Prostate Enlargement: Causes, Symptoms, and Solutions

Q: Prostate Enlargement: Causes, Symptoms, and Solutions

Hello： Masturbation should not significantly affect urination, but it may be safer to have a check-up at a urology clinic. <br>There is no need for special abstinence; erections should occur naturally. <br>It is not recommended for you to drink coffee, as it can affect urination.

Regarding benign prostatic hyperplasia (BPH)

Hello, doctor.
Since I am single, I have a habit of frequent masturbation.
Recently, it seems that I have been doing it too often, which has led to frequent urination and intermittent urination, and even instances of dry orgasm.
I would like to ask if I definitely need to visit a hospital for this, or if I can simply improve my diet or practice abstinence? Or should I go to the pharmacy to buy over-the-counter medication?
Additionally, I found online that excessive masturbation can lead to prostate enlargement, and that abstaining for two months may help improve the condition.
Does abstinence mean not ejaculating at all, or does it also include avoiding erections? I tend to get erections easily, even when I sleep.

Also, I usually have a habit of drinking iced coffee, sometimes two to three cups a day.
Should I cut back on coffee? Furthermore, I read online that for prostate enlargement, it's advisable to eat less bread.
I usually eat wheat bread; is that also a problem?

Zuo Zhi, 30~39 year old female. Ask Date: 2019/02/20

Dr. Du Shixi reply Urology

Hello: Masturbation should not significantly affect urination, but it may be safer to have a check-up at a urology clinic.
There is no need for special abstinence; erections should occur naturally.
It is not recommended for you to drink coffee, as it can affect urination.
For dietary advice related to benign prostatic hyperplasia, you can refer to http://www.kmuh.org.tw/www/kmcj/data/10401/19.htm.
For the information you need, it is best to look for it on medical center websites, as articles published by physicians are more reliable.
Wishing you good health.

Reply Date: 2019/02/20

More Info

Prostate enlargement, also known as benign prostatic hyperplasia (BPH), is a common condition that affects many men as they age. It is characterized by an increase in the size of the prostate gland, which can lead to various urinary symptoms. Understanding the causes, symptoms, and potential solutions for prostate enlargement can help manage the condition effectively.

Causes of Prostate Enlargement
The exact cause of BPH is not fully understood, but several factors are believed to contribute to its development:
1. Hormonal Changes: As men age, the balance of hormones in their bodies changes. Increased levels of dihydrotestosterone (DHT), a derivative of testosterone, may stimulate prostate growth.

2. Age: The risk of developing BPH increases with age. It is rare in men under 40, but by age 60, about 50% of men will experience some symptoms of BPH.

3. Genetics: A family history of prostate problems may increase the likelihood of developing BPH.

4. Lifestyle Factors: Obesity, lack of physical activity, and a diet high in fat and low in fruits and vegetables may contribute to the risk of BPH.

Symptoms of Prostate Enlargement
Men with BPH may experience a range of urinary symptoms, including:
- Frequent Urination: An increased need to urinate, especially at night (nocturia).

- Urgency: A sudden, strong urge to urinate.

- Weak Urine Stream: Difficulty starting urination or a weak urine flow.

- Intermittent Flow: The urine stream may start and stop.

- Incomplete Emptying: A feeling that the bladder is not completely empty after urination.

Solutions and Management
If you are experiencing symptoms of BPH, it is essential to consult a healthcare professional for a proper diagnosis and treatment plan. Here are some potential solutions:
1. Lifestyle Modifications:
- Diet: A balanced diet rich in fruits, vegetables, and whole grains can support prostate health. Reducing intake of red meat and processed foods may also be beneficial.

- Hydration: Staying hydrated is essential, but consider reducing fluid intake in the evening to minimize nighttime urination.

- Caffeine and Alcohol: Both can irritate the bladder and may worsen urinary symptoms. Reducing or eliminating these substances may help.

2. Physical Activity: Regular exercise can help manage weight and improve overall health, which may alleviate some symptoms.

3. Medications: Over-the-counter medications may provide temporary relief, but prescription medications such as alpha-blockers or 5-alpha-reductase inhibitors are often more effective in managing BPH symptoms.

4. Avoiding Irritants: If you notice that certain foods or drinks exacerbate your symptoms, consider eliminating them from your diet.

5. Pelvic Floor Exercises: Kegel exercises can strengthen the pelvic floor muscles and may help improve urinary control.

Regarding Your Specific Concerns
You mentioned experiencing increased urinary frequency and intermittent flow, which can be associated with excessive masturbation. While occasional masturbation is generally considered normal, excessive frequency may lead to temporary changes in urinary function. It is advisable to take breaks and allow your body to recover.

Regarding your questions about abstaining from ejaculation, it is typically recommended to avoid ejaculation for a period to see if symptoms improve. This does not necessarily mean complete abstinence from sexual arousal; rather, it may involve refraining from orgasm.

As for your caffeine consumption, it may be wise to reduce your intake, especially if you notice it exacerbating your symptoms. Similarly, if you consume a lot of wheat products, consider moderating your intake, as some studies suggest that certain dietary choices may impact prostate health.

In conclusion, while lifestyle changes can significantly impact prostate health, it is crucial to consult a healthcare provider for personalized advice and treatment options tailored to your specific situation. Regular check-ups and open communication with your doctor can help manage symptoms effectively and maintain overall well-being.

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