Reduce Urinary Symptoms, Improve Flow & Protect Long-Term Bladder Health

Medication is the first-line treatment for men with enlarged prostate (BPH). These prescription drugs relax or shrink the prostate to improve urine flow, reduce urgency, prevent nighttime urination, and protect bladder function. At Menscape, treatment is tailored to each man’s prostate size, symptoms, and health profile.

Medically reviewed by Dr. Cheevathun Theeraratvarasin (Big), Board-certified Urologist

7 years of experience

Last updated 5 July 2026Read bio →

Our Solutions

Alpha-Blockers (Flow Improvement)

Examples: Tamsulosin, Alfuzosin, Silodosin

Relax the prostate and bladder neck muscles to immediately improve urine flow.

Illustration of Alpha-Blockers (Flow Improvement) at Menscape men's clinic Bangkok

5-Alpha Reductase Inhibitors (Prostate Shrinkage)

Examples: Hair-loss treatment, Dutasteride

Shrink prostate size over 3–6 months, ideal for men with larger glands.

Illustration of 5-alpha reductase inhibitors for BPH at Menscape men's clinic Bangkok

Combination Therapy

Alpha-blocker + 5-ARI → the most effective medical approach for significant BPH symptoms.

Illustration of combination therapy for BPH at Menscape men's clinic Bangkok

Daily ED treatment® (ED treatment)

Improves both BPH symptoms and erectile function: excellent for men with dual concerns.

Illustration of Daily ED treatment at Menscape men's clinic Bangkok

What Our Patients Say

Medications Supplements

The medication started working within days. No more rushing to the bathroom. I finally feel in control again.

Prasert, 67
Medications Supplements

My flow improved and the nighttime trips almost disappeared. Honestly didn’t expect medication alone to help this much.

Halston, 58

Book your consultation today.

What Our Patients Say

Preparation

  • Bring any prior PSA & ultrasound results

  • Avoid alcohol before testing (affects urgency)

  • Drink water for bladder tests

  • Share full medication list to avoid interactions

  • Inform the doctor about erectile or libido issues

Preparation

Treatment Process

  • Prostate & Bladder Evaluation
    Includes symptom scoring, ultrasound, uroflowmetry, and PVR measurement.

  • Medication Selection
    Based on: prostate size, age, symptom severity, blood pressure, sexual function and lifestyle.

  • Dose Adjustment Phase
    We refine dosage over 2–6 weeks to optimize flow & reduce side effects.

  • Monitoring
    Follow-up every 3–6 months to check bladder emptying, PSA, and symptom progress.

  • Combination With Minimally Invasive Options (If Needed)
    If medication is not enough, we may recommend iTind™, Rezum™, UroLift®, or TURP.

Illustration of Treatment Process at Menscape men's clinic Bangkok

Explore our topics

About BPH Medication

BPH Medication for Men: Options, Costs & Guide (2026)
Medications & Supplements

BPH Medication for Men: Options, Costs & Guide (2026)

A clinician's guide to BPH medication for men: alpha-blockers, 5-ARIs, daily tadalafil and combinations, with transparent Bangkok pricing, side effects and candidacy.

BPH Medication Cost in Bangkok 2026: THB Price Guide
Medications & Supplements

BPH Medication Cost in Bangkok 2026: THB Price Guide

Transparent 2026 Bangkok pricing for BPH medication (tamsulosin, dutasteride, finasteride, daily tadalafil) in THB and USD, plus what drives cost and when to see a urologist.

Urology-Led Prostate Care

Your treatment is guided by experienced prostate specialists.

Tailored Medication Plans

Customized dosing for maximum symptom relief.

Integrated BPH Treatment Pathway

From medication to Rezum™, UroLift®, iTind™, and TURP, all options are available.

Private, Discreet Clinic for Men

Confidential care with WhatsApp follow-up support.

Frequently asked questions

How fast does medication work?

  • Alpha-blockers: 48–72 hours

  • 5-ARIs: 3–6 months

  • ED treatment daily: 1–2 weeks

Do these drugs shrink the prostate?

Only 5-ARI medications shrink prostate tissue.

Do BPH medications affect ejaculation?

Some alpha-blockers may cause reduced or retrograde ejaculation.

Can I combine ED and BPH medications?

Yes, daily ED treatment is excellent for men with both ED and BPH symptoms.

Do I need medication forever?

Not always. Minimally invasive procedures may eliminate the need.

IMPROVE URINE FLOW & REDUCE NIGHTTIME URINATION

IMPROVE URINE FLOW &
REDUCE NIGHTTIME URINATION
Illustration of booking a consultation at Menscape men's clinic Bangkok
Dr. Cheevathun Theeraratvarasin (Big)

Dr. Cheevathun Theeraratvarasin (Big)

Board-certified Urologist
Experience
7 years

Dr. Cheevathun is a board-certified urologist trained at Siriraj Hospital, Mahidol University, with over 7 years of experience. He focuses on prostate care and general urology, providing professional, discreet, patient-centered care.