Prostate Health

What science can tell us about sex.
BobRenken
Twin size
Posts: 46
Joined: Mon Sep 03, 2012 6:51 am
Date of your marriage (past or future): January 1st, 2001
Gender: Couple

Re: Prostate Health

Postby BobRenken » Thu Jun 02, 2016 6:12 am

Job29Man wrote:
Dale wrote:I've used saw palmetto for several years.
That stuff grows around here like a weed. It springs up in the woods everywhere. The old locals call it "swamp cabbage" and make a meal out of the inside of it. Hmmmmm. Maybe I should try that?

They make the supplement from the ripe berries.

User avatar
OldBear
King bed
Posts: 706
Joined: Thu Feb 07, 2008 5:58 pm

Re: Prostate Health

Postby OldBear » Sat Jun 04, 2016 9:39 am

Job29Man wrote:What is the best way for a 50 something man to keep his prostate in good shape long into his later years?
Other than getting PSA tests, what are the signs that the prostate is not doing so good?
What is the benefit to health and to sex, of having good prostate health?
If your prostate has declined in health, how do you reverse it?
What is the significance of a diminishing force of a urination stream?


This week I had my 6 month prostate check-up with my urologist. Due to an enlarged prostate condition that I waited too long to address over the years, he performed a TUMT (transurethral microwave therapy) procedure on my prostate about three years ago. The benefits of the procedure were significant, but due to the neglect and as time goes on enlargement continues to increase and my prostate health needs constant attention. BTW, my PSA score is rock solid low.

When he administered the IPSS (International Prostate Symptom Score)

http://www.urospec.com/uro/Forms/ipss.pdf

recommended to urologists for their patients, he was surprised with my very low good scores (nearly all 0) on every measure except for the last question on 'quality of life' where I scored an unhappy 5.

He asked me 'why' and my response was "due to my chronic 'situational incontinence'." He knew of this problem and had recommended that I cut out all caffeine and alcohol. Yet, over the past 6 months, whenever I get out of my car I experience a slight leakage. This situational incontinence requires me to wear a light shield pad - not something to be happy about for the rest of my life.

My doctor (a highly respected Christ-follower in our community) then engaged with me in a thoughtful and specific discussion about prostate health. Here's what he prescribed for me.

1. No caffeine or alcohol (continue with my abstinence).
2. Urinate immediately upon getting up in the morning and urinate a second time, soon thereafter. This is to practice 'double voiding.'
3. Urinate every 3 hours. He explained to me that as we age, the brain impulse to give us the urge to urinate is impaired (the S.O.S electrical circuit is less effective over time). By urinating regularly, the bladder muscles are not impaired by a constant state of bladder pressure. Thus, the wisdom of 'never pass a bathroom' for we older men makes sense.
4. Do not over hydrate. This surprised me as I've always heard that drinking plenty of water was healthful. My urologist said that unless you are a 'stone maker' (you need to move plenty of fluids through your kidneys) or you are not active in the heat of the day (golf or yard work) keep hydration to 4 X 16 oz. per day, and don't drink fluids (other than a sip) for a few hours before bed. In my case, I probably have been consuming 6 to 8 16oz. amounts of fluid per day.

Number 5 surprised me! After I joked that I'd like a prescription for more sex as I wondered if better prostate health could be achieved with prostate exercise :D he said the following, "You should have an orgasm about three (3) times per week. What we have learned is that the male body sets a thermostat for prostate evacuation at an early age - around 20. Most people assume that as men age that the need for the prostate to be relieved of fluid diminishes; that is not so. In fact, the biological fact is that the prostate needs to be evacuated regularly. As men age, their drive diminishes and they think that it parallels the biological health needs of their prostate. So, you ought to ejaculate three times per week." He then added, "I've encouraged my patients to share this fact with their wives although they probably won't believe you! Nonetheless it's the healthy thing to do and important to prostate health."

After this conversation he told me that if I follow these 5 pieces of advice my situational incontinence would most likely go away and further need to address my enlargement issue would be unnecessary.

When I returned home from my appointment, Mrs. Oldbear was waiting to hear how it went, hoping that I didn't need a follow-up prostate procedure. I shared 'prescription' points 1 through 4 in a matter of fact way, and then enjoyed sharing number 5. She did a kiddingly :roll: How am I doing? I'm disciplining myself on 1 - 4 and Mrs. Oldbear is game on number 5. Just yesterday, she said, "It's been a day or two, you need some medicinal help.' :P

User avatar
Job29Man
Pay no attention to the folks behind the curtain.
Pay no attention to the folks behind the curtain.
Posts: 8054
Joined: Wed Jul 26, 2006 3:52 pm
Date of your marriage (past or future): August 2nd, 1980
Gender: Male
Location: Hobby Farm, USA

Re: Prostate Health

Postby Job29Man » Sat Jun 04, 2016 9:51 am

OldBear, great post. Thanks buddy! :D
Wanting to become like Job, as described in the Bible, the book of Job chapter 29. Hence the screen name.

User avatar
George B.
On the floor
Posts: 1646
Joined: Fri Jan 14, 2005 2:12 am
Date of your marriage (past or future): July 20th, 1996
Gender: Male
Location: Further up and further in

Re: Prostate Health

Postby George B. » Sat Jun 04, 2016 10:59 am

Very helpful post, OldBear! Thanks!
On sex: "Neither men nor women will be asked to throw away the weapon they have used victoriously. It is the beaten and the fugitives who throw away their swords. The conquerors sheathe theirs and retain them."-C.S. Lewis

User avatar
beekeeper
California King
Posts: 839
Joined: Wed Nov 16, 2005 7:34 am
Date of your marriage (past or future): December 12th, 1981
Gender: Male
Location: Forests of Maine
Contact:

Re: Prostate Health

Postby beekeeper » Sat Jun 04, 2016 12:02 pm

OldBear wrote:What we have learned is that the male body sets a thermostat for prostate evacuation at an early age - around 20. Most people assume that as men age that the need for the prostate to be relieved of fluid diminishes; that is not so.

In the Navy they have quarterly health training requirements, about once every year, on subs is a lecture on prostate maintenance. What you doctor said as #5, is basically what I was told every year for 20 years on subs.

Submarine docs are concerned about prostate enlargement and hardening. Which would cause un-needed medical emergencies among the crew. So any evidence that we were not flushing our prostates regularly is punishable by UCMJ.

MisterV
Twin size
Posts: 42
Joined: Mon Jan 23, 2017 7:41 am
Date of your marriage (past or future): August 24th, 2008
Gender: Male

Prostate enlargement/BPH without ED - preventatives? Alternative therapy?

Postby MisterV » Mon Jan 30, 2017 7:27 am

Looking for tips on ways to beat BPH. I'm 38, and it popped up as a side note a couple of years ago when I was having some back issues and had a CT done. My doctor asked if I was having problems with it and I automatically responded "no".
Since then I've noticed that it isn't quite so simple. If we go into the bathrooms at the same time my wife is usually out first. I had a spat of prostatitis a year ago, and was given antibiotics and Flomax to treat it. I may not have noticed things before, but when I came off the Flomax it was pretty obvious that my prostate was starting to cause trouble. One day I was curious enough to check things out in the bathroom, and it is big (unless I found my bladder, but that had been emptied). Let's say that I no longer look at those larger 'Cutie' clementine oranges the same way.

I'm mentally getting myself ready to have "the conversation" with my doctor the next time I go in (unless I find an excuse to delay :P ) because my rational brain is saying that this is best looked into and at least tracked.

At this point I don't have ED and I'm pretty sure that I can go without drugs for a while. I'd like to keep it that way. The Flomax has side effects. They told me that it would probably reduce my ejaculation, and it did (it went away). It also changed the quality of orgasm and made LM take longer, which did not appeal to my wife (she usually wants it over with). Supposedly Cialis is an option, but it's expensive, can cause deafness, and will make me feel like a sex fiend every time I go and pick it up. It also won't do anything to stop progression (neither will the Flomax). Proscar will, but that has it's own big list of bad things that happen. I'd love to find something that will slow progression, reduce symptoms and ideally has few side effects.

I've seen references to saw palmetto (some say it works, some say not), soy, prostate massage, warm sitz baths. I will ask for my doctors professional opinion whenever I wind up having the talk, but what do the TMB guys/wives of guys think on things I can do?

MandE
Twin size
Posts: 31
Joined: Sun Jul 10, 2011 2:17 pm
Date of your marriage (past or future): September 8th, 1980
Gender: Male

Re: Prostate enlargement/BPH without ED - preventatives? Alternative therapy?

Postby MandE » Tue Jan 31, 2017 7:09 pm

So I'm 63. As my PSA has increased over the past 10 years from mid-3's to 7's, I have had two prostate biopsies that DID NOT detect cancer. I have slow start-stop urination and mild ED. I have taken Flomax and RapaFlow and didn't like the retrograde ejaculation and the low blood pressure it brought. I do take Cialis but only every two or three days. The first 5mg pill I took that morning was - WOW! That night I had a strong erection PLUS My ears rang and I had indigestion. Because of these side effects I started dividing the pills to reduce the dose. Now I'm taking 5mg over about 6 days. Much lower side effects. I still get some urination relief with Cialis but not much. Urination is still slow. I agree with you on the drugs but they may give you relief you need.

I have my PSA tested twice a year - once for my annual physical and once for my urologist. After the finger exam he has been saying "that's really large". I am going to the Uro in two weeks. I want the flow to increase and am considering UroLift or a laser treatment.

You are young. To stay ahead of any future problems, please start seeing a urologist regularly. He (or she) will give you good advice for the years to come.

tjw
King bed
Posts: 560
Joined: Thu Jul 28, 2016 3:34 pm
Date of your marriage (past or future): April 17th, 2010
Gender: Male

Re: Prostate enlargement/BPH without ED - preventatives? Alternative therapy?

Postby tjw » Wed Feb 01, 2017 6:13 am

I've been taking Flomax for about 6 years (I'm 64) and finasteride for about 2 years. I don't know of any preventative therapy, it seems like most of us get it, and most of us just have to live with the side effects.....because not being able to pee is worse.....however you're pretty young for this to start.

Open simple prostatectomy carries risk of impotence and of dry ejaculation itself, along with the usual surgical risks of infection and bleeding.

I would check out the urologist, for sure.

MisterV
Twin size
Posts: 42
Joined: Mon Jan 23, 2017 7:41 am
Date of your marriage (past or future): August 24th, 2008
Gender: Male

Re: Prostate enlargement/BPH without ED - preventatives? Alternative therapy?

Postby MisterV » Wed Feb 01, 2017 6:36 am

Oh, my. I hope there are many years before surgery is even mentioned (that's one of the reasons I was asking about preventatives). My dream was that it would be a bit like if someone is heading for diabetes, and there is just a list of things you can do at home to head it off. I guess not.
I'll probably leave a message for my doctor that it's something that really needs to be brought up the next time I'm in. For some reason this kind of stuff seems easier to bring up when there's 15 miles between you and the doctor. I'll let my PCP make the call on the specialist. If so then I need to decide if I'm going to continue seeing the guy I saw before. Maybe I need a doctor who is a bit more forceful. Two visits, one for possible prostatitis/prostate issues once for testicular discomfort and I managed to talk my way out of there without taking my pants off. Seemed great at the time, but in retrospect perhaps not very helpful.

stayinfaithful
Queen bed
Posts: 249
Joined: Sun Jul 12, 2009 5:15 pm
Date of your marriage (past or future): September 6th, 1988
Gender: Male

Re: Prostate Health

Postby stayinfaithful » Fri Feb 03, 2017 7:44 am

I wouldn't get carried away with worry, MisterV. But, that being said, you are young and you'll want to look at ways to avoid enlargement and complications related to that as you age. In my mid 40's my dad came down with prostate cancer after having a very large gland with the usual related complications to that for many years and although, and praise the Lord, he is cancer free after treatment many years ago, his urologist at the time when he was talking to me about it asked what I was doing about my prostate. I responded that I'd had a routine check and PSA and they were good and mentioned at the time that I'd tried a little finasteride (which had just come out recently) to see if it would help avoid hair loss that runs in my family too. He really liked the idea and suggested I continue since I had no negative effects from it and since studies were being looked at at the time to see if those agents would not only prevent prostate enlargement but also reduce the risks of prostate cancer. Well, it's years later and thankfully I still have a small gland and good sexual function and outside of reduced semen volume on ejaculation (which hasn't reduced the intensity or enjoyment of orgasm, best I can tell) I feel fine.

I know everyone's response to embarking on something like this for preventative effects may not be as successful or free of unwanted side effects as my experience has been, but my current urologist who has followed my situation through this continues to like the idea. I would not attempt to make recommendations for anyone's specific situation, but I would suggest that if someone had a strong family history of significant BPH symptoms and particularly prostate cancer and was concerned that gland enlargement symptoms were beginning, they get a good urologist's exam and opinion about all the options that could be considered. Best wishes for your success with all this.

MisterV
Twin size
Posts: 42
Joined: Mon Jan 23, 2017 7:41 am
Date of your marriage (past or future): August 24th, 2008
Gender: Male

Re: Prostate Health

Postby MisterV » Sun Feb 05, 2017 1:14 pm

The "official" effects of finasteride (shrinking of the prostate because of reduced DHT-stimulated growth) are exactly what I would like, and if my numbers are correct mine is getting up to where they might consider it, but there are two downsides.
Doctors don't like finasteride because it throws off the PSA numbers and makes it harder to figure out if you have cancer.
I would avoid it because I would be ineligible to give blood. Yeah, it's not a big thing, but people need to do the little things to help out as well.

User avatar
OldBear
King bed
Posts: 706
Joined: Thu Feb 07, 2008 5:58 pm

Re: Prostate Health - A Success Story Update

Postby OldBear » Tue Feb 07, 2017 4:27 pm

Earlier on the Prostate Health thread I shared the following to Job's set of questions:

OldBear wrote:
Job29Man wrote:What is the best way for a 50 something man to keep his prostate in good shape long into his later years?
Other than getting PSA tests, what are the signs that the prostate is not doing so good?
What is the benefit to health and to sex, of having good prostate health?
If your prostate has declined in health, how do you reverse it?
What is the significance of a diminishing force of a urination stream?


This week I had my 6 month prostate check-up with my urologist. Due to an enlarged prostate condition that I waited too long to address over the years, he performed a TUMT (transurethral microwave therapy) procedure on my prostate about three years ago. The benefits of the procedure were significant, but due to the neglect and as time goes on enlargement continues to increase and my prostate health needs constant attention. BTW, my PSA score is rock solid low.

My doctor (a highly respected Christ-follower in our community) then engaged with me in a thoughtful and specific discussion about prostate health. Here's what he prescribed for me.

Five Point Prostate Health Plan

1. No caffeine or alcohol (continue with my abstinence).

2. Urinate immediately upon getting up in the morning and urinate a second time, soon thereafter. This is to practice 'double voiding.'

3. Urinate every 3 hours. He explained to me that as we age, the brain impulse to give us the urge to urinate is impaired (the S.O.S electrical circuit is less effective over time). By urinating regularly, the bladder muscles are not impaired by a constant state of bladder pressure. Thus, the wisdom of 'never pass a bathroom' for we older men makes sense.

4. Do not over hydrate. This surprised me as I've always heard that drinking plenty of water was healthful. My urologist said that unless you are a 'stone maker' (you need to move plenty of fluids through your kidneys) or you are not active in the heat of the day (golf or yard work) keep hydration to 4 X 16 oz. per day, and don't drink fluids (other than a sip) for a few hours before bed. In my case, I probably have been consuming 6 to 8 16oz. amounts of fluid per day.

5. Have an orgasm about three (3) times per week.

Number 5 surprised me! After I joked that I'd like a prescription for more sex as I wondered if better prostate health could be achieved with prostate exercise :D

He said the following, "You should have an orgasm about three (3) times per week. What we have learned is that the male body sets a thermostat for prostate evacuation at an early age - around 20. Most people assume that as men age that the need for the prostate to be relieved of fluid diminishes; that is not so. In fact, the biological fact is that the prostate needs to be evacuated regularly. As men age, their drive diminishes and they think that it parallels the biological health needs of their prostate. So, you ought to ejaculate three times per week." He then added, "I've encouraged my patients to share this fact with their wives although they probably won't believe you! Nonetheless it's the healthy thing to do and important to prostate health."

After this conversation he told me that if I follow these 5 pieces of advice my situational incontinence would most likely go away and further need to address my enlargement issue would be unnecessary.

When I returned home from my appointment, Mrs. Oldbear was waiting to hear how it went, hoping that I didn't need a follow-up prostate procedure. I shared 'prescription' points 1 through 4 in a matter of fact way, and then enjoyed sharing number 5. She did a kiddingly :roll: How am I doing? I'm disciplining myself on 1 - 4 and Mrs. Oldbear is game on number 5. Just yesterday, she said, "It's been a day or two, you need some medicinal help.' :P


Since this post (some months ago) I returned for my annual check-up with my Dr. just after the New Year. I was concerned because he had expressed concern about the increased size of my prostate when he gave me the Five Point prescription earlier in 2016.

After completing the digital exam, he proclaimed my prostate to have actually shrunk and asked about my incontinence issue. I told him that I'm virtually incontinence-free. We then went through the Five Point Prostate Health Plan. I got an 'A' on each of the first 4 Prostate Health Plan activities and he gave Mrs. Oldbear an 'A' on number 5! :D

This post is a praise for my improved prostate health and an encouragement to us older guys to practice good prostate health. It's also an encouragement to the DWs to make sure that their DHs are having an O frequently.

Mrs. Oldbear has been fantastic. She always responds to my request to reach an O every two days, and if three days go by, she'll invite me to have an O. (I'm not always in the mood, and her encouragement helps a lot.) Furthermore, she has perfected an external prostate massage that maximizes the expelling of seminal fluid. There is no question that she gets an 'A' on number 5 and that it has truly made a difference. Ladies, please take note if your DH has BPH.

stayinfaithful
Queen bed
Posts: 249
Joined: Sun Jul 12, 2009 5:15 pm
Date of your marriage (past or future): September 6th, 1988
Gender: Male

Re: Prostate Health

Postby stayinfaithful » Tue Feb 07, 2017 8:36 pm

It's true you can't give blood when taking finasteride or dutasteride but in those instances returning some sort of service to one's community can take other forms of volunteer or other worthy contributions to the welfare of others. As far as PSA's go when taking these agents, urologists and experienced family physicians understand exactly what kind of response curve your PSA values should take while initiating and then maintaining dosing of these agents and what to look for in these values when it's necessary to suspect something is wrong.

Romantic Husband
King bed
Posts: 308
Joined: Sun Jan 04, 2015 10:31 am
Date of your marriage (past or future): January 1st, 1978
Gender: Male
Location: Texas

Re: Prostate Health

Postby Romantic Husband » Wed Feb 08, 2017 1:20 pm

I would suggest that anyone contemplating the use of finasteride learn as much as possible about this drug. In my case, it was a libido killer, and I will never use it again.
Matthew 19:26 - With God all things are possible.
Philippians 4:13 - I can do all things through Christ which strengtheneth me.

User avatar
Crown of Iron
On the floor
Posts: 1682
Joined: Fri Aug 31, 2007 10:58 am
Date of your marriage (past or future): November 2nd, 1985
Gender: Male
Location: Water Winter Wonderland

Re: Prostate Health

Postby Crown of Iron » Thu Feb 09, 2017 9:54 pm

Finasteride has done nothing to inhibit my libido; because it helped reduce my BPH, and am better able to urinate, I can concentrate and desire sex more often. It also makes O's more pleasurable. Plus, it helps me keep my head of hair (All of my mother's brothers were bald).

Flomax has not been helpful at all; they told me I had to take it pretty much 30 min. after eating - not 35, not 25, 30. I can't really notice any difference in urination, either.

Once in a while I'll take a/some Cialis; I can take 20mg before I really notice it working, but boy does it work well above that threshold! Viagra gives me a stuffy nose and a headache.

One thing that's been quite helpful is my Aneros devices; regular use has given me better, stronger erections, and has helped my BPH as well.

MisterV
Twin size
Posts: 42
Joined: Mon Jan 23, 2017 7:41 am
Date of your marriage (past or future): August 24th, 2008
Gender: Male

Re: Prostate Health

Postby MisterV » Fri Feb 10, 2017 6:48 am

Crown of Iron wrote:Flomax has not been helpful at all; they told me I had to take it pretty much 30 min. after eating - not 35, not 25, 30. I can't really notice any difference in urination, either.

I've been on and off that a couple of times. The effects seem variable, but the time after eating might be a factor there. One bottle I got had a sticker that said "take before bed." Since that was easier than watching the clock after dinner I started doing that. When it's working I get an extra 5-6 mL/second flow rate, which I do notice. It does have sexual side effects, which my wife will even notice (she does prefer it when I'm off)

One thing that's been quite helpful is my Aneros devices; regular use has given me better, stronger erections, and has helped my BPH as well.


I've heard stuff like this about prostate massage from several sources. I might see if my wife would be willing to put her finger in the game. Rumor has it that in the right context it can even feel good.


Return to “The Science of Sex”

Who is online

Users browsing this forum: No registered users