When your prostate grows larger with age, it’s not just a normal part of getting older—it’s BPH, benign prostatic hyperplasia, a common condition where the prostate gland enlarges and presses on the urethra. Also known as prostate enlargement, it affects more than half of men over 60 and causes frequent urination, weak stream, and nighttime trips to the bathroom. BPH isn’t cancer, but it can seriously mess with your sleep, confidence, and daily life if left unmanaged.
There are several ways to handle it. Some men turn to finasteride, a prescription drug that shrinks the prostate by blocking the hormone that causes it to grow. Others try saw palmetto, a herbal supplement that may ease symptoms by reducing inflammation and hormone activity. Then there’s tadalafil, a pill originally for erectile dysfunction that also relaxes bladder muscles and improves urine flow. Each has different benefits, side effects, and costs. Finasteride works slowly but can prevent long-term problems. Saw palmetto is gentler but less proven. Tadalafil gives faster relief and helps with both BPH and ED—something many men appreciate.
What works for one person might not work for another. Some men need surgery. Others find relief just by cutting back on caffeine, avoiding alcohol at night, or doing pelvic floor exercises. The key is matching your treatment to your symptoms, lifestyle, and health goals. You don’t have to just live with it. There are real options, backed by studies and real-world use.
Below, you’ll find detailed comparisons of the most common treatments—what they do, how they stack up against each other, and who they’re best for. No fluff. Just clear, practical info to help you decide what’s right for you.
A detailed 2025 comparison of Dutasteride with Finasteride, Minoxidil, Spironolactone and other options, covering efficacy, side‑effects, cost and how to choose the right treatment.