what has worked very well for me is a medicine called finasteride. It is an antiandrogenic (5-alpha reductase inhibitor, with decreased serum dihydrotestosterone levels) that is used in severe cases of obstructive prostatic symptoms. I take it as a 57-year-old man with prostate hyperplasia and elevated levels of prostate specific antigen in the pathological range. If any of you are in those same conditions of sex and increased prostate size, you can try it