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Men's Health - Part 2, Prostrate Health
The prostate is a walnut-sized gland that sits in front of and below the bladder. It has two layers, a thick outer layer and dense inner layer. These are transected by the urethra, which makes its way from the bladder to the penis. This makes the passage of urine susceptible to blockage if the prostate becomes enlarged. Finally, the tissue of the prostate is composed of glandular tissue, which produces secretions, and stromal or muscle tissue, both of which are important during ejaculation.
The most common prostate problem is Benign Prostatic Hyperplasia (BPH), a benign increase in size of the prostate gland that is most common with aging. It’s characterized by an increase in the number of cells in the prostate gland, particularly the stromal tissue. As the these cells multiply, the mass of the prostate increases and presses on the thin urethra. This pressure, coupled with irritated stromal tissue, causes the classic BPH symptoms of urinary obstruction. These include the inability to start or stop urine flow, an increase in the urgency to urinate, and the possibility of increased urinary tract infections.
The cause of BPH is not completely understood, but a common belief is that hormonal changes direct this process. As men age, testosterone decreases, but its metabolite, dihydrotestosterone (DHT), and estrogen begin to rise, triggering the growth of the prostate.
These changes, while normal in aging, might be influenced by lifestyle choices of a western culture. Men in China who live on a traditional diet have a very low occurrence of BPH, but those who live in cities and have adopted a more western lifestyle have a dramatically higher incidence. The influence of lifestyle choices on this condition cannot be overstated. A low-fiber, high-sugar diet coupled with inadequate exercise is a recipe for BPH, not to mention other chronic conditions. Treatment is typically a two-pronged approach: to decrease the irritation of the stromal cells and reduce the hormonal influence on the tissue.
A general approach for mild symptoms might initially include the use of anti-spasmotic herbs including saw palmetto, valerian, cramp bark, and maybe some extra magnesium. This eases the irritation of the stromal tissue and allows for a more fluid urination.
Secondly, hormonal balancing may be accomplished by dietary and lifestyle changes. An increase in dietary fiber and a reduction in sugar and non-organic meats as well as regular exercise can help reduce estrogen levels and keep hormones in balance.
As symptoms progress, more aggressive therapy may be indicated, but the basics should never be abandoned. Ultimately, your physician can best help you develop a treatment strategy that works for you.
Dr. Jeff Roush is a licensed naturopathic physician practicing at Natural Medicine Plus (www.naturalmedicineplus.com) in downtown Helena. He is available for general questions at the Real Food store Mondays from 3-6 pm.
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