My F'ing Prostate

[Rwy]

Over the years I've posted a few times about my PSA. I've been through many docs, had more rectal exams than I care to discuss, I had a 4k test, I've had my prostate squeezed so hard that I've almost pissed all over the Dr's office. My current doc doesn't think I have prostate cancer he thinks I'm inflamed and have BPH. Once we agreed on this I bumped my test dose from 100mg to 200mg bc my levels were at 400 at 100mg. I feel really great at 200mg minus the BPH symptoms.

I'm currently on 5mg of Cialis, and .4 flow max. However, since I bumped up my test the quality of my urinary life has gone in the shitter. I'm pissing all the time and when I'm not pissing I feel like I have to piss. I can't empty. This shit is really frustrating, and is this normal for a guy in his early 40's to have BPH symptoms this severe?

I hate to be on a bunch of different meds but is there anything else I could take?

[kelkel]

Well said Cylon. I use fina (5mgs) and Doxazosin (4mg) which work well for me. Zero sides fortunately. Several years ago I also had the 3T MRI to rule out any issues.

Look at this:

https://www.urologyhealth.org/health...eatment-of-bph

[Rwy]

What was your PSA, total and free%?

You might treat for an infection if it came on kind of suddenly. I've had infections twice and that spiked PSA.

I'll comment more in a bit, I'm up to my elbows right this second.

I don't think I am being tested for total and free. My PSA was 2.10 a month ago which is down from 2.26 about 3 months ago.

[Rwy]

Alright so now that I have eaten so much I think my belly may explode, let me summarize my recent'ish experience with my goddang prostate, maybe it will help here.

DHT is the usual suspect in Prostate issues in men (yes, women actually DO have a prostate). In addition to Total and Free PSA, it would be good to see your DHT as well. Finasteride / dutasteride, which is the second line of defense for a lot of docs after cialis and flowmax, can crush your DHT, which is NOT a good thing. My brief experiment with fianasteride (1.25mg every 2 weeks for about 6 weeks) took my DHT from slightly clinically high to clinically low and I had all the negative sides. They did go away after coming off, but I said never again to finasteride.

Still, there are a lot of people that handle it well and reap the benefits of lowered DHT. All that said, if your DHT is well over range, and by well over range I mean 3x or more top of range, and you expect it to stay that way, then fina would be something I would look at. Personally, if I ever have to consider it again, it will be with a low concentration liquid. I"m talking .25mg per ml. It takes a miniscule amount of fina to cut your DHT in half. I want to say something like 200 MCG.

I actually MAY have discovered something that helps without hurting. I've been using an OTC prostate supplement called 'prostonic ultra' for the past two months and have noticed that my flow and emptying is GREATLY improved. Since using it, things have improved in that area enough that I am going to get my DHT and PSA checked next week to see if there are clinical changes in those numbers.

Two final thoughts: you mentioned a 4k test... Is that the same thing as a 3T MRI? The 3T MRI is the next greatest non invasive test for the prostate, but it HAS to be the 3T version. 3T evidently means 'Three Tesla' and has something to do with the equipment they use. I haven't had one, but if the need arises, I will do that well before a biopsy.

Finally, I would really recommend even a short (7 days or so) course of antibiotics if for no other reason than to rule out an infection. Worst case, ok, that wasn't it. Best case, that is exactly what it is and you may start feeling relief in literally 24 to 36 hours. Prostatitis evidently is one of those things that just shows up for no reason, so who knows, maybe you will get lucky and that will be it.

That's all I have atm. Good luck!

Thanks for all of this info. I have gone the antibiotics route. No help, unfortunately.

The 4k is the blood test, and it came back with a less than 1% chance of prostate cancer. I don't know if this is true but I have been told that the 4k test is not meant for someone who is in their 40's Its meant for men in their 60's.

I think my prostate is impacted by test bc of DHT as you said. When I came off test for 4 months my PSA dropped into the low 1's which is a number I have only seen when off test. Otherwise, I have been jumping all over the 2's for PSA for the past four years. I took my first intramuscular shot of test a week ago in I don't know how long. I'm wondering if that moved my PSA up and why I started getting the increased symptoms.

I have not done the 3t, and I'm going to push it now. It's just frustrating. I caught a nose bleed the other night where blood was just gushing out of my nose and I was reading that can happen with flow max.

I'm really struggling with aging ha

[MILKMAN73]

I second saw palmetto. Been taking it on the regular for s decade now. Can tell the difference. Read a recent study jt can also benefit with male pattern baldness, which was a new one to me.

[JSom]

What do the doctors say? Self-medication is not the most correct way to recover. You can harm other organs. Did you do an ultrasound scan, did you get tested? Is the problem in the prostate itself or is there some disease that causes problems with the prostate? there are some infections such as mycoplasma or ureaplasma.

[Smart-tony]

I've been taking Saw palmetto for 20 plus years, and its helped my prostate.

I take 1500mg dry herb saw palmetto everyday.

[jolter604]

I just looked up ten natural ways to better prostate health...

Natural remedies for an enlarged prostate

Pygeum (African plum extract) ...

Saw palmetto. ...

Zi-Shen Pill (ZSP) ...

Cernilton. ...

Orbignya speciosa (babassu) ...

Stinging nettle. ...

Cucurbita pepo (pumpkin seed) ...

Lycopene.



Eat, pound, sleep...

[jolter604]

I've tried about half of those. They seem to have minor effect at best. With that said though, they do seem to help some.

One thing that might help, and forgive me if @kelkel mentioned this already, is low dose nolvadex. He was the guy that first suggested it to me. It seems like when I have had that in my regimen, flow is better. I still need to do some more formal self testing but it seems promising.

I seen that also but did not want to put that but it did come up.

Eat, pound, sleep...

[Datsunbuff77]

I had problems going. Felt like I had to but couldn't. And when I did nothing would come I still felt like I had to pee. 5mg cialis did me wonders and I'm 33.

[DustMan]

i am 65 years old have had bph for years i feel you its a struggle... i have tried just about everything on the market..Very little help...there is one thing that does work good..Advil gel caps. any kind of Arthritic drugs work well..In my case it seems inflammation is my issue...i tell docs this they just look at me..no help

Have you tried Curcumin+Piperin daily? Takes about 2 weeks to kick in, if your issue is inflammation based it could be your answer without the shitty NSAID sides

https://examine.com/supplements/curcumin/

[Rwy]

Happy to report my peeing conditions are finally under control. Number 1 culprit IMO was drinking too much coffee. I eliminated it from my diet and my bathroom issues have ceased. I dropped the cialis (which I really didn't want to) but the combo of Cialis and Flowmax was giving me severe nose bleeds.

Thanks to Everyone for their input

[JackedZombie]

I’m 45 and for part of the last five years have had mild BPH issues but had a noticeable reversal after a course of the SARM Ostarine. Flow increased noticeably after only about 5 days and maintained all the way through the cycle and beyond. Since then I’ve always taken ostarine at 20mg/day whenever taking AAS and, according to my most recent exam, have a normal prostrate for a man my age rather than the mild enlargement that was noticeable 4-5 years ago.

The mode of action with Cardarine, as it was explained to me, is that cardarine acts as a partial agonist to the androgen receptors in the prostrate, fairly strongly binding to them but only very weakly (far more weakly than DHT or T) activates them - but in the presence of an exogenous increase in those hormones it starts to act more like a full antagonist in the prostrate, competing with the T and DHT and reducing their effects on that tissue without lowering systemic levels of those hormones.

Might be worth a try, or at the very least some further research.

[kelkel]

I’m 45 and for part of the last five years have had mild BPH issues but had a noticeable reversal after a course of the SARM Ostarine. Flow increased noticeably after only about 5 days and maintained all the way through the cycle and beyond. Since then I’ve always taken ostarine at 20mg/day whenever taking AAS and, according to my most recent exam, have a normal prostrate for a man my age rather than the mild enlargement that was noticeable 4-5 years ago.

The mode of action with Cardarine, as it was explained to me, is that cardarine acts as a partial agonist to the androgen receptors in the prostrate, fairly strongly binding to them but only very weakly (far more weakly than DHT or T) activates them - but in the presence of an exogenous increase in those hormones it starts to act more like a full antagonist in the prostrate, competing with the T and DHT and reducing their effects on that tissue without lowering systemic levels of those hormones.

Might be worth a try, or at the very least some further research.

Coincidentally I read this recently. Falls in line with what you're saying.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7108998/

https://www.opko.com/investors/news-...of-opk-88004-a

[Test Monsterone]

Over the years I've posted a few times about my PSA. I've been through many docs, had more rectal exams than I care to discuss, I had a 4k test, I've had my prostate squeezed so hard that I've almost pissed all over the Dr's office. My current doc doesn't think I have prostate cancer he thinks I'm inflamed and have BPH. Once we agreed on this I bumped my test dose from 100mg to 200mg bc my levels were at 400 at 100mg. I feel really great at 200mg minus the BPH symptoms.

I'm currently on 5mg of Cialis, and .4 flow max. However, since I bumped up my test the quality of my urinary life has gone in the shitter. I'm pissing all the time and when I'm not pissing I feel like I have to piss. I can't empty. This shit is really frustrating, and is this normal for a guy in his early 40's to have BPH symptoms this severe?

I hate to be on a bunch of different meds but is there anything else I could take?

Have you tried sub q injections? I pin sub q and my total test was 850 at 125 mg the day of injection, right before injection. At 200 mg you should be much higher. IM causes more of a rollercoaster.