Men's Health / Prostate Reviews

My Urologist Recommended This To Me, And I Finally Sleep Through The Night Without Getting Up To Pee! I Only Wish I Knew About This Sooner...

If you're a man over 55 who gets up 3, 4, or 5 times a night to use the bathroom β€” and you've already tried Flomax, Saw Palmetto from the drugstore, or both β€” you need to read what I discovered about why NONE of it worked.

Mark Stevens
Mark Stevens, 63
Retired Electrical Foreman, Tampa, FL Β· 8 min read Β· Updated Feb 2026
Man lying awake at night, frustrated with frequent bathroom trips

In this article, you'll learn why prostate problems seem impossible to fix and what the real solution is (hint: even most urologists don't know this!)

I want to tell you something embarrassing. For the last eight years, my bladder has been my alarm clock. Not my phone. Not sunlight. My bladder. Every single night. Three times. Four times. Sometimes five.

I'd go to bed at 10:30. By 11:45, I'm up. Then again at 1:30. Again at 3:15. Again at 5:00. Then my actual alarm goes off at 6:00 and I just lie there, staring at the ceiling, feeling like I got hit by a truck.

I used to sleep eight hours straight. Solid. Like a rock. That version of me feels like a different person. Now I shuffle down the hallway in the dark like a zombie, stand at the toilet for what feels like two full minutes, and barely anything comes out. A weak little trickle.

My wife Diane moved to the guest room about two years ago. Not because we're having problems. Because every time I got up, the bedroom door would creak, and she'd wake up too. After a few months of that, she said "Bobby, I love you, but I can't keep doing this. I'm not sleeping either." That stung more than I'll ever admit.

It Gets Worse Than the Sleep

The nighttime trips are bad enough. But it's the daytime stuff that really steals your dignity. Standing at the urinal in a restaurant and nothing happens. Just standing there. Waiting. The guy next to you finishes in ten seconds and walks out. You're still standing there pushing, waiting, praying for something to come out. Humiliating doesn't begin to describe it.

Road trips with Diane β€” we used to love driving up to see our daughter in Georgia. Now Diane has to map out every rest stop in advance because I need to pull over every 45 minutes. We've had arguments about it. Not about the stopping. About the fact that I won't admit how bad it's gotten.

Man frustrated, dealing with prostate symptoms daily

Movies? Forget it. Two hours in a dark theater? I'd have to climb over six people to get to the aisle. So we don't go. Golf? I've ducked behind trees on the back nine. I'm 63 years old, hiding behind a live oak like a little kid.

You start planning your whole life around one question: Where's the nearest bathroom? That's not living. That's surviving.

"I used to sleep eight hours straight. Solid. Like a rock. That version of me feels like a different person."

I went to Dr. Patel. Good doctor. Respected. Did the exam, ran a PSA, told me I had BPH β€” Benign Prostatic Hyperplasia. Enlarged prostate. Very common. "Nothing to worry about." Easy for him to say. He's not the one standing at the toilet at 3 AM for the fourth time.

The Three Options My Urologist Gave Me

Option 1: Flomax. I tried it. The stream improved within a few days. But the dizziness was terrible. I stood up from my recliner too fast one afternoon and nearly blacked out. And then there was the other thing β€” retrograde ejaculation. Nobody warned me. I quit after six weeks.

Option 2: Finasteride. I Googled it. Men saying it killed their sex drive permanently. Brain fog. Depression. Some said the side effects didn't go away even after stopping it. I'm 63. I'm not dead. I still want a sex life. I told Dr. Patel no thank you.

Option 3: TURP surgery. A scope. Through your urethra. Cutting away prostate tissue. Catheter for days. Blood for weeks. Permanent retrograde ejaculation in 60 to 75 percent of cases. And the tissue can grow back.

90%

BPH affects 50% of men by age 60 and a staggering 90% by age 85. Your prostate does not stop growing β€” it never stops.

American Urological Association β€” population studies

NAD+ Levels by Age

100% 50% 0% 20 30 40 50 60+ 50% decline ↓

I left that appointment feeling like a man stuck in a burning building with three exits β€” and all three of them are on fire. So I did what every man does. I went to Walgreens and bought Saw Palmetto. Took it for three months. Nothing. Zero. Not one fewer bathroom trip.

I tried Super Beta Prostate, ProstaGenix, and store-brand Saw Palmetto. Over $300 on supplements that might as well have been sawdust in a capsule. I had a cabinet full of prostate pills β€” a shelf of broken promises.

I told Diane I was done. "I've tried everything. I think this is just what getting old is." She didn't say anything. She just looked tired. We were both tired.

A 2017 ConsumerLab investigation found that 23% of Saw Palmetto supplements didn't even contain the amount of active ingredient listed on the label. You might be swallowing sawdust.

The Night Everything Changed

About four months ago, I was up at 2:30 in the morning β€” between bathroom trip number three and number four β€” scrolling prostate forums. I came across a post from a man in Munich, Germany. He wrote something that stopped me cold:

"I don't understand why Americans struggle with this. My doctor prescribed me Saw Palmetto extract and Nettle Root three years ago. It's covered by my insurance. My symptoms are well controlled."
β€” German BPH forum poster

Prescribed. By a doctor. Covered by insurance. I read that three times. Then I started digging. And what I found made me furious.

It turns out that the same ingredients Americans buy as cheap drugstore supplements β€” Saw Palmetto, Pygeum bark, Nettle Root β€” are prescribed as real medicine by doctors in Germany, France, and Italy. In Germany, Saw Palmetto extract is prescribed under brand names like Prostagutt. In France, Permixon has been the subject of over 20 clinical trials. The European Medicines Agency gave Saw Palmetto "well-established use" status.

Problem #1: Underdosing. American supplements use cheap powdered berry instead of standardized lipidosterolic extract. It's like the difference between real orange juice and orange-flavored drink mix. Same name. Totally different product.
Problem #2: Single ingredients. European doctors don't prescribe Saw Palmetto alone. They use multi-botanical protocols β€” Saw Palmetto, Pygeum, Nettle Root, and Zinc all working on different mechanisms simultaneously. Most American supplements give you one ingredient and hope for the best.
Problem #3: Capsules destroy the active compounds. A capsule has to survive stomach acid, get broken down, pass through first-pass liver metabolism. For a man in his 60s with declining stomach acid, you might absorb 10 to 15 percent. You're essentially flushing 85 cents of every dollar down the toilet.

Through a friend, I ended up talking to Dr. Andersen β€” a naturopathic physician who trained in Europe. He told me something I'd never heard before: "Your prostate isn't just dealing with hormonal imbalance. It's dealing with cellular energy depletion. As men age, NAD+ levels drop dramatically. Your prostate cells are inflamed, being pushed to grow by excess DHT, and they don't have the cellular energy to fight back."

That's when he recommended ROAN NAD+ Mens Complex.

Try ROAN NAD+ Mens Complex Risk-Free for 30 Days β†’

30-day money-back guarantee Β· $40/month

What Makes ROAN Different From Everything I Tried

ROAN is a sublingual liquid. A dropper. You put it under your tongue, hold it for 60 seconds, and the active compounds absorb directly into your bloodstream through the capillary-rich tissue under your tongue. No stomach acid to survive. No liver to filter through. No horse pills to choke on.

ROAN NAD+ Mens Complex supplement bottle

ROAN NAD+ Mens Complex

Every ingredient listed. Every milligram visible. No proprietary blend.

Saw Palmetto

Inhibits DHT Β· European-prescribed for decades

120mg

Pygeum

Reduces prostate inflammation & swelling

50mg

Nettle Root

Blocks SHBG binding Β· German Commission E approved

60mg

NAD+ (as NR)

Cellular energy for prostate repair

150mg

Zinc

Prostate-critical mineral Β· Inhibits 5-alpha reductase

15mg

Turmeric

Anti-inflammatory Β· Reduces prostate growth

60mg

And the price: approximately $40 per month. I'd been spending over $300 on separate bottles of supplements that never worked.

Sublingual delivery bypasses the digestive tract entirely. It's the same delivery principle used for nitroglycerin β€” the heart medication they put under your tongue when you're having a cardiac event because you need the drug NOW, not in 45 minutes after your digestive system is done with it.

Dr. Andersen's analogy: "Most prostate supplements are like trying to put out a house fire by aiming a garden hose at one window. ROAN hits the fire from six directions at once β€” and the sublingual delivery means the water actually reaches the fire instead of evaporating on the way there."

My Results β€” Honest and Specific

I'm not going to tell you ROAN cured me overnight. That would be a lie, and I've been lied to enough by supplement companies.

Week 1-2

Subtle Changes

Maybe a slightly less urgent feeling during the day. Wasn't sure if real or wishful thinking. Almost quit β€” Diane told me to give it a real shot.

Week 3

The First Sign

Woke up and realized I'd only gotten up twice instead of four times. Happened again the next night. And the next.

Week 4-5

Stream Returns

Stream noticeably stronger. Not like 25 again, but 15-20 seconds instead of a full minute. Actually felt done. Dribbling afterward was less.

Week 6+

Sleeping Through

Sleeping through until 4 or 5 AM most nights. One trip instead of four or five. Some nights β€” straight through until morning.

The first time I slept through the entire night, I woke up at 6:15 and just lay there staring at the ceiling. Not because I was exhausted. Because I was amazed. I hadn't done that in years. Diane noticed on her own β€” "Bobby, you've been sleeping. I can tell because you're not a zombie at breakfast anymore." She moved back into our bedroom last month.

Factor What I Tried Before What Changed
Monthly Cost $220+ (separate bottles) $40
Daily Routine Multiple pills, timed 1 dropper, 60 seconds
Delivery Oral capsules (destroyed by liver) Sublingual (direct to blood)
Ingredients Single-ingredient formulas 6 synergistic compounds
Results None noticeable Felt within weeks

Why Every Man Over 50 Needs to Hear This

BPH affects 50% of men by age 60. Ninety percent by age 85. Ninety percent. Your prostate does not stop growing. It never stops. Every year it gets a little bigger, the urethra gets a little more compressed, the symptoms get a little worse.

If you're getting up twice now, you'll be getting up four times in a few years. If you're dealing with urgency now, you'll be dealing with accidents later. This is not something that gets better on its own. It is progressive. It gets worse.

The question is not IF your prostate will cause you problems. It's WHEN. And once you're in the 4-5 trips per night range, you are staring down the barrel of surgery. Don't wait until you're facing the operating table to do something about this.

My Golf Buddy's Story

My buddy Ray β€” we've been playing golf together for 15 years β€” saw me one Saturday morning and said "Bobby, what happened to you? You look ten years younger." I said "I'm sleeping." He said "What do you mean?" "I mean I'm actually sleeping through the night. Not getting up four times. Actually sleeping."

Two men enjoying golf, healthy and active

His face changed. Because Ray has the same problem. Every man our age does. I told him about ROAN β€” the European doctors, the sublingual delivery, the combination of ingredients. I ordered him a bottle. Three weeks later he texted me: "Down to 1 trip. Bobby this thing is real."

Try ROAN NAD+ Mens Complex Risk-Free

Your prostate isn't waiting. Start the protocol European doctors have used for decades.

$40/month

One dropper. Five compounds. 60 seconds.

Get Your Bottle Now β†’

30-Day Money-Back Guarantee

Frequently Asked Questions

Three ways. First, ROAN doesn't just contain Saw Palmetto. It's a multi-botanical formula combining Saw Palmetto, Pygeum, Nettle Root, Zinc, NAD+, and Turmeric β€” all working on different pathways simultaneously. European doctors use this combination approach because prostate health is not a single-ingredient problem. Second, the delivery is sublingual β€” under the tongue, directly into the bloodstream β€” not a capsule that your digestive system destroys before it absorbs. Third, every dose is listed right on the label. No proprietary blends. No mystery.

Flomax relaxes the muscle around your prostate to improve flow β€” but it causes dizziness, nasal congestion, and retrograde ejaculation in many men. Finasteride blocks DHT to shrink the prostate β€” but it carries the risk of erectile dysfunction, libido loss, and depression, with some men reporting these effects persist even after stopping the drug. ROAN uses natural botanicals that work on similar pathways without the side effects that make prescription options intolerable for so many men. It's not a pharmaceutical. It's a sublingual botanical formula built on the same ingredients European doctors have prescribed for decades.

In my experience, I started noticing a difference around week 3. The stream and urgency improvements came around weeks 4-5. Most men I've talked to say somewhere between 2 and 6 weeks. It's not overnight. But it's also not the "give it 6 months" that most supplements require. And unlike the drugstore pills I tried, the improvement kept building over time instead of leveling off.

ROAN has a 30-day money-back guarantee. If you don't notice a difference in your nighttime trips and your stream within 30 days, you get every penny back. No hassle. No games.

WHAT OTHER MEN ARE SAYING

"I've been dealing with prostate problems since I was 58. Tried Flomax for two years β€” the dizziness was so bad I fell in my garage and cracked a rib. My urologist was talking about surgery. By week three on ROAN, I was down from five nighttime trips to two. By week six, I was sleeping through until 5 AM. I called my urologist and told him I'm holding off on surgery. He asked what I was taking β€” and actually wrote it down."

"My prostate problems got so bad we couldn't travel anywhere without planning bathroom stops every 30 minutes. The RV sat in the driveway for two years. About three months on ROAN, we just got back from a two-week trip through the Blue Ridge Parkway. I drove three-hour stretches without stopping. My wife cried the first morning when I told her I slept through the entire night."

"I'm the most skeptical guy you'll ever meet. I only tried ROAN because my brother wouldn't shut up about it. I was getting up four times a night and scheduled for a TURP consultation. Five weeks in, I was getting up once. My flow was the strongest it had been in years. I cancelled the TURP consultation. It's the first thing that actually moved the needle after eight years of trying."

Here's What I Want You To Do Right Now

If you're reading this at 2 AM because your bladder just dragged you out of bed for the third time tonight β€” I know exactly where you are. I lived there for eight years. You don't have to keep living like this. ROAN costs about $40 β€” less than a Flomax copay, less than any of those supplements collecting dust in your cabinet.

Separate Bottles

$150-300

/month

NAD+ IV Therapy

$250-1K

/session

Tru Niagen

$47

/month

The risk of trying is zero. The risk of doing nothing is that you're reading an article just like this one six months from now, except by then your symptoms are worse and your options are fewer.

Your Prostate Is Not Waiting for You to Decide

Your prostate is growing right now. Not next year. Right now. Every day, it gets a little bigger. The urethra gets a little more compressed. The bathroom trips get a little more frequent. The stream gets a little weaker. BPH does not reverse on its own. It does not plateau. It does not take a break.

The man who is getting up three times tonight will be getting up five times next year. The man dealing with urgency now will be dealing with accidents later. The man putting off surgery now will be scheduling it eventually β€” unless he does something to support his prostate before it gets to that point.

The Guarantee That Makes This a No-Brainer

ROAN comes with a 30-day money-back guarantee. Try it for 30 days. If you're not getting up fewer times at night, if your stream isn't stronger, if you can't feel a real difference β€” email them and every penny comes back. No interrogation. No restocking fee. No arguing with a customer service agent.

Think about the math. $40. Thirty days. Money back if it doesn't work. Versus: another month of getting up 4 times a night. Another month of exhaustion. Another month of your wife in the other room. Another month closer to the surgeon's table.

Mark holding his ROAN NAD+ bottle in the kitchen

One Last Thing

I'm writing this on a Saturday morning. It's 7:15. I slept from 10:30 last night until 6:45 this morning. One trip at 4 AM. That's it. Diane is in the kitchen making coffee. In our kitchen. Because she sleeps in our bedroom again.

I'm about to head out to play 18 holes with Ray. I won't duck behind any trees. I won't map out the bathroom on the first hole and stress about it for four hours. I'll just play golf. Like a normal person. Eight months ago, none of that was true.

I'm not telling you ROAN is a miracle. I'm telling you it's the first thing that actually worked after eight years of things that didn't. And at $40 with a money-back guarantee, I would have tried it years ago if I'd known it existed. Don't wait as long as I did.

Try ROAN NAD+ Mens Complex Risk-Free for 30 Days

Your prostate is growing right now. Every day it gets a little bigger, the urethra gets a little more compressed, the bathroom trips get a little more frequent. Don't wait until you're facing the operating table. The best time to start was five years ago. The second-best time is today.

Get Your Bottle Now β†’

30-Day Money-Back Guarantee Β· No Hoops Β· No Fights Β· Risk-Free

ROAN NAD+ Complex Β· $40/mo
Try Risk-Free β†’