special subjects
Saw Palmetto
Evidence
 fruit extract did not reduce lower urinary tract symptoms more than placebo ( References ). In addition, a 2012 Cochrane review of 32 randomized, controlled trials, determined that in men with BPH. There were no statistically significant differences in International Prostate Symptom Scores (IPSSs), maximum flow rate, postvoid residual volume, or quality of life ( References ). However, a 2021 network meta-analysis of 22 randomized controlled trials (8564 subjects) comparing used for 2 months prior to transurethral resection of the prostate resulted in shortened surgery duration and a more favorable postoperative course ( References ). Claims thatsaw palmettoincreases sperm production, breast size, or sexual vigor are unsupported. 