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Flax Lignans for Men's Health
by Jocelyn Mathern, R.D.

Flax lignans have benefits for men, specifically related to prostate health. A lot of attention is being focused on benign prostatic hyperplasia (BPH) because it is a growing public health problem. The American Urological Association estimates that BPH affects 50 percent of men aged 50 to 60 and up to 90 percent of men over the age of 80. Simply stated, BPH is a non-cancerous condition where the prostate becomes enlarged. This can be a problem because the urethra, the tube carrying urine from the bladder to outside the body, runs through the prostate. A growing prostate can pinch off the urethra and cause uncomfortable symptoms, like a frequent and overwhelming urge to urinate and painful urination. The exact cause of BPH is unknown but male hormones seem to play a role. Hormones also play a role in another prostate condition—prostate cancer, the second leading cause of cancer death among men.

Lignans have been shown to interfere with testosterone metabolism—more specifically the conversion of testosterone into dihydrotestosterone (DHT). DHT is the active form of testosterone. While DHT is needed for normal prostate cell growth, too much may lead to abnormal growth. In addition, lignans may also reduce the amount of testosterone available for the body to use. By reducing male hormones that fuel BPH and prostate cancer growth, lignans have the potential to reduce prostate size, alleviate symptoms of BPH and protect against prostate cancer.

Studies have shown that lignan concentrations are higher in the prostate fluid of men with a lower risk of prostate cancer than those at increased risk. In a more recent study, 25 prostate cancer patients were given a low-fat diet plus flaxseed. At the end of the study, the men had reduced testosterone levels, lower rates of cancer cell growth and a trend towards lower prostate specific antigen (PSA) levels. The study was done with whole flaxseed so the authors couldn’t determine how much of the effect was due to lignans. Therefore, they conducted another study using lignans derived from flaxseed. The lignans inhibited growth of human prostate cancer cells in a test tube, which supports the idea that lignans are protective against prostate cancer.

While it is too early to say that eating flaxseed and its lignans will reduce the risk of prostate cancer and BPH, evidence is pointing in that direction.
 
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