An enlarged prostate is a health issue that affects men as they get older. The prostate is a small, walnut-shaped gland located just below the bladder, and it plays a role in both urinary and sexual health. When the prostate becomes enlarged, it can still bring uncomfortable changes to daily life. Here is some information about the link between aging and an enlarged prostate:
Hormonal Factors
Hormonal changes are a primary factor in the development of an enlarged prostate. Testosterone gradually declines with age, while dihydrotestosterone (DHT) may remain elevated in the prostate gland. DHT stimulates the growth of prostate cells, resulting in the gradual enlargement of the gland over time. As men age, their hormonal balance can shift, leading to higher relative estrogen levels. This increase in estrogen might encourage certain substances that drive prostate growth. The gradual hormonal changes are not always immediately noticeable, but over many years, their effects accumulate. Men with higher levels of DHT in their prostate often observe more noticeable symptoms of an enlarged prostate, such as needing to urinate more frequently or experiencing a weak stream. This slow hormonal influence helps explain why the condition becomes common in men above 60.
Genetics and Obesity
Family history plays a meaningful role in the likelihood of developing an enlarged prostate. If your father, brother, or uncle has been diagnosed, your chance of experiencing the same condition increases. Some men may notice symptoms at a younger age if close family members were also affected earlier in life. This strong genetic link provides another reason to monitor urinary health.
Obesity may increase the risk of an enlarged prostate, often through its impact on hormone levels and inflammation. Excess body fat, particularly around the abdomen, can increase the conversion of testosterone to estrogen, influencing prostate size and overall health. Obesity also promotes a state of chronic low-level inflammation, which might contribute to both the development and the progression of prostate enlargement.
Age-Related Changes
The prostate gland undergoes two major growth spurts. The first surge comes during puberty, when the gland doubles in size as hormones shift from childhood to adulthood. A second period of growth begins around age 25 and continues gradually into adulthood. This slow, ongoing growth after the mid-20s significantly contributes to the onset of prostate enlargement.
While some men never notice symptoms, many begin to develop urinary changes by age 50 or 60. About half of all men in their 60s will have some enlargement, and almost 90% of men in their 80s will experience an enlarged prostate. As the gland grows, it puts pressure on the urethra, the tube that transports urine from the bladder out of the body. This may make it harder to start urination, lead to a sensation of incomplete emptying, or result in needing to get up several times at night to urinate.
Treat an Enlarged Prostate Today
As you grow older, it is common for the prostate gland to increase in size. Hormonal shifts, genetics, and health conditions like obesity all play roles in this gradual change. Developing an awareness of your own risk factors and noticing any new urinary symptoms can help guide timely decisions. If you find yourself waking up at night to urinate, experiencing weak flow, or sensing discomfort, contacting a healthcare provider is a helpful step. Schedule a consultation today to talk about your prostate and learn about the available treatment options.
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