Hello dear
Understand your concern.
I think you have problem of prostatic gland enlargement.
Enlargement of
prostate compress the prostatic urethra result in disturbance in urinary flow and slow urine flow.
It also cause sexual problem due to ejaculation problem.
You should not discontinue the drug without consulting the
urologist.
You should undergo following test
Rectal examination
Prostatic profile
Trans urethral
endoscopy PSA, Seminal fluid analysis.
USG of pelvis.
If prostatic enlargement is there first you should control it by medicine
A.
tamsulosin, an alfa blocke
It causes relaxation of muscle of prostate and help in urination.
Following are the detail of tamsulosin:
1. It should be started with 0.4 mg /day orally
2. If symptoms does not improve after 2-4 week, dose should be increased maximum 0.8 mg /day orally
3. If you discontinue the drug again you should have to start with 0.4 mg day.
4. Take capsule half an hour after your meal.
5. Do not crush the capsule
6. If you have renal/liver disease, tell your doctor.
7. Regular testing of Renal damage and live profile.
B. Proscar inhibit the conversion of
testosterone to active dehydrotestosterone (DHT).
DHT is involved in development of Benign
prostatic hyperplasia.
So It decreased DHT and improve symptoms.
C.
Hormone replacement therapy
If not respond to medicine and do not want to take medicine
Better to do surgery: Transurethral resection of prostate (TURP)
Hope this may help you.
Wish you good health.
Best regards
Dr. Sagar