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The severity of symptoms in people who have prostate gland enlargement varies, but symptoms tend to gradually worsen over time. Common signs and symptoms of BPH include: Frequent or urgent need to urinate. Increased frequency of urination at night (nocturia) Difficulty starting urination.
This is the major cause of an enlarged prostate, and it commonly occurs between puberty and young adulthood. The estrogen present in men may also play a role in prostate enlargement. As men age and testosterone levels drop, the proportion of estrogen increases and may trigger prostate growth.