BPH and Nocturia on TRT

Hello All-

I have been stuggling with BPH symptoms and nocturia for a while now. Below is a study linked.
Anyone have any tips for this? Estrogen is in check and doing two shots of 50mg a week of test cyp. No AI. I have messed with low dosages of AI but crashed estrogen.

I also saw a urologist and did a prostate exam and checked for infection and nothing came back.

The FDA has approved Cialis to treat BPH.

Isn’t that what it was originally intended for and they discovered another side that was more profitable to sell it with? Along with viagra

I was always told Viagra was originally a blood pressure medicine but given the favorable side effect it’s known for they quickly called it a new class of ED drugs. I always though cialis was just the another similar one, longer acting with fewer side effects. But I don’t really know, it’s all hearsay

The active ingredient in viagra is sildenafil. Sildenafil was originally approved to treat pulmonary hypertension, high blood pressure in the lungs. When doing the clinical work for ph, the researchers noticed the interesting side effect of increased erectile performance in the test subjects. Sildenafil was first marketed as Revatio 20mg tablets and dosed 5 times daily (24 hours) for pulmonary hypertension. Shortly thereafer, Viagra came to market in 25mg, 50mg, and 100 mg doses.

I believe I have this too I’m on test cyp and piss all day all jight it messes with my sleep how do I stop it plz help