❗Urinary & Prostate Problems – 3 Causes And Solutions In 2024

It’s 2024 and more men are suffering from urinary flow issues (slow & weak stream) and prostate problems. Not only is this uncomfortable, but it could be an indicator of prostate cancer. Let’s start with today’s subscriber question:

QA: Dr. Sam – I have a major problem… my urine is coming out drop by drop. It doesn’t have a good, strong flow like it used to. My friend said it could be prostate cancer. What should I do?

Well, it may or may not be and today I’ll give you the potential causes and solutions for this problem.

First of all, I don’t know your age. And I mention this because as men get older, especially in their 60s and beyond, this drop-by-drop can be more common. However, if it’s happening to you at an earlier age, then you could have a big issue.

So, let’s first talk about all the potential causes of this urine and “drop-by-drop” issue. And then I’ll reveal the solutions, both natural, medical, and even surgical.

Of course, before I start, I need to give you a legal disclaimer to always consult with your doctor before you do anything.

Before I begin, this video is going to be a little longer than my usual ones and more detailed because this is a super important topic – life or death type of topic.

This is because having urinary flow, prostate, and/or erection problems is a big warning sign that something is really wrong.

urinary flow

For one, these are early warning signs of heart problems – hence, a heart attack or stroke.

Second, these issues can also mean cancer – more specifically, prostate cancer… which can lead to other cancers if untreated.

So, our goal is to find out problems as early as possible so we can help avoid long-term bigger problems.

For example, I have a very close physician friend of mine who is the head of oncology and missed his dad’s prostate cancer 2 years earlier. Now his dad has 3-4 years to live because the cancer has spread.

And, just today I got an email from one of my subscribers saying they have stage 4 prostate cancer… Again, because their doctor missed it. Now the cancer has spread to his bones.

Unfortunately, his doctor is using a very outdated method of dealing with cancer, which is to castrate him and kill all of his hormones medically and thus, his manhood.

So yes, this is very important because I don’t want this to happen to you or someone you know.

Please listen carefully. Share this with other people so you can help them as well because, at the end of the day, YOU and I need to be our own advocates and doctors for our own health.

Don’t let your health be in the hands of other people.

Do your research and learn from others, not just me. I know it can be confusing and my goal is to simplify it as much as possible, without dumping things down since I know my readers are smart.

Of course, I need also to give a legal disclaimer because of the world we live in. So, here it goes – don’t do anything I say. This is for entertainment purposes only. ALWAYS speak to your doctor before you do anything in this world.

3 Main Causes & Solutions For Urinary And Prostate Problems

So I’m going to keep things simple and focus on the 3 biggest causes of urinary and prostate problems and of course, the best solutions for all 3. The last one is the primary cause, so make sure you watch to the end.

Urinary Tract Infections (UTIs):

This is more common in women. Infections in the urinary tract can lead to painful and difficult urination. Your doctor would tell you if you have this or not, it’s a simple urine test.



There are a few causes, medical conditions, and lifestyle factors.

Medical Conditions:

  • Uncircumcised penis: Studies suggest a slightly higher risk of UTIs in uncircumcised men due to potential bacterial accumulation beneath the foreskin.
  • Underlying bladder issues: Bladder stones, enlarged prostate, or nerve damage can hinder proper bladder emptying, creating an environment favorable for bacterial growth.
  • Catheter use: Men requiring urinary catheters are more susceptible to UTIs due to the direct access to bacteria.

My dad had to deal with this, so I’m very familiar with it.

Lifestyle Factors:

  • Sexual activity: Friction during sexual activity can introduce bacteria into the urethra, increasing UTI risk.
  • Poor hygiene: Inadequate genital hygiene, especially after sexual activity, can allow bacteria to thrive. Make sure to pee after an orgasm to help push out any bacteria that may have gotten in during sex.
  • Dehydration: Insufficient water intake can concentrate urine, creating a less hospitable environment for bacteria but also potentially triggering bladder irritation that can mimic UTI symptoms.
  • Certain medications: Some medications, like antibiotics for other infections, can indirectly increase UTI risk by altering the natural bacterial balance in the body caused by antibiotics.

The solution would be a simple course of antibiotics. This is of course, in addition to trying to abstain from the previously mentioned causes.

Bladder Stones:

Stones in the bladder can block the passage of urine.



Genetics aside, this is typically caused by diet.

  • High intake of certain minerals: Excessive consumption of calcium, oxalate (found in foods like spinach, rhubarb, and nuts), and purine (found in red meat and organ meats) can increase the risk of stone formation.
  • Fluid deficiency: Drinking enough water dilutes urine and prevents mineral buildup, so dehydration can contribute to stone formation. Unfortunately, most people are severely dehydrated.
  • A diet low in fiber: Fiber helps bind minerals in the digestive system, reducing their absorption and ultimately lessening the risk of stones. Like dehydration, most people lack fiber in their diet.

These days, the solution is fairly “simple”, at least compared to the old days. A small telescope will be passed through the urethra into the bladder. A laser or other device will be used to break up the stones and the pieces will be removed.

If the stones are too big, they may need to be removed using open surgery. Drugs are rarely used to dissolve the stones.

Of course, as stated before, we need to also focus on abstaining from the previously mentioned causes.

Prostate Issues

Finally and probably the primary cause is prostate issues, especially as men get older. Unfortunately, these prostate problems are now affecting YOUNGER guys.

An enlarged prostate (BPH – benign prostatic hyperplasia) can obstruct the urethra, causing urinary difficulties.

enlarged prostate

How do you know if you have this? There are two primary ways.

The first is your doctor will do a rectal exam. Basically, he’ll stick his finger in your anus and check if the prostate has enlarged.

Most should start doing a rectal exam at the age of 40. The sooner we test, the sooner we can catch any potential problems.

The second is doing a blood test and checking your PSA levels, which stands for Prostate-specific antigen. PSA is a protein produced by the prostate gland.

Elevated levels of PSA may indicate an enlarged prostate or possibly the presence of prostate cancer.

One thing to keep in mind is that the prostate will grow in ALL men if they live long enough. It’s hormonal and genetics.

However, just because there is enlargement, especially during a rectal exam, it doesn’t mean cancer, but it will mean that all of us guys will have urine-flow issues to some extent, the longer we live.


There are a variety of causes of elevated PSA levels – genetics aside and aging as I just mentioned, it’s caused by hormonal problems.

Before I speak about hormonal problems, certain drugs can also cause temporary increases in PSA and the enlargement of your prostate. The 5 most common or popular ones are:

  1. Steroids: this includes both anabolic such as testosterone, as well as catabolic such as cortisol or cortisone medications. This typically affects athletes, bodybuilders and even guys on TRT and HRT.
  2. Antihistamines: Some over-the-counter antihistamines, like diphenhydramine (Benadryl), can cause urinary retention and difficulty urinating due to their anticholinergic effects. These drugs are also found in over the counter sleeping drugs – such a Tylenol PM.
  3. Decongestants: Certain nasal decongestants, such as pseudoephedrine, can lead to urinary retention and decreased urine flow. Amphetamines fall into this class. So, any of you on ADHD drugs, be careful.
  4. Antidepressants: Tricyclic antidepressants (e.g., amitriptyline) and selective serotonin reuptake inhibitors (SSRIs) may cause urinary hesitancy and retention in some individuals.
  5. Opioid Pain Medications: Opioids like morphine, codeine, and oxycodone can cause constipation, which may indirectly lead to urinary retention.

There are TWO solutions here.

  1. Improve the FLOW.
  2. Improve the HORMONES.

I suggest doing both.

DRUGS That Improve Flow

Improving the flow will happen once you improve the hormones. However, if we want to do it with drugs – we have a couple of options:

Flomax (tamsulosin)
is an alpha-1 blocker. It blocks a specific type of receptor found in the prostate. By blocking these receptors, the medication works by relaxing the muscles in your prostate and bladder, which relieves symptoms of BPH by making it easier to urinate.

SIDE EFFECTS of this are low blood pressure, weakness, erectile problems, and decreased semen production.

Hytrin (terazosin)
This is more of an indirect method because it treats high blood pressure. It works by relaxing blood vessels, which decreases the amount of work the heart has to do. It may also be used to treat symptoms of an enlarged prostate (BPH – benign prostatic hyperplasia)

SIDE EFFECTS of this are dizziness, lightheadedness, and fainting when you get up too quickly from a lying position. This is primarily caused by the low blood pressure.

Cialis (tadalafil)
You’ve probably heard of the erectile drug, Cialis and Viagra. Both work for better erections because of the improved blood flow. Both work to lower blood pressure again, like the previously mentioned drugs.

cialis viagra levitra

In fact, hypertension is what Viagra was originally made for. The SIDE effect or benefit was better erections.

Well, Cialis is similar but long-acting and it’s also used to help with an enlarged prostate (BPH – benign prostatic hyperplasia)

Bottom Line: Improve blood flow and blood pressure.


If you want to do this naturally, there are lots of herbs and amino acids that do this. Many don’t work, a few do work very well.

This is the problem with supplements, most of them are just a ripoff.

Rather than listing all of the best herbs and amino acids can cause overwhelm for you and extra costs… I’ve simplified it down to two supplements that contain all the best ones.

These two “all-in-one” supplements are the ones I personally use, as well as friends, family, and clients.

They are Blood FLOW Optimizer and Blood PRESSURE Optimizer. The name says it all.

Of course, these supplements help support healthy prostate function but have so many other whole-body benefits. It’s just something we should take, especially after the age of 30 or 35.


Now that we have improved the FLOW, we need to finally focus on what I believe to be the primary cause of prostate problems and that’s hormonal causes and solutions.

Earlier I stated how one of my subscribers said his doctor is going to treat his prostate problems by medically castrating him. Thus, kills his testosterone levels.

Yes, this works ONLY because of the INDIRECT outcome of having NO testosterone.

You see, scientists and researchers have known for years that testosterone does directly NOT cause prostate problems, growth, or prostate cancer.

Or else, young men with the highest testosterone would all have prostate issues.

Instead, older men who have the lowest testosterone have the highest prostate problems. Why?…

Because the real cause is what testosterone CONVERTS to – which are 2 primary hormones, estrogens, and DHT.

DHT is linked to hair loss, body hair growth, and yes, prostate problems.

Estrogen is also linked to these issues, in addition to other cancers – such as both prostate and breast.

And yes, men get breast cancer.

If you have gynecomastia or man boobs, this is a potential indicator of future problems. This means that your body more readily converts to estrogen because you have higher levels of the aromatase enzyme – which converts testosterone to estrogens.

Also, higher body fat will do this and thus, can more estrogen conversions.

Of course, GENETICS plays a big role in these enzymatic conversions. So, if you are hairy, balding, overweight, have man boobs, etc… then you really need to focus on improving your hormones.

Also, higher blood sugar and insulin levels are indirectly linked to all of these problems and so many other health problems.

So, our goal is to keep testosterone to high, normal levels naturally. While we reduce excess conversion to both estrogens and DHT.

One last time, as estrogen levels increase, your body’s estrogen-inhibiting hormone also increases.

Do you know what that hormone is?… Yes, it’s DHT. Dihydrotestosterone is a natural estrogen inhibitor.

As estrogen goes, so can DHT levels.

I’m sure you’ve heard the saying “short fat, bald and hairy”?

Well, the short and fat have to do with estrogen.

Bald and hairy has to do with DHT.

short fat hairy blad

Yes, I’ve simplified all of this, but this isn’t medical school – so, this is good enough for most of us.

So, how do we lower these “negative” hormones to more acceptable, lower … yet normal levels?

Remember, we want everything to be natural and in normal ranges. The goal is HIGH testosterone. But lower estrogen and DHT.

All within the normal ranges, but on opposite sides.

By the way, when Estrogen and DHT increase, testosterone DECREASES. We don’t want this. This is what happens to older guys and it’s happening to younger people these days.

Thus, our goal of lowering estrogen and DHT will automatically cause an increase in our powerful GOOD hormone, testosterone.

It’s a win/win situation.

DRUGS that Lower Estrogen & DHT

Now, we can lower estrogen and DHT through very powerful enzyme inhibitors.

Inhibiting the aromatase enzymes will lower estrogen levels, more specifically, the potent estradiol levels.

Drugs that do this would typically be Arimidex, Femara, and Aromasin. If I had to pick one, I like Aromasin the best because it’s not as bad on your lipid levels.

SIDE EFFECTS of these drugs and lowering estrogen too low are joint pain, fatigue, cholesterol problems and yes, erectile problems and impotence.

5-Alpha Reductase inhibitors will lower your DHT levels.

Drugs that will do this are Finasteride – with 5 mg Proscar and also 1 mg Propecia. Or a much more potent drug called dutasteride, by the trade name Avodart.

SIDE EFFECTS of these drugs are loss of drive, anxiety, depression, and yes, impotence.

And if you take 5-alpha Reductase drugs by themselves, such as for hair loss guys take Propecia or Proscar, your estrogen levels go up and you can get gynecomastia or man boobs.

Thus, typically, both estrogen and DHT inhibitors should be taken together. Or managed simultaneously.

The major problem with these drugs is that they are super strong. They inhibit these hormones and other adrenal hormones a lot, too much in most people.

So, it’s hard to control their negative side effects unless you do lots of blood tests and work with a very competent physician, preferably an endocrinologist.

But, good luck finding one. Who is willing to listen, do proper blood tests, and be up to date with the real research – not what they are told to by the pharmaceutical companies?

Instead, a better way is to first start by lowering estrogen and DHT to lower, normal levels NATURALLY.

This way, you get all the benefits, but without the negative side effects.

For lowering estrogen, my favorites are DIM and White Button Mushroom Extract.

For lowering DHT, I would suggest Zinc with Copper.

I know a lot of people suggest Saw Palmetto Extract – but that can cause erectile problems in men. While Zinc actually improves erections.

There’s an all-in-one supplement called AlphaViril that contains all of these ingredients, plus natural testosterone boosters. It’s one I’ve been taking for over 20+ years and you’ve probably heard of me mention it in the past.

It contains all the proven ingredients and the correct dosages. So, it’s simple, easy, and convenient, and yes – it ends up saving you money too.

All the products I’ve mentioned come with a one-year guarantee, so it’s no risk.

Improve Your Lifestyle

One last and very important thing before ending today’s topic, none of this matters if you don’t improve your lifestyle. This means:

  1. Eat better, natural foods. Don’t eat so many carbs or processed foods or fats. You know what’s health. Please don’t act dumb.
  2. Make sure you exercise daily – 3x a week with weights and the other 3-4x with some kind of cardio – I think brisk walking is great and can be done anywhere, anytime.
  3. Manage your stress levels because high cortisol will make everything worse. There are supplements for lowering cortisol, such as Stress & Cortisol Relief.
  4. Finally, make sure you get good, deep-quality sleep every night. This is so important. Yet, one that most people take for granted. Even I don’t prioritize this as much as I should because I get busy with work, life, and so forth.

Anyway, I’ve revealed a lot here today. I’ve done it all because this is an important topic and I care about you. These are all things I do myself.

I’ve done my best to also keep things simple.

If you found this helpful, which I hope you have, please make sure you share this video with others. You’re helping people and it costs you no money to share and only a few seconds.

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