Can Supplements Actually Shrink Your Prostate? Urologist Reveals All

Benign prostatic hyperplasia (BPH) is a health issue that enlarges the prostate which becomes more common with age. But does this have a supplement that can shrink your enlarged prostate? Watch as Dr. Malik explains everything you need to know about BPH supplements.

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▶️Chapters:

00:00 Introduction
00:26 Benign Prostatic Hyperplasia
01:15 Phytothetrapeutic Products
03:19 Serenoa Repens or Saw Palmetto
10:14 Pygeum Africanum
12:34 Cucurbita Pepo
15:28 Beta-Sitosterols
16:35 Stinging Nettle
18:37 Lycopene
20:18 Takeaway

Saw Palmetto for Benign Prostatic Hyperplasia:[ 0www.ncbi.nlm.nih.gov](

Effect of Increasing Doses of Saw Palmetto on Lower Urinary Tract Symptoms: A Randomized Trial:

Serenoa repens* monotherapy for benign prostatic hyperplasia (BPH): an updated Cochrane systematic review:

Pygeum africanum for benign prostatic hyperplasia:

The role of Cucurbita pepo in the management of patients affected by lower urinary tract symptoms due to benign prostatic hyperplasia: A narrative review:

Role of Phytotherapy in the Management of BPH: A Summary of the Literature

Treatment of Benign Prostatic Hyperplasia by Natural Drugs:

Overview of BPH: Symptom Relief with Dietary Polyphenols, Vitamins and Phytochemicals by Nutraceutical Supplements with Implications to the Prostate Microbiome:

Watch the video till the end and let me know your thoughts in the comments.
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Rena Malik, MD is a urologist and pelvic surgeon on youtube to educate people about all things urology including erectile dysfunction, how to increase testosterone, problems with sex, premature ejaculation, urinary leakage, or incontinence, overactive bladder, urinary tract infections, prostate issues and more.

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▶️DISCLAIMER: This video is purely educational and does not constitute medical advice. The content of this video is my personal opinion and not that of my employer(s). Use of this information is at your own risk. Rena Malik, M.D. will not assume any liability for any direct or indirect losses or damages that may result from the use of the information contained in this video including but not limited to economic loss, injury, illness, or death.
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One distinction often blurred in BPH discussions is prostate size vs urinary function. Some supplements may not shrink prostate volume — but neither does Urorec, which I was prescribed — yet it’s routinely given because it improves function. Symptom relief does not require size reduction.
As for pharmaceuticals, here a translation from a German public-service medical programme (WDR) discussing 5-alpha-reductase inhibitors:
“The side effects are partly due to reduced testosterone action: libido decreases, fertility decreases, erectile problems occur, breast growth can occur. What requires particular attention are depression and mood changes, which can extend to suicidal thoughts. Patients and relatives must be vigilant.” From elsewhere, Urorec effects include “ejaculatory changes, dizziness, nasal congestion and diarrhoea; serious adverse effects include facial or airway swelling.”
In my own case, two urologists prescribed Urorec and mentioned TURP surgery, but neither mentioned supplements. I didn’t follow their advice (yet, perhaps never). After those meetings, I researched and my own conservative approach then started with pumpkin seed extract, then beta-sitosterol and nettle root — aimed at symptom control, not prostate shrinkage. Within 48 hours I had marked symptom relief, and within one week I was sleeping through the night. I may yet add saw palmetto. Prostate volume, symptoms and quality of life are different variables. From a patient perspective, hearing about all options matters. Because supplements are not standardised doesn’t mean good ones are not effective. As background, I’m 70, otherwise fit and lean, i don’t drink alcohol, I eat plant-based. This life style aids reduction of inflammation. I will still monitor prostate size by echo sound or MRI at a medical practitioner.

@judgebullingham says:

December 11, 2025 at 6:04 pm

What is your opinion on Alpha Lipoic Acid 600mg/day?

@vinnienigro5294 says:

December 13, 2025 at 5:41 pm

Wanted to know what are the side effects for the herbals supplements for for enlarged prostate and for health. Thank you, Samantha 70 years old thank you

@ssehe2007 says:

December 14, 2025 at 6:07 am

Honestly, how do they not have randomized controlled trials on all of these supplements? I mean, it’s just been decade after decade after decade after decade, and no one has found a way to do a real study here? Or no one can immunize their methodology from the pathologies that invalidate the results? Really? It’s hard to believe that a problem that is so universal has been dealt with so… impotently

@romeldiaz2614 says:

December 14, 2025 at 6:51 pm

Thanks reena🎉🎉🎉

@3monkey3 says:

December 19, 2025 at 9:00 am

One distinction often blurred in BPH discussions is prostate size vs urinary function. Some supplements may not shrink prostate volume — but neither does Urorec, which I was prescribed — yet it’s routinely given because it improves function. Symptom relief does not require size reduction.
As for pharmaceuticals, here a translation from a German public-service medical programme (WDR) discussing 5-alpha-reductase inhibitors:
“The side effects are partly due to reduced testosterone action: libido decreases, fertility decreases, erectile problems occur, breast growth can occur. What requires particular attention are depression and mood changes, which can extend to suicidal thoughts. Patients and relatives must be vigilant.” From elsewhere, Urorec effects include “ejaculatory changes, dizziness, nasal congestion and diarrhoea; serious adverse effects include facial or airway swelling.”
In my own case, two urologists prescribed Urorec and mentioned TURP surgery, but neither mentioned supplements. I didn’t follow their advice (yet, perhaps never). After those meetings, I researched and my own conservative approach then started with pumpkin seed extract, then beta-sitosterol and nettle root — aimed at symptom control, not prostate shrinkage. Within 48 hours I had marked symptom relief, and within one week I was sleeping through the night. I may yet add saw palmetto. Prostate volume, symptoms and quality of life are different variables. From a patient perspective, hearing about all options matters. Because supplements are not standardised doesn’t mean good ones are not effective. As background, I’m 70, otherwise fit and lean, i don’t drink alcohol, I eat plant-based. This life style aids reduction of inflammation. I will still monitor prostate size by echo sound or MRI at a medical practitioner.