Saw palmetto extract is an extract of the fruit of Serenoa repens. It is rich in fatty acids and phytosterols. It has been used in traditional, eclectic, and alternative medicine for a variety of indications, most notably benign prostatic hyperplasia.
Saw palmetto (also known as sabal palmetto) is a reddish brown-to-black berry growing on a 6'-8" palm tree (Serenoa repens). The fruit of this palm have been part of the diet of natives of the southeastern U.S. for hundreds of years. Saw palmetto may be useful for reducing 5-alpha-reducase activity. Saw palmetto may be helpful in another way. A high level of estrogen may inhibit the elimination of DHT. Some women with PCOS have estrogen levels that are too high. It is reported to have an anti-estrogenic effect, thus helping with the removal of DHT.
Saw palmetto has long been used in Europe to treat an enlarged prostate or benign prostatic hyperplasia (BPH). With the saw palmetto extract most men achieve some relief of symptoms within the first 30 days. It is widely used for the treatment of enlarged prostate glands in men. It is thought that prostate glands become enlarged primarily because of a metabolite of testosterone, called dihydrotestosterone, or DHT. Women with PCOS (polycystic ovarian syndrome) also tend to have higher levels of testosterone and DHT than other women. Therefore, what works for men may work for women.
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