Does an Enlarged Prostate (BPH) Cause Erectile Dysfunction?

Dr. Anne
Dr. Anne

Hi!

I'm Dr. Anne Truong, MD

Dr. Anne Truong is a highly respected physician, best-selling author and internationally sought-after speaker on the topics of regenerative cell medicine, pain management, and applications for aesthetics and sexuality.

Have you ever wondered how an enlarged prostate could impact your sexual health? In this podcast episode, I'll unravel the often misunderstood link between Benign Prostatic Hyperplasia (BPH) and Erectile Dysfunction (ED). We'll dive deep into the symptoms of BPH, and explore its prevalence and contributing factors. We'll also examine the intricate ways in which BPH treatments can influence erectile function.

Join me as I decode the complexities of men's health. I'll shed light on a topic that's not only vital but also rarely discussed openly. Tune in now to understand more about your body and empower yourself with knowledge!

Episode Video

ED and BPH are two conditions often discussed in men's health. But how exactly are they connected? Let’s delve into the intricate relationship between these two conditions. I’ll providing insight and clarity on a topic that affects many men worldwide.


The Basics of Enlarged Prostate and Its Symptoms

Nuts. Walnuts on a white background. enlarged prostate
Nuts. Walnuts on a white background | Photographer: Yeko Photo Studio | Copyright: Yeko Photo Studio

The prostate gland, typically the size of a walnut, can enlarge as men age. This enlargement can compress the urethra, leading to symptoms like frequent urination and incomplete bladder emptying. The prostate primarily functions to produce semen, but testosterone levels often link to its enlargement. Experts recommend that men over 50 regularly undergo screening, including prostate-specific antigen (PSA) tests.

Symptoms of an enlarged prostate can include the need to urinate frequently, especially at night, weakened urine stream, and dribbling post-urination. Surprisingly, the size of the prostate doesn't always correlate with the severity of these symptoms, which can range from mild to severe.


The Connection Between ED and Enlarged Prostate

Interestingly, it's not enlarged prostate itself but its treatment that often contributes to ED. BPH is a benign condition and not cancerous. However, medications like finasteride (Proscar) and alpha blockers (e.g., Flomax, Rapaflo) used to treat BPH can have side effects impacting sexual function. For instance, finasteride links to ED in a small percentage of men. Meanwhile, alpha blockers may have fewer sexual side effects.

In addition, in cases of severe BPH, surgical procedures like transurethral resection of the prostate (TURP) are considered. While effective in reducing prostate size, these procedures can also contribute to ED in some men.


Final Thoughts

The relationship between benign prostatic hyperplasia and ED is complex and intricate. While BPH itself may not directly cause ED, the stress, urinary obstruction, and particularly the medications used for treating BPH, play significant roles in the development of ED. Understanding this connection is crucial for men undergoing treatment for an enlarged prostate, as it helps in making informed decisions about their health and treatment options.


Additional Resources

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