Most men know that saw palmetto ( Serenoa repens ) is recognized for use in men’s health issues. Iy has been well studied, but there as always with herbs conflicting reports. It usually included in a herbal blend for prostate issues.
The hexane extracts from Saw palmetto has been studied and its efficacy has been studied in benign prostatic hypertrophy. You should know that hexane extracts has been found in several other fruits and vegetables.
I have used saw palmetto extensively in men’s benign prostatic hypertrophy (BPH) with much success. It has also been studied in acute and chronic prostatitis as well as androgenic alopecia. There was a 2020 systemic review to evaluate the efficacy and safety of this herb. The studies compared saw palmetto with an alpha blocker and without an alpha blocker (monotherapy) The saw palmetto with the alpha blocker was more beneficial than the alpha blocker alone for treatment of BPH There are many reviews . Some show no difference, and some show a difference in BPH with and without the alpha blockers. This is the conflict. Since there are no side effects of using saw palmetto I would rather use it to reduce BPH than not use at all I found excellent review summaries in Medicinal Herbs in Primary Care by Dr Bokelmann. I feel these studies should be read by allopathic or conventional urologists before starting conventional medications.
As with many diseases, we need to turn to plants for the answer