Enlarged prostate guide

Enlarged prostate (BPH) treatment online in Virginia and West Virginia

This guide is for men with typical, stable urinary symptoms of an enlarged prostate, not for inability to urinate, blood in the urine, fever, or a first-ever workup without a prostate exam or PSA.

Start online

Start a $59 online review for Enlarged prostate (BPH) symptoms.

An enlarged prostate (benign prostatic hyperplasia, or BPH) is common with age and causes a weak stream, hesitancy, frequency, urgency, and nighttime urination. Stable, typical symptoms in a man who has had a baseline prostate evaluation are often a good online condition, treated with an alpha-blocker and sometimes a 5-alpha-reductase inhibitor. Inability to urinate, blood in the urine, fever, or a first-ever workup needs in-person care including a prostate exam and PSA discussion.

If treatment is appropriate, your physician can send a non-controlled prescription to your pharmacy and provide portal instructions for the next step.

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Quick facts

You must be physically located in Virginia or West Virginia at the time of request.
Starts at $59
No insurance needed
No app download
Physician review around the clock
Non-controlled prescriptions can be sent to your pharmacy when appropriate
A work or school note can be included when medically appropriate
Response times apply 24/7, every day

Common symptoms

Weak or dribbling urine stream
Trouble starting or straining to urinate
Frequent or nighttime urination
Urgency or a feeling of incomplete emptying

May fit online care

Adults 18 and older
Typical, stable enlarged-prostate urinary symptoms
Able to urinate (no retention)
No blood in the urine or fever
Ideally a prior prostate exam or PSA on record

Look for another care setting

Inability to urinate with a painful, full bladder
Blood in the urine
Fever, chills, or back/flank pain
A first-ever workup with no prostate exam or PSA

What to have ready

Your main urinary symptoms and how long you've had them
Whether you can urinate normally
Whether you've had a prostate exam or PSA before
Blood pressure medications, current medications, and allergies

What happens next

Standard

$59

Within 6 hours

Priority

$99

Within 3 hours

Rush

$149

Within 1 hour

Start the request on the website, answer a few questions to check that this visit fits you, and choose how fast you want an answer (the response window). If your concern still fits this service, a physician reviews it and sends you a secure update after you sign in. When appropriate, non-controlled prescriptions can be sent to your pharmacy, and a basic work or school note can be included at physician discretion.

Your physician

Every visit is personally reviewed by Ankur Fadia, MD. He is board-certified, has extra training in heart care (a cardiology fellowship), and is a member of Alpha Omega Alpha, a medical honor society. He is licensed in Virginia and West Virginia, and your care is never handed off to someone else.

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What medicines help an enlarged prostate?

Alpha-blockers (like tamsulosin) relax the prostate and the bladder neck (the opening of the bladder) for faster symptom relief. For a larger prostate, a 5-alpha-reductase inhibitor (finasteride or dutasteride, a medicine that slowly shrinks the prostate) can shrink it over months. Lifestyle steps help too.

Do I still need an in-person exam?

Yes, especially for a first workup: a baseline prostate exam and a PSA discussion in person help rule out infection and prostate cancer. Online care is best for stable symptoms in someone already evaluated.

When is it an emergency?

Not being able to urinate at all with a painful, full bladder is acute urinary retention, an emergency. Blood in the urine or fever with back pain also needs urgent in-person care.

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