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How To Avoid Prostate Problems?

Posted on Mon, 27 Oct 2014

Question: Prostate problems run in my family on both sides. Have read a lot of experimental ways to to help control it. Have been on a low dose of estrogen for several years along with spirolactone for three years, prescribed for blood pressure. I am in my mid 60's and my doctor said my prostate is like that of a twenty year old but says the estrogen has noting to do with it, took me off it, I disagree and would like your opinion.

Answered by Dr. Shailja Puri (1 hour later)

Brief Answer:
No indication for estrogens

Detailed Answer:
Hello and welcome to HCM,
Prostatic carcinoma is testosterone sensitive and is responsive to estrogen therapy.
However, there is no role of estrogens in a normal sized prostate.
A family history of prostatic carcinoma increases the risk of prostatic carcinoma in an individual ,however, you have not mentioned the specific prostatic problems in family.
Benign prostatic hyperplasia (BPH) is a condition common in men above 45 years of age and family history is not significant in this condition.
However, estrogens do not have any role in any of these conditions.
Taking estrogens has side effects like thrombosis, hepatic adenomas etc.
Thus, there is no point taking estrogens without any indication.

Thanks and take care
Dr Shailja P Wahal

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Above answer was peer-reviewed by : Dr. Vinay Bhardwaj