Benign Prostate Hypertrophy

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Benign Prostatic Hypertrophy (BPH), also called Benign Prostatic Hyperplasia, is a non-cancerous enlargement of the prostate gland, commonly seen in men above 50 years of age. The prostate is a small gland that surrounds the urethra (the tube carrying urine from the bladder). When it enlarges, it compresses the urethra, leading to urinary difficulties.

The enlargement is primarily due to age-related hormonal changes, especially an imbalance between testosterone and estrogen levels, causing overgrowth of prostate tissue. Other contributing factors include genetic predisposition, sedentary lifestyle, obesity, and chronic irritation or infection of the urinary tract.

Symptoms include frequent urination (especially at night – nocturia), difficulty starting urination, weak urinary stream, dribbling after urination, incomplete bladder emptying, urgency, and burning or discomfort. In severe cases, urinary retention or infection may develop.

Though benign, untreated BPH can significantly affect quality of life and cause secondary complications like bladder stones, renal dysfunction, and recurrent urinary tract infections.on.

Homoeopathy treats BPH holistically by addressing both the local prostate enlargement and the constitutional or hormonal imbalance that causes it. Remedies are chosen based on the urinary symptoms, type of pain, emotional temperament, and general health of the patient.

Homoeopathic medicines help to:

• Reduce prostate inflammation and congestion
• Improve urinary flow and relieve dribbling or retention
• Prevent complications such as infections and bladder atony
• Enhance overall vitality and hormonal balance

Commonly indicated remedies include Sabal serrulata, Conium maculatum, Thuja occidentalis, Lycopodium clavatum, and Baryta carbonica, depending on the symptom pattern and constitution.

Symptoms / Causes / Treatment / Management

Natural Homoeopathic remedies to get rid of Benign Prostate Hypertrophy

Frequent urination at night with dribbling – Sabal Serrulata

Sabal serrulata is one of the most important remedies for BPH. The patient has frequent urination, especially at night, with a feeling of incomplete emptying. There is dribbling of urine, difficulty in starting the stream, and sometimes pain in the perineum. It also helps in prostatic enlargement with sexual weakness and burning in the urethra. Sabal acts directly on the prostate, helping to reduce its size and congestion naturally.

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Frequent desire with weak urinary stream – Conium Maculatum

Conium is suited to elderly men with slow, interrupted urination and weak bladder tone. The urine flows drop by drop, and there is a feeling of incomplete evacuation. The prostate is hard and enlarged. There may also be sexual weakness or loss of desire. It is indicated when prostatic hypertrophy progresses slowly, often in those who live sedentary lives.

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Enlarged prostate with burning and urgency – Thuja Occidentalis

Thuja is indicated in BPH with burning pain, frequent urge, and dribbling of urine, especially after urination. The stream splits or stops suddenly. The patient may have a sensation as if a drop remains in the urethra. It suits individuals with history of suppressed gonorrhea, prostatitis, or urethral discharge. Thuja helps to reduce chronic inflammation and hypertrophy of the gland.

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Frequent urination at night with bloated abdomen – Lycopodium Clavatum

Lycopodium suits men who have nocturnal frequency of urination with weak urinary stream and abdominal bloating. The urine is slow to start and comes in small quantities. The patient feels fatigue, flatulence, and has sexual weakness. Suited to those with liver sluggishness, digestive issues, and right-sided complaints. Lycopodium improves overall vitality and urinary function.

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Prostatic enlargement with loss of power and memory – Baryta Carbonica

Baryta carb is indicated in elderly men with prostate enlargement and general weakness. The urine passes slowly and often involuntarily at night. The prostate is enlarged and hard, with residual urine after voiding. These patients are usually timid, forgetful, and sensitive to cold. Baryta carb improves prostate health and delays further enlargement in senile cases.

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Burning, cutting pain with bloody urine – Cantharis Vesicatoria

Cantharis is valuable in acute inflammation of the prostate with burning, cutting pain before, during, or after urination. The urine may be bloody or scanty, and urination is extremely painful. It is especially useful in acute prostatitis complicating BPH, helping relieve pain and irritation rapidly.

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Dribbling of urine and constant urging – Chimaphila Umbellata

Chimaphila is an excellent remedy for chronic prostatitis and BPH with constant desire to urinate and dribbling of urine. The urine flow is very slow, and the patient may need to press or strain to start urination. There is a sensation of a ball in the perineum when sitting. It helps reduce congestion and improve bladder emptying.

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Pain in perineum and retention of urine – Digitalis Purpurea

Digitalis is indicated when there is difficulty in passing urine due to enlarged prostate, with a feeling of pressure in the bladder and perineum. The urine dribbles after long waiting, and the patient feels weak and anxious. It is also useful when there is cardiac weakness or irregular pulse associated with urinary problems.

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Prostate enlargement with scalding and irritation – Mercurius Solubilis

Merc sol suits patients who have burning and smarting pain in the urethra, with frequent, urgent urination and offensive discharge. The prostate is tender and swollen. There may be a sense of incomplete emptying. It helps in chronic prostatitis or secondary infection following BPH.

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Difficulty in urination with backache – Clematis Erecta

Clematis is indicated when there is difficulty in urination with dribbling, weak stream, and back pain. The urine flow starts and stops suddenly, with a sensation of obstruction in the urethra. It helps in chronic inflammatory conditions of the prostate and post-inflammatory strictures.

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Dribbling and retention after urination – Pareira Brava

Pareira brava is a classic remedy for difficulty in urination with pain radiating down the thighs. The patient strains hard, often kneeling on the floor to void. The urine is scanty and accompanied by pain in the perineum. It helps when enlarged prostate causes mechanical obstruction to urine flow.

In Homeopathy, Benign Prostatic Hypertrophy (BPH) is treated constitutionally to relieve urinary obstruction, burning, dribbling, and frequency, while simultaneously addressing the hormonal and vascular imbalance behind the enlargement. Remedies like Sabal serrulata, Conium maculatum, Thuja occidentalis, Baryta carbonica, and Lycopodium clavatum are among the most effective.

Alongside homeopathic treatment, patients should maintain adequate hydration, avoid alcohol, caffeine, and spicy food, empty the bladder regularly, and exercise gently to improve pelvic circulation. With individualized care, Homeopathy can relieve symptoms, reduce gland size, and prevent complications naturally and safely.