What is saw palmetto?

Saw palmetto is a type of palm tree that grows in the southeastern United States.

The berry of the saw palmetto plant contains a compound that may reduce the symptoms of benign prostatic hyperplasia (BPH), which is a noncancerous enlargement of the prostate gland. Symptoms of an enlarged prostate include dribbling after urination and getting up many times during the night to urinate.

From the 1870s until 1950, saw palmetto was a common treatment for prostate and other urinary problems. After 1950, saw palmetto was no longer recognized as a drug in the United States. It is still used in Europe as a treatment for BPH and is approved by the German Commission E. The Commission E evaluates herbal treatments for their safety and efficacy (how well they work).

In the United States, saw palmetto is available as a dietary supplement.

Experts disagree on whether saw palmetto improves men's symptoms of BPH. Experts also don't clearly understand how saw palmetto may improve symptoms of BPH. It might stop the growth of the prostate or even make it smaller. This is how finasteride, a medicine commonly prescribed to treat BPH symptoms, works.

What is saw palmetto used for?

People use saw palmetto to treat the symptoms of an enlarged prostate (BPH).

Studies conflict on whether saw palmetto improves men's symptoms. In one new study, men taking saw palmetto were no better than those who took a placebo.¹

But two reviews of trials on different saw palmetto preparations report that more men rated their symptoms improved while using saw palmetto compared with a placebo. The reviews also report that:²

• The medicine finasteride was slightly more effective at improving symptoms than saw palmetto.
• The risk of erection problems when using saw palmetto was less than when using finasteride.

Some medical research shows that saw palmetto's effects are like those of finasteride.³ Both treatments improve a man's ability to urinate by allowing urine to flow out of the bladder faster and reducing the number of times he needs to get up during the night to urinate.

Is saw palmetto safe?

Few problems have been reported among men taking saw palmetto. But some men may experience stomach problems. Saw palmetto is less likely than finasteride to cause difficulty in getting an erection.

Men who have problems urinating should see a doctor to rule out prostate cancer. Prostate cancer is treatable, but treatment is most successful when you find and treat the cancer as early as possible.

If you intend to use saw palmetto to treat symptoms of BPH, look for a product that has a fat-soluble extract of the saw palmetto berry. The active compound does not dissolve well in water. So drinking a tea or water extract made from saw palmetto berries is not likely to have an effect on the symptoms of BPH.