understanding what your prostate is and what causes enlarged prostate is paramount. It is the only way to detect urinary symptoms, solve them, and avoid further complications. Men usually [&hellip;]<\/p>\n","protected":false},"author":13,"featured_media":27296,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_acf_changed":false,"inline_featured_image":false,"footnotes":""},"categories":[1],"tags":[23,20],"health_topic":[128,124],"class_list":["post-21364","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-blog","tag-diet","tag-prostate-cancer","health_topic-bph-topic","health_topic-prostate-health"],"acf":[],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.2 (Yoast SEO v27.5) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>What Causes An Enlarged Prostate? - Ben&#039;s Natural Health<\/title>\n<meta name=\"description\" content=\"Understanding what your prostate is and what causes an enlarged prostate is vital. It is the only way to detect and treat urinary symptoms.\" \/>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/www.bensnaturalhealth.com\/blog\/prostate-health\/what-causes-an-enlarged-prostate\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"What Causes An Enlarged Prostate?\" \/>\n<meta property=\"og:description\" content=\"Understanding what your prostate is and what causes an enlarged prostate is vital. 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