A helpful herb

A noncancerous enlarged prostate--also known as benign prostatic hyperplasia, or BPH--is a common cause of sexual dysfunction such as erectile dysfunction or loss of sex drive. Unfortunately, some drugs used to treat benign prostate enlargement may also cause sexual dysfunction as a side effect, so there is a need for other treatment options.

In this study, 69 men (average age 57 years old) received saw palmetto berry extract (320 mg of extract, providing 275 mg of fatty acids) daily for eight weeks. Participants' symptoms were measured at the start and end of treatment through questionnaires. Overall symptoms were reduced by an average of 50%, and sexual function improved by an average of more than 30%.

Regarding its effects on BPH, the study authors comment, "Based on these promising results, which are also reflected by the good acceptance of patients and investigators, we consider saw palmetto to be the first-line treatment for patients with mild and moderate symptoms, as it may also improve concomitant [sexual dysfunction], while having a very good tolerability and cost effectiveness."

Safely using saw palmetto

Nearly all of the men in this study said they would prefer taking an herb rather than a prescription medication for their symptoms if it worked well and was proven to be safe. Herbs and drugs may interact and cause side effects, so it is important to talk with a doctor before starting a supplement to understand the risks and benefits. If you suffer from symptoms related to an enlarged prostate, talk with a knowledgeable doctor about treatment options.

(Phytother Res 2012 DOI: 10.1002/ptr.4696)