Prostate Enlargement at a Young Age: Causes and Solutions

Q: Prostate Enlargement at a Young Age: Causes and Solutions

Hello： What exactly is the reason for this issue at my age? --> Is it normal for the doctor not to prescribe medication to suppress or improve this phenomenon since the cause is unknown? --> If urination is normal, what can I do on my own to improve this condition or delay its de

Benign Prostatic Hyperplasia (BPH)

Hello Doctor, I am about to turn 37 this year.
For the past few years, I have been experiencing frequent urination, feeling the need to go to the bathroom often, but it is not uncontrollable.
I initially thought it was just due to drinking more water.
However, in the past two years, I have started to notice a sensation of incomplete emptying, with a few drops of residual urine leaking out after urination.

I visited a urology department at a large hospital for the first time and asked the doctor if I might have benign prostatic hyperplasia (BPH).
The doctor said that at my age, it is unlikely to have BPH and suggested that it might be overactive bladder syndrome.
He prescribed medication for overactive bladder, but it did not improve my condition.
During a follow-up visit, the doctor believed it could be a psychological issue, reiterating that it is unlikely for someone my age to have enlargement issues.
He recommended that after urination, I gently push in the perineal area to help empty my bladder completely, and said there was no need for further visits.
Although this method somewhat reduced the leakage of residual urine, it did not completely resolve the issue.
This year, during a company health check, I had a prostate ultrasound, and the report indicated BPH (40mg) and a 1cm prostatic cyst.
I returned to the large hospital for further examination and consulted other doctors.
The doctors were surprised by the health check report and conducted thorough tests, including blood tests, urine tests, bladder residual volume tests, and two types of ultrasound (abdominal and transrectal).
The results confirmed that I do indeed have BPH, but fortunately, all cancer markers were normal, and the post-void residual volume was less than 20cc, with the prostatic cyst deemed benign.
Currently, aside from experiencing residual urine leakage and a sensation of incomplete emptying, my sexual function and other conditions are normal.
In this situation, the doctor advised me to continue monitoring every six months and to start medication only if there is further deterioration; surgery would only be considered if medication management is ineffective.
The doctor mentioned that such BPH issues are rare in my age group and suggested that it might be more likely hereditary (although, to my knowledge, my father does not have this condition).

I am eager to understand the underlying causes of this deterioration and how to improve it.
My job requires prolonged sitting, often for two to three hours at a time, with daily working hours of about 10-12 hours.
However, my sleep schedule is relatively normal, averaging from 1:00 AM to 8:30 AM.
My diet is light, and my sexual activity is normal (1-2 times per week).
I am currently taking pumpkin seed and lycopene supplements.
Having BPH at such a young age worries me and adds psychological stress.
I would like to ask the doctor what might be causing this issue at my age.
Is it normal that the doctor has not prescribed medication to manage this condition? What can I do to improve this situation or delay its deterioration? Thank you very much for taking the time to review my situation and provide your advice.

Jason Chen, 30~39 year old female. Ask Date: 2021/05/31

Dr. Du Shixi reply Urology

Hello: What exactly is the reason for this issue at my age? --> Is it normal for the doctor not to prescribe medication to suppress or improve this phenomenon since the cause is unknown? --> If urination is normal, what can I do on my own to improve this condition or delay its deterioration? --> Diet and moderate exercise, along with regular follow-ups.
Wishing you good health.

Reply Date: 2021/05/31

More Info

Prostate enlargement, or benign prostatic hyperplasia (BPH), is typically associated with older age, but it can occur in younger individuals as well. Your case at 37 years old is indeed less common, but it is not unheard of. Understanding the causes and potential solutions for prostate enlargement at a younger age is crucial for managing your symptoms and maintaining your overall health.

Causes of Prostate Enlargement at a Young Age
1. Hormonal Changes: The prostate gland is sensitive to hormonal changes, particularly testosterone and its derivatives. As men age, the balance of hormones can shift, leading to prostate enlargement. In younger men, this can sometimes be due to genetic predispositions or hormonal imbalances.

2. Genetics: Family history plays a significant role in the likelihood of developing prostate issues. Even if your father did not experience prostate enlargement, other genetic factors could be at play.
3. Lifestyle Factors: Your work environment, which involves prolonged sitting, can contribute to urinary issues. Sedentary lifestyles are associated with various health problems, including urinary tract issues. Additionally, diet and hydration habits can influence prostate health. Although you mentioned a generally healthy diet, factors like excessive caffeine or alcohol consumption can exacerbate urinary symptoms.

4. Psychological Factors: Stress and anxiety can contribute to urinary symptoms, including the feeling of incomplete bladder emptying. The psychological impact of your condition may also contribute to a cycle of anxiety that can worsen your symptoms.

5. Underlying Medical Conditions: Conditions such as diabetes or metabolic syndrome can also affect prostate health. If you have any underlying health issues, they may need to be addressed to improve your urinary symptoms.

Solutions and Management Strategies
1. Regular Monitoring: Since your doctor has recommended monitoring your condition every six months, it is essential to adhere to this schedule. Regular check-ups will help track any changes in your prostate health and allow for timely intervention if necessary.

2. Lifestyle Modifications:
- Exercise: Incorporating regular physical activity can improve overall health and may alleviate some urinary symptoms. Aim for at least 150 minutes of moderate aerobic activity each week.

- Diet: Continue with a balanced diet rich in fruits, vegetables, and whole grains. Foods high in antioxidants, such as tomatoes (rich in lycopene), may support prostate health. You mentioned taking pumpkin seeds and lycopene supplements, which can be beneficial.

- Hydration: Ensure you are drinking enough water throughout the day, but consider moderating fluid intake in the evening to reduce nighttime urination.

3. Pelvic Floor Exercises: Kegel exercises can strengthen the pelvic floor muscles, potentially improving urinary control and reducing the sensation of incomplete emptying.

4. Stress Management: Since psychological factors can exacerbate urinary symptoms, consider stress-reduction techniques such as mindfulness, meditation, or yoga. These practices can help alleviate anxiety and improve your overall well-being.

5. Medication: If your symptoms persist or worsen, discuss with your doctor the possibility of medication to manage BPH symptoms. Alpha-blockers or 5-alpha-reductase inhibitors are commonly prescribed for BPH and can help alleviate urinary symptoms.

6. Surgical Options: While surgery is typically considered a last resort, it may be necessary if your symptoms significantly impact your quality of life and do not respond to other treatments.

Conclusion
While it is unusual for someone your age to experience prostate enlargement, it is essential to address your symptoms proactively. Regular monitoring, lifestyle modifications, and open communication with your healthcare provider are key to managing your condition. If you continue to experience symptoms or have concerns about your prostate health, do not hesitate to seek further medical advice. Your health and peace of mind are paramount, and there are various strategies available to help you navigate this situation effectively.

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