Compare treatment options for ED in patients with BPH. Identify the risks and potential benefits of using α1­antagonists and 5α­reductase inhibitors in treating comorbid ED and BPH.

ALTERNATIVE THERAPY
As the pharmacist in the team, you perform a literature search on the use of saw palmetto for BPH. You discover that there are reports of the dietary
supplement both improving and worsening symptoms of ED. In addition, your readings indicate that saw palmetto should really only be used by patients with mild to moderate BPH.

Would Pygeum africanum be a reasonable option to consider? For questions related to the use of P.
1 . Compare the efficacy of saw palmetto  to finasteride and α1­antagonists for the treatment of BPH.
2 . Compare treatment options for ED in patients with BPH. Identify the risks and potential benefits of using α1­antagonists and 5α­reductase inhibitors in treating comorbid ED and BPH.
3 . Identify the BPH patient sub population that would benefit most from finasteride/dutasteride therapy.
4 . Perform a literature search for evidence that supports use of phosphodiesterase type 5 inhibitors and α1­antagonists as combination therapy for BPH/ED.
5 . Perform a literature search for the use of phosphodiesterase type 5 inhibitors as monotherapy for LUTS secondary to BPH