TLDR Finasteride improves chronic pelvic pain, saw palmetto doesn't.
The study aimed to compare the effectiveness of saw palmetto and finasteride in treating chronic nonbacterial prostatitis/chronic pelvic pain syndrome. A total of 64 men were randomized to either finasteride or saw palmetto for 1 year. The study found that patients treated with finasteride had significant and durable improvement in all various parameters except voiding, while saw palmetto had no appreciable long-term improvement. Adverse events included headache in the saw palmetto group and decreased libido in the finasteride group. Further studies are warranted to ascertain the mechanism and reproducibility of these effects in a placebo-controlled trial.View this study on auajournals.org →
Finasteride didn't significantly improve ICPPS symptoms, more research needed.
Finasteride reduces urinary issues and surgery need in men with enlarged prostates by over 50%.
Finasteride effectively inhibits 5α reductase, while plant extracts like Permixon and Bazoton don't show significant results.