Benign Prostatic Hyperplasia (BPH) — also known as enlarged prostate — affects most men over 40 and almost all men over 60. It can cause frequent urination, weak urine flow, nighttime urination, urgency, and difficulty emptying the bladder.
Medication is often the first line of treatment for mild to moderate BPH symptoms, offering effective symptom relief without surgery.
Bangkok provides access to all major BPH medications, along with expert evaluation to determine the safest and most effective option.
This guide explains the main medications used for BPH, how they work, and when they’re recommended.
What Is BPH (Enlarged Prostate)?
BPH is a non-cancerous enlargement of the prostate gland. As the prostate grows, it compresses the urethra, making urination difficult.
Common symptoms include:
Weak urine stream
Frequent urination
Urgency
Nocturia (waking at night)
Difficulty starting urination
Dribbling after urination
Incomplete bladder emptying
Medication targets either muscle tension, prostate size, or hormonal pathways contributing to enlargement.
Types of BPH Medication
There are three main classes of medication, often used alone or in combination.
1. Alpha Blockers (Fastest Symptom Relief)
Improve urine flow within days.
Common brands:
Tamsulosin
Alfuzosin
Doxazosin
Silodosin
How they work:
Relax the smooth muscles in the prostate and bladder neck → easier urination.
Best for:
Men with bothersome urinary symptoms
Men needing immediate relief
2. 5-Alpha Reductase Inhibitors (5-ARI)
Shrink prostate size over 3–6 months.
Common brands:
Finasteride
Dutasteride
How they work:
Block DHT (a hormone that enlarges the prostate).
Best for:
Men with large prostates
Long-term management
Preventing urinary retention
3. PDE5 Inhibitor (Daily Cialis 5 mg)
Originally an ED medication, but FDA-approved for BPH.
Benefits include:
Improved urine flow
Reduced urgency
Enhanced sexual function
Works synergistically with alpha-blockers
4. Combination Medication
Often the most effective approach.
Examples:
Tamsulosin + Dutasteride
Tadalafil + Tamsulosin
Recommended for moderate–severe symptoms.
Who Should Take BPH Medication?
Medication is ideal for men who:
Have mild to moderate symptoms
Want to avoid or delay surgery
Want quick relief
Have not yet developed complications (infection, retention)
Medication is NOT ideal for:
Very large prostates (>100g)
Men with bladder stones
Men with chronic urinary retention
Men whose symptoms do not improve after 6 months
These cases may require Rezum, UroLift, TURP, or HoLEP instead.
Benefits of BPH Medication
1. Fast Symptom Relief (Alpha Blockers)
Improves flow and reduces discomfort.
2. Long-Term Size Reduction (5-ARIs)
Shrinks prostate tissue and prevents progression.
3. Improved Sexual Function (Daily Cialis)
Unique dual benefit option.
4. Non-Surgical
Convenient and easy to use.
5. Can Delay or Prevent Surgery
Especially when started early.
What to Expect During Consultation
A BPH evaluation may include:
Symptom questionnaire
Prostate exam
Ultrasound
Urine test
PSA blood test
Uroflowmetry
This determines which medication is most appropriate.
Potential Side Effects
Alpha Blockers
Dizziness
Retrograde ejaculation
Nasal congestion
5-ARI (Finasteride/Dutasteride)
Decreased libido
Lower semen volume
Rare mood changes
Daily Cialis
Back pain
Headache
Flushing
Most side effects improve with dose adjustment.
Why Men Choose BPH Medication in Bangkok
Affordable generics
Expert urologist evaluation
Comprehensive testing
Discreet and comfortable care
Part of complete BPH management (meds + minimally invasive options)
Frequently Asked Questions (FAQ)
How long until I see results?
Alpha blockers: 2–7 days 5-ARI drugs: 3–6 months Cialis: 1–2 weeks
Does medication cure BPH?
No — it manages symptoms and slows growth.
Can BPH worsen even with medication?
Yes — regular follow-up is important.
Can BPH medication improve erections?
Daily Cialis can.
Key Takeaways
BPH medication is safe, effective, and often the first treatment choice.
Alpha-blockers work quickly; 5-ARIs shrink prostate; Cialis improves both urinary and sexual function.
Medication success depends on correct diagnosis and monitoring.
Bangkok offers high-quality, affordable prostate care.
Menscape provides customized BPH treatment plans.
📩 Struggling with urinary symptoms? Book your private BPH consultation at Menscape Bangkok today.
