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After 90 days delivery of treatment, delivery 88% of the patients felt the therapy was effective. A large double-blind, randomized international study of 1,098 men compared saw palmetto with the pharmaceutical drug finasteride. The patients were followed for six months. Both saw palmetto and finasteride increased urinary flow rate and improved overall quality of life. The study delivery showed that saw palmetto and finasteride are equally effective in the management of symptoms associated with BPH. However, 9% of the men who received finasteride experienced a decline in sexual function, while 6% of the men in the saw palmetto group felt their sexual function had improved. A recent meta-analysis of 18 randomized trials concluded that saw palmetto improves urinary tract symptoms and urinary tract flow measures. Compared with finasteride, saw palmetto produces similar responses in urologic symptoms and has a much lower rate of erectile dysfunction.
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