Objective <p>To investigate the effects of warming needle combined with pelvic floor muscle massage on clinical symptoms, quality of life (QOL), and sex hormone levels in patients with benign prostatic hyperplasia (BPH).</p> Methods <p>A total of 140 patients diagnosed with BPH were randomly divided into a control group, a warming needle group, a massage group, and a combined treatment group, with 35 patients in each group. The control group was given oral finasteride tablets for treatment. In addition to oral finasteride tablets, the warming needle group was given warming needle treatment, the massage group was given pelvic floor muscle massage, and the combined treatment group was given both warming needle and pelvic floor muscle massage. After two treatment courses, the total effective rate was compared among the four groups, and changes in such clinical indicators as international prostate symptom score (I-PSS), QOL score, total prostate volume (TPV), testosterone (T), estradiol (E2), luteinizing hormone (LH), and prostate-specific antigen (PSA) were observed.</p> Results <p>The differences in the total effective rate among the four groups indicated statistical significance (<i>P</i>&lt;0.05), and the combined treatment group showed a significantly higher effective rate than the other three groups (<i>P</i>&lt;0.05). After treatment, the I-PSS, QOL score, TPV, and serum levels of T, E₂, LH, and PSA in all four groups improved compared to those before treatment (<i>P</i>&lt;0.05), and the extent of improvement in the combined treatment group was significantly greater than that in the other three groups (<i>P</i>&lt;0.05).</p> Conclusion <p>Oral finasteride tablets, warming needle, and pelvic floor muscle massage can all improve the I-PSS, QOL score, TPV, and serum levels of T, E₂, LH, and PSA in patients with BPH, and the combination of the three therapies demonstrates the most significant effect.</p>