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Saw palmetto (Serenoa repens) is a palm shrub that produces black and blue ripe berries berries that were a staple food and medicine for the Native Americans of the southeastern United States. Back in ancient times men used the berries for urinary tract problems, and even to increase sperm production and boost libido. Today, the primary use of saw palmetto is for men with benign prostatic hyperplasia (BPH), a non-cancerous enlargement of the prostate gland. Saw palmetto is often combined with nettle extract and used by men with BPH..