As men get older, they become more likely to experience symptoms of prostate enlargement. This is a common phenomenon that isn’t necessarily dangerous, but it can be inconvenient to have urine flow slow or to be unable to empty the bladder completely. There are medications for enlarged prostate. Are there natural alternatives as well?

Most men will develop prostate cancer if they live long enough. In many cases, it is very slow growing and has no impact on the quality of life. In other cases, though, it is more aggressive. How is prostate cancer treated and what are the pros and cons of a watch and wait policy?

Erectile dysfunction can be a red flag for other health concerns. What treatments are best?  What other issues should be considered for men with this problem?

Guests: Culley C. Carson III, MD, Rhodes Distinguished Professor and Chief of Urology at the University of North Carolina School of Medicine. (Photo is of Dr. Carson)

Mark W. McClure, MD, Founder and director of Landmark Urology and Complementary Medicine in Raleigh, NC. He is author of Smart Medicine for a Healthy Prostate.

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  1. FH

    In February 16, 2008 radio show with regard to men’s health, it was discussed that one of the best natural cures for prostate enlargement is Saw Palmetto. My problem is urine slow flow and dribbling.
    One of the best sources mentioned for Saw Palmetto is a company in Asheville, NC. What is their website or phone number? What is the recommended dosage for my problem? Are there other natural cures I may consider? What’s an effective prescribed med?

  2. SM

    My husband (61 yrs. young) truly believes that since we’re not having sex 3-5 times a week (we may have sex once, maybe twice within 14 days or so) is the reason he doesn’t have erections anymore. Is it possible that this lack of use causes a man to loose his erection? Not even semi-hard. I’m 50 yrs. old and believe I’m starting menopause (minipausing) or giganticpausing regarding sex; my drive isn’t what it use to be! Please answer this conflicting question for us.

  3. Martin Wanserski

    I am 64 years old and suspect I have an enlarged prostate gland because on one trip to the bathroom each night to urinate. I have no problem with erectile disfunction but I seldom have an orgasm. I’ve never found anything in writing on this matter nor was it mentioned by Dr. McClure. Where do I look to learn whether this is primarily a physical or psychological matter.

  4. Everett

    I described to my physican that my penis when erection occurs is bent. He laughed and suggested that is was not uncommon my age (then 71) and that only extensive surgery could possibly correct. I was surprised to learn that medication may correct the situation. My wife says that its a bit uncomfortable, but tolerable.

  5. dennis

    I am 62, not overweight,not a drinker, eat healthy, non-smoker and do not do drugs. I use to be very physical (2.5 years ago), lap swimming and playing intense tennis (3 hrs. min) 3-4 times a week, but now I need to get back to exercise again. My PSA was 6, I am enlarged, and my doc gave me a strong antibiotic and a month later retested to 4.5
    I am now sharing my life with a new energetic wife of 63, who is slim, a veggie, and very sensual. I have never had the intensity of beautiful and fulfilling love making in my life as I have now. HOWEVER, I no longer am trobing hard as I was in the past, and I could normally go 3/4 times within 5 min. each time. I have not had sex for over two years, and now I sometimes cannot get hard (yet the rest of my body is VERY ready to go) when everything is perfect. I have been taking blood pressure pill to keep me within the proper ranges (sometimes I am on the bottom range) and have been taking this drug for about 15 years. I had a very rough hernia operation almost two years ago.
    I feel something is dysfunctional with me. I have tried Viagra, but nothing changes in my condition. I now feel that perhaps I will be a disappointment.

  6. JHM

    I tuned in late to your program today (2/16), so I don’t know if you discussed this problem: what can be done to help an active, healthy man in his mid-sixties who has no problem achieving or maintaining an erection but finds it very difficult and time-consuming to achieve orgasm?

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