00:00 What we're focusing on today is how the enlargement of prostate require a medication called
00:06 5-alpha reductase inhibitors and that will cause lower testosterone and also lower sex desire
00:16 So exactly what is prostate and how is it influenced by testosterone?
00:27 Prostate is a walnut structure that actually appears between the penis and also the bladder
00:33 Its sole function is to create ejaculate
00:36 When the prostate enlarge is because of the testosterone
00:41 Men continue to produce testosterone
00:43 One interesting fact is that for the rest of the body in a man as we age it will shrink
00:50 but the prostate will continue to grow and that itself will cause obstruction such as
00:57 difficulty in urination and also frequent urination
01:01 When that occur some men will require a prostate shrinking medicine called 5-alpha reductase
01:09 inhibitors. Effectively this drug is to reduce the active form of testosterone
01:15 As a result it will shrink the prostate, it will also shrink your libido
01:21 So for men who take this medicine their desire for sex will reduce quite significantly
01:27 and also sometime may result in erectile dysfunction
01:32 So therefore it's not so desirable for men who take it at much younger age
01:37 when their sexual activity is very very active
01:41 So therefore in a way we don't have a choice
01:45 If the prostate is big enough that will require the medicine
01:48 then we will require the medicine in order to shrink the prostate
01:53 and deal with the subsequent of the side effects
01:56 Although that is the case there are two kickbacks that you need to think about
02:02 Number one is that the low libido and also the erectile dysfunction
02:09 can potentially be improved with medicines such as the blue pills
02:14 And one important good thing that comes out from the side effect
02:18 is that by lowering your active form of testosterone
02:21 men will start growing hair and male pattern baldness can be reversed
02:26 So on that note you know that when the prostate is enlarged
02:31 the way to deal with it is to lower your testosterone
02:34 Although you might compromise yourself with a bit of lower sex drive
02:38 you might actually have an improved crown of hair
02:42 For the following week we are focusing on a second type of medicine
02:48 that actually help to enhance the flow of the prostate
02:51 a group of medicine called alpha blockers
02:55 When you take alpha blockers you might have some slight problems with no ejaculation
03:00 So if you are interested to find out anything to do with dry climax
03:05 then stay tuned for next week's Putting Dr G on the Spot
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