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Herbal preparations sometimes contain steroids which complicate the functions of other systems and will result in reduced immunity once you try to reduce or stop them. This could be the factorFactor ix complex causing aggravation of symptoms.
The effects of saw palmetto extract is still being researched on its efficacy in mitigating symptoms of prostatitis.
It has been found that the phytosterols present in saw palmetto may help reduce the symptoms of enlarged or infected prostate.
The basic suggestion at this point would be to stick to allopathic medication which can act specifically on your prostate, such as flomax, that has a known side effect profile which will be easier to manage.
Since sexual dysfunction was the primary reason you did not want to go on the flomax and you have not been able to avoid it with the herbal supplement, it would be better to try the Flomax along with a course of antibiotics.
The antibiotic can be decided upon after a prostate fluid examination and culture sensitivity. Prostate fluid can be obtained by a prostate massage test. Your urologist can explain the procedure to you.
After an effective course of antibiotics, you can settle down to treatment with flomax for a short while and see how your symptoms are doing.
Herbal preparations sometimes contain steroids which complicate the functions of other systems and will result in reduced immunity once you try to reduce or stop them. This could be the factor causing aggravation of symptoms.
If it does contain estrogen, it would definitely cause mood disturbances, in addition to other effects.
You will have to keep your fluid intake high, avoid unprotected sex, avoid prostate irritants, such as caffeine, alcohol, citrus fruits, etc., and try to incorporate natural sources of Beta-sitosterol, the active ingredient in saw palmetto extract. These natiral sources include avocados, wheatgerm, cashew fruit, pumpkin seeds, etc.
Sitting in a hot bath for 10-15 min twice daily will also help provide pain relief.
Do keep us posted on your doubts and progress.
Regards