Foods for Men With Benign Prostatic Hyperplasia - What Your Doctor Won’t Tell You About the Relation Between Your Diet and Your Prostate
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Foods for Men With Benign Prostatic Hyperplasia - What Your Doctor Won’t Tell You About the Relation Between Your Diet and Your Prostate - M. Ward Hinds
Foods for Men With Benign Prostatic Hyperplasia:
What Your Doctor Won’t Tell You About the Relation Between Your Diet and Your Prostate
M. Ward Hinds, MD, MPH
Copyright 2014 by M. Ward Hinds
All rights reserved. No part of this book may be reproduced or transmitted by any means, electronic or mechanical, including photocopying, recording, or by any information storage or retrieval system, without permission in writing by the author.
Acknowledgements
My sincere thanks to my editor daughter, Shana Schorsch and to my good friend, Dr. Tom Darden, for their very helpful reviews, comments and suggestions.
Preface
This book is not about prostate cancer. I want to make that clear now. Rather it is about a more common prostate condition - Benign Prostatic Hyperplasia, or BPH, sometimes referred to as an enlarged prostate
.
Prostate cancer is one of the most common cancers in men, with 233,000 cases estimated for 2014 in the United States by the National Cancer Institute. Furthermore, prostate cancer is expected to cause more than 28,000 deaths among American men in 2014. BPH, however, affects many more men than prostate cancer after middle age, although it is rarely a cause of death. If you do not already know this, you will learn in this book just how common BPH is.
I do not want to give the impression that the dietary recommendations I make herein have any effect on the risk of prostate cancer or affect the course of prostate cancer after diagnosis. The subject of diet and prostate cancer is a large subject on its own and could easily fill another book. However, if you are a guy age 50 or more and you are interested in how your diet may affect your risk of BPH, or the symptoms of BPH once you have it, then please continue reading.
Part One - The basics of what you need to know about BPH and diet
Introduction
OK, most men don’t really want to think about their prostate gland. It conjures up pictures of being old and having to get up at night to make a trip to the bathroom. Not stuff that is a lot of fun. Nevertheless, unless you have decided to die young (and I mean before the age of 60) or there is some unforeseen medical miracle in the near future, the chances are pretty good that you will have to think about your prostate gland, whether you want to or not.
If you don’t know already, there is a condition called Benign Prostatic Hyperplasia (BPH for short) that most men who live long enough will experience to some degree. Since you are reading this book, however, either the title caught your attention for some reason, or you know more than I am giving you credit for. But, since most books are bought by women and women read a lot more books than men (this probably doesn’t speak well of us guys), perhaps your wife or significant other saw this book and is reading it before she passes it on to you. If your wife or significant other is responsible for doing most of the food purchases and cooking in your relationship, that could be a really good thing for you. The purpose of this book is to change what you eat in order to reduce your risk of BPH; or, if you already have BPH, change what you eat in order to improve the symptoms you may be experiencing and thereby improve your quality of life.
I can speak from personal experience on this topic. I decided to write this book after I was diagnosed with BPH at the age of 68. Not long afterward, I started doing research to find out what alternatives or additions there might be to prescription drugs and surgery as treatments. Because of my training and experience as a physician epidemiologist (nothing to do with skin; epidemiologists mostly investigate the causes of disease) I have read a lot of research studies, as well as written and published more than a few. A number of my research publications dealt with diet and health. However, before my research for this book, BPH was not an area where my knowledge was much more than I had learned in medical school. Certainly I was familiar with the anatomy and purpose of the prostate gland, as well as the symptoms and some of the treatments for BPH, but not with any link between BPH and diet. Fortunately there has been a lot of research on the topic of BPH and diet over the past three decades. I spent time reviewing almost 100 of these studies and research articles, so I feel comfortable that there is a reasonable scientific basis for the recommendations I make in this book.
First, you need to be somewhat familiar with the basics of anatomy involving the prostate gland (see diagram below). You may have heard the joke that the prostate gland is pretty good evidence that God is a woman. Why else would the tube (the urethra) that carries urine from the bladder to the outside run right through the center of a gland that is destined in most men to enlarge and make urination difficult? If God were a man, would there be such bad engineering of our anatomy? Not likely! (this joke could be considered sexist, so I apologize if you think it is).
Figure. Male reproductive system in side view, showing location of prostate gland.
The prostate gland is normally about the size of a walnut in a young adult male. It can easily grow to twice that size or more when BPH develops. The primary function of the prostate gland is to secrete fluids that mix with sperm from the testicles to form ejaculate during orgasm. The prostate is partially muscular and contraction of these muscles during orgasm helps propel prostatic fluids and sperm into the urethra and out of the end of the penis. OK, there is