First line
Tamsulosin
An alpha-blocker that relaxes muscle in the prostate and bladder neck. Flow often improves within days.
Read the guide →Men's urology
Enlarged prostate
By 50, around half of men have some prostate enlargement, and most just put up with it. Here's what the night trips and slow stream really mean, and what a doctor can do about it.
1 in 2
Men over 50
Most
Symptoms treatable
45 min
Private consult
TH·EN·ZH
Spoken here
Medically reviewed by Dr. Cheevathun Theeraratvarasin (Big)
MOPH-licensed clinic
4.6 from 158 Google reviews
92% five-star ratings
Private & confidential
Signs
A weak or slow urine stream
Getting up at night to urinate
Difficulty starting, stopping and starting again
Feeling the bladder never fully empties
Sudden urgency and more frequent trips
Common causes
Age-related prostate enlargement, the most common
Prostatitis, an inflamed or infected prostate
An overactive bladder
Some medications, including decongestants
Rarely something more serious, which is why testing matters
When to see a doctor
You're up more than once a night, most nights
You see blood in urine or semen
Symptoms shape your day: aisle seats, mapping toilets
You suddenly can't urinate at all, that's urgent
You're over 50 and have never had a prostate check
Understanding the condition
It grows with age, and it's treatable
The prostate keeps growing slowly through adult life. In many men it eventually presses on the urethra, the tube it wraps around, and that's what causes the weak stream, the night trips and the urgency. It's called benign prostatic hyperplasia, and it isn't caused by anything you did.
The first job is sorting benign enlargement from the other causes: infection, an overactive bladder, medication effects, and ruling out anything serious. A PSA blood test, a urine test and a brief exam usually settle it, most of it same day.
Once the cause is clear, treatment works. Modern medication either relaxes the prostate so urine flows freely, often within weeks, or shrinks the gland itself over a few months. Regular follow-up keeps it that way.
Most men put up with the night trips for years before they ask. One visit usually tells us exactly what's going on, and the treatment is simpler than they expect.
Our solutions for prostate symptoms
Options, matched to the cause
We confirm what's driving your symptoms first, then choose from these, sometimes one, sometimes a combination. Each links to the full guide.
Alpha-blocker alternative
Alfuzosin
Works the same way as tamsulosin, with a lower rate of ejaculation side effects for some men.
Read the guide →If blood pressure too
Doxazosin
An alpha-blocker that eases urinary symptoms and lowers blood pressure, useful when you have both.
Read the guide →For larger prostates
Finasteride 5 mg
Shrinks the prostate itself by blocking DHT. Slower to act, but it treats the enlargement, not just the symptoms.
Read the guide →Your journey
What happens when you come in
1. Private consult
45 minutes, one to one, no judgment and no audience. We map your symptoms properly: stream, frequency, night trips, urgency.
2. Root cause tests
PSA blood test, urine test and a brief exam so the plan is based on data, not a guess. Anything sensitive is explained before it happens.
3. Your plan
Matched to your prostate size, symptoms and priorities, with honest options clearly explained. You decide, never pressured.
4. Same doctor follow up
Symptom and PSA review with the doctor who saw you, and dose adjustments if needed. No hand offs, no commissions.
Meet the doctors
Who you'll see
Board-certified urologists, trained internationally, who handle prostate care every week. The same doctor from consult to follow-up.
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What our patients say
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Book your consultation today.
Prostate screening
“Getting a prostate check is never fun but Dr. Big made it as comfortable as possible. The full checkup was thorough and professional. Good to know everything is in order.”
William T. · Verified patient review
Learn more about men's health
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Tamsulosin: How It Works and What to Expect
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Finasteride 5 mg for BPH: Shrinking the Prostate Itself
Frequently asked questions
Is getting up at night to pee just normal aging?
Once, occasionally, can be. Most nights, more than once, usually isn't, and an enlarged prostate is the most common reason. It's worth a check because it's one of the easiest urinary symptoms to improve with treatment.
Does an enlarged prostate mean cancer?
No. BPH is benign, and having it doesn't turn into cancer. But the symptoms can overlap, which is exactly why a PSA test and an exam are part of the first visit: to rule the serious causes out, not because we expect them.
Do I have to have a rectal exam?
The exam takes seconds and tells the doctor a lot about prostate size and texture, but nothing happens without your agreement. PSA, urine tests and your symptom history carry much of the assessment, and everything is explained before it happens.
How fast does treatment work?
Alpha-blockers like tamsulosin often improve flow within days to weeks. Finasteride works differently: it shrinks the prostate gradually, so the full effect takes 3–6 months. The doctor sets the timeline honestly at the start.
Will the medication affect my sex life?
It can, and we'd rather tell you upfront. Some alpha-blockers affect ejaculation, and finasteride affects libido in a small minority of men. The doctor matches the medication to your priorities and adjusts it if a side effect bothers you.
Get a straight answer about your prostate
Get a straight answer
about your prostate
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