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* * * * * * * * * * * * * * * compounds that appeared to be of particular interest in the treatment of bladder conditions. This active polar fraction contained inter alia lignans and phenols, some of which belong to the family of plant oestrogens (phyto-oestrogens). Depending on the dose these compounds have oestrogen as well as anti-oestrogen activity. These compounds are transformed by the gut microflora into enterolacton and enterodiol, both of which are absorbed and demonstrable in various organs and body fluids.Of particular interest is the fact that these compounds inhibit prostate 5-alpha-reductase activity thus preventing the conversion of testosterone into dihydrotestosterone (DHT), which is responsible for enlargement of the prostate gland. The compounds also suppress aromatase activity, thus preventing the conversion of testosterone into oestrogen, which is a problem in elderly males. These compounds have therefore been shown to have major hormonal effects in patients with urinary bladder disease.Based on these principles, an active extract of pumpkin seeds (EFLA940) has been perfected by a Swiss company. The product is a broad-spectrum extract which contains several non-lipophilic components. EFLA940 has been shown to be particularly effective in the treatment of: Urinary incontinence, in both men and women, but particularly postmenopausal women Benign prostate enlargement in men. Frequency of urinationIn one remarkable study,1 the global improvement rate based on the global judgment of subjective and objective findings (including frequency of day and night time urination) was studied after treatment with the EFLA940 extract. After 2 weeks, 12.8% of the patients were rated as ‘markedly improved’ while 59% were rated as ‘improved’. After 6 weeks, 30.8% were ‘markedly improved’ and 74.4% were rated as ‘improved’. This effect was also seen in those patients with a high initial testosterone level.Subjective sleep satisfaction increased from 15.% at
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