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Can An Enlarged Prostate Cause Erectile Dysfunction

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Testosterone, BPH and Erectile Dysfunction Medications – Pharmacology (Pharm) – Reproductive System

Surgical procedures to remove the diseased prostate are usually necessary. Surgical procedures are not always necessary. If the disease is caused by bacterial infections, a doctor can treat the symptoms using alpha-blockers or surgery. Physical therapy, relaxation exercises, and warm baths are all recommended. A physician may also prescribe antibiotics to cure the infection. A bacterial infection can also cause a recurrence of the condition.

An enlarged prostate can be uncomfortable for both men and women. Some of the symptoms of an enlarged male reproductive organ include a weakened urine stream, urgent need to urinate, and urinary tract infections. BPH can also cause damage to the kidneys. A sudden inability to urinate can be life-threatening, as it can lead to bladder and kidney damage. Unfortunately, most men with enlarged prostrates put up with the symptoms for years before they seek treatment. However, many of the men with symptoms finally decide to go to a doctor for proper gynecological evaluation and to begin enlarged prostatic therapy.

Correlation Between Erectile Dysfunction And Symptomatic Benign Prostatic Enlargement

The severity of ED was directly related to prostate size and men with larger prostate had ED compared to those with smaller prostate. Braun et al. noted that the prevalence of ED in men with BPE was 72% in their Cologne Male Survey involving approximately 5000 German men and this was similar to the high prevalence of 76.9% in men with BPE observed in this study. This shows that ED is common in men with BPE and further supports the need to consider ED in managing patients with symptomatic BPE. Raymond et al. in another clinic-based population study in Western countries observed that the prevalence of ED in patients with LUTS ranged from 41 to 71% with statistical significance . This finding was similar to that noted in this study with a P value of 0.001 which was statistically significant.

Ngai et al. noted a statistically significant correlation between ED and symptomatic BPE. This was similar to the observation made in this study which shows positive correlation between ED and symptomatic BPE with statistical significance . BPE may be an indicator of ED, and patients should be evaluated holistically due to the high prevalence of ED in men with symptomatic BPE and positive correlation between both pathologies .

Assessing Your Cardiovascular Health

Your GP may assess your cardiovascular health. Narrowed blood vessels are a common cause of erectile dysfunction and linked with cardiovascular disease .

Your GP may:

As well as helping to improve your erectile dysfunction, these changes can also improve your general health and may help to reduce your risk of cardiovascular disease .

Read more about preventing cardiovascular disease

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How Enlarged Prostate Impacts Sexual Function

An enlarged prostate is also called benign prostatic hyperplasia . Its an issue where your prostate, while not cancerous, is enlarged giving you the typical urination symptoms.

Things like:

  • Dribble after your done
  • Feeling of not getting it all out

Any of these has the ability to reduce confidence when it comes to sexual performance. However, most of the problems would be fear and psychological worry about potential pain which are very real issues.

There are a number of potential remedies for reducing and improving BPH. Sexual activity is one of the many home remedies for an enlarged gland.

However, if remedies dont work, prostate reduction surgery is an option. And here is where potential erectile issues show up. The surgery leaves scar tissue . In certain scenarios this tissue causes increased difficulty in getting an erection.

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Can A Swollen Prostate Cause Erectile Dysfunction

Benign Prostatic Hyperplasia

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Erectile dysfunction can affect your ability to get and maintain an erection.

It is a very common condition around 322 million men globally by 2025 are projected to experience persistent difficulty achieving and sustaining erections.

This condition may be caused by psychological factors like performance anxiety or stress.

Likewise, your medication for managing high blood pressure or ulcers or other conditions could also affect erectile functioning.

However, physical conditions like an enlarged prostate and prostatitis may account for many cases of erectile dysfunction.

Well be examining how a swollen prostate can lead to ED.

Well do this by looking through the links between benign prostatic hyperplasia, prostatitis and erectile dysfunction, their causes, as well as treatment options which may affect erectile abilities.

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Enlarged Prostate And Sex Drive

Although we cant say for certain that an enlarged prostate will cause erectile dysfunction or problems ejaculating, there is plenty of evidence that the condition can and does impact the sex lives of those who experience it. BPH can affect your sex drive , because you might feel generally stressed or anxious about your symptoms.

If you feel that your prostate is impacting your sex life, you should talk to your doctor.

Why Erectile Dysfunction May Result From Prostate Disease

In the past, it was thought that most cases of erectile dysfunction were psychological in origin, the result of such demons as performance anxiety or more generalized stress. While these factors can cause erectile dysfunction, doctors now think that 70% of the time the problem can be traced to a physical condition that restricts blood flow, hampers nerve functioning, or both. Such conditions include diabetes, kidney disease, multiple sclerosis, atherosclerosis, vascular disease, and alcoholism.

However, some types of prostate disease and treatments may also be responsible.

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Where To Get Treatment For Ed In Nyc

At New York Urology Specialists, we offer specialized treatment for ED for men. Same-day appointments are available.

or make an appointment online.

We treat sexual and erection problems and offer for infections. We treat penile problems in men, including phimosis, balanitis, penile irritation, and penile redness. We perform a no-scalpel vasectomy, vasectomy reversal, , , penile frenuloplasty. We offer confidential appointments.

Our prices are ED treatment prices are affordable with or without insurance. Low-cost Viagra and Cialis are available to our patients. We offer free insurance verification.

Bph Medications And Sexual Side Effects

Focal therapy prostate cancer treatment that doesnt involve erectile dysfunction or incontinence

Some drugs used to treat BPH can cause difficulty in maintaining an erection. Men who take alpha-blockers such as doxazosin and terazosin may experience decreased ejaculation. This is because alpha-blockers relax the bladder and prostate muscle cells.

Alpha reductase inhibitors can also cause ED. Additionally, reduced sex drive is a possible side effect of the alpha reductase inhibitors dutasteride and finasteride.

Approximately 3 percent of men taking dutasteride reported experiencing a decreased libido in the first six months. About 6.4 percent of those taking finasteride experienced this within the first year. Roughly 4.5 percent of men taking dutasteride-tamsulosin reported decreased libido in the first six months.

Men who take these medications may also experience lower sperm count, decreased sperm volume, and lower sperm movement. Adverse events typically decrease with continued use.

Medications that treat erectile dysfunction may help improve BPH. The ED drugs below have all been shown to reduce BPH symptoms:

  • sildenafil
  • tadalafil

However, they arent currently approved to treat BPH.

These medications inhibit a protein that breaks down a chemical called cyclic guanosine monophosphate , which increases blood flow to the penis. By inhibiting the protein that breaks down cGMP, blood flow to the penis can be increased.

One comparing tadalafil and a placebo showed that men who took 5 milligrams of tadalafil daily had significant improvement in both BPH and ED symptoms.

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Eating Diet And Nutrition

Researchers have not found that eating, diet, and nutrition play a role in causing or preventing prostatitis. During treatment of bacterial prostatitis, urologists may recommend increasing intake of liquids and avoiding or reducing intake of substances that irritate the bladder. Men should talk with a health care provider or dietitian about what diet is right for them.

Why Is There Increasing Concern At This Time Regarding Erectile Dysfunction Issues Following Radical Prostatectomy

The reality of the recovery process after radical prostatectomy today is that erectile function recovery lags behind functional recovery in other areas. Patients are understandably concerned about this issue and, following months of erectile dysfunction, become skeptical of reassurances that their potency will return.

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Luts And Sexual Function

LUTS associated with BPH are often accompanied by sexual dysfunction, including erectile dysfunction and ejaculatory problems. Interest in sexual intercourse declines with severity of LUTS. Men with more severe LUTS have significantly lower libido, greater difficulty maintaining an erection, and lower levels of sexual satisfaction than men with less severe LUTS. OLeary showed that, in men with LUTS, the severity of urinary symptoms appears to exert the greatest influence on the degree of sexual dysfunction. Burger and colleagues found evidence of a correlation between sexual desire, erectile reliability, and sexual satisfaction and the degree of baseline symptoms. According to the U.S. National Health and Social Life Survey, both premature ejaculation difficulties and ED are associated with LUTS. Frankel and colleagues reported that men with storage-related complications from LUTS, particularly incontinence, had approximately twice the probability of experiencing sexual dysfunction, especially impotence, as men without such complications. It is unclear whether the sexual dysfunction that occurs with LUTS is due to sleep disturbance, anxiety, or a physiologic effect. The impact of ED the emotional distress that often accompanies it must be differentiated from LUTS, highlighting the need for several different diagnostic tools when evaluating a patient.

What Are Bph Symptoms

How long does Erectile Dysfunction last after Prostate Surgery

The prostate surrounds part of the urethra the tube through which urine leaves the body. BPH, or an enlarged prostate, can result in this tube getting blocked. The block can cause problems with peeing, such as:1

  • Weak stream
  • Needing to wake up at night to pee
  • Pain during urination or after ejaculation

BPH symptoms can get in the way of life. For example, you might become worried with finding a bathroom when you are away from home. Or you may become scared of leaving an embarrassing wet mark on your clothes if you cannot get to a bathroom in time.

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What Is Prostate Enlargement

Enlargement of the prostate occurs when the prostate gland cells begin to multiply and cause the prostate gland to swell. This swelling tends to compress the urethra, limiting urine flow and causing symptoms known as lower urinary tract symptoms . BPH is a condition that many men encounter with aging.

Most of the symptoms of BPH are associated with urinary function. They are:

  • Frequent need to urinate
  • Urinary retention inability to empty the bladder
  • An intense urge to urinate, even shortly after urinating
  • A weak urine stream or an interrupted urine stream
  • Difficulty starting or stopping urination

While BPH itself is not a directly linked cause of sexual problems, most men that suffer from it do indeed find it affects sexual performance. Some common sexual side effects of BPH are:

  • Inability to maintain an erection

Its Complicated: Enlarged Prostate And Sex

BPH and sexual function

Prostate enlargement, also known as benign prostatic hyperplasia , and erectile dysfunction are separate problems. Both increase with age, but one causes problems in the bathroom and the other in the bedroom. However, the two are somewhat linked.

BPH happens when your prostate becomes enlarged, but cancer isnt the cause. A mans prostate continues growing throughout most of his adult life. This is why many older men are affected by the condition.

ED is the inability to get or maintain an erection. It can be caused by physical conditions such as:

It can also be caused by psychological issues.

These two conditions dont necessarily seem linked, but certain treatments that relieve BPH can cause ED and other sexual side effects. On the other hand, treating ED can improve enlarged prostate symptoms.

  • inability to empty the bladder
  • a weak urine stream

A surgery called transurethral resection of the prostate can help relieve these symptoms. Men who have this procedure often experience sexual side effects after surgery.

Between 50 and 75 percent of men experience retrograde ejaculation after TURP, according to Harvard Medical School. This means that semen released during orgasm enters the bladder rather than exiting the penis. Retrograde ejaculation is sometimes called dry orgasm. Its not harmful but can affect male fertility.

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Prevalence Of Erectile Dysfunction

On the contrary, the prevalence of ED in this study is higher than the finding obtained in a population-based multinational study in regions of the UK , Netherland , France , Korea linking ED and LUTS due to BPE in 4800 men aged 40 to70 years. The study observed a prevalence of 21.1%. The difference in this observation may be due to the fact that larger group of patients with LUTS due to BPE were enrolled compared to the 117 patients with symptomatic BPE enrolled in this study . However, the consistent observation is that ED and symptomatic BPE were significantly associated with increasing age .

Natural Treatments For Bph Induced Erectile Dysfunction

Urinary, Sexual Function Restored: “It’s Like I’m 18 Again”

As mentioned above, many doctors consider that BPH does not directly cause ED. However, most studies also show that men with serious BPH also suffer from ED.

Both maladies are often a result of lifestyle and nutritional deficiencies. For example, many men, when tested, show a deficiency in the mineral Zinc. The prostate is an organ that requires zinc in order to function normally. Thus a zinc deficiency may result in prostate issues that span multiple symptoms, BPH and ED, among them.

Many BPH symptoms can be helped by the use of herbal remedies, particularly saw palmetto and pygeum herbal extracts. Urinary issues can be helped using a flower pollen extract. Other natural prostate supplements include:

  • Rye Grass Pollen Extract
  • Turmeric
  • Ellagic Acid

Erectile dysfunction can often be improved by the use of medications called PDE-5 inhibitors. This includes the trade names of Viagra, Cialis, and Levitra at present. However, while these medications may improve or facilitate sexual function, they do nothing to solve the underlying problem.

Unfortunately, the dietary habits of the public do not foster healthy living. Poor eating habits tend to cause hormonal and nutritional disturbances. These imbalances add up. When severe enough, they can cause prostate enlargement, erectile dysfunction, or any one of a host of associated symptoms.

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Enlarged Prostate And Ejaculation

It is unlikely that BPH on its own will cause problems with ejaculation. However, some of the treatments used for managing the symptoms of BPH can cause ejaculatory dysfunction. Many of the common BPH treatments, such as finasteride and dutasteride, can trigger issues with ejaculation, including a total inability to ejaculate or retrograde ejaculation, where the ejaculate goes into the bladder rather than out of the penis.

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Swollen Prostate Treatments That May Lead To Erectile Dysfunction

Managing a swollen prostate may require medication, or sometimes surgery to get it under control.

These treatments can be effective in getting the prostate to an acceptable state, but may sometimes do so at the expense of causing serious side-effects, notable of which is erectile dysfunction.

Drugs to manage benign prostatic hyperplasia like alpha blockers such as tamsulosin and terazosin, and 5-alpha-reductase inhibitors such as finasteride and dutasteride have side effects that include erectile dysfunction.

In treating prostate cancer, procedures like a radical prostatectomy may lead to injuries of the cavernous nerve and blood cells.

This can cause ED. Hormonal therapy in the form of androgen-deprivation is also known to cause erectile dysfunction and decreased sexual desire.

Radiation therapy to treat cancer can also lead to nerve damage, which may lead to ED. There are however some promising approaches to reduce the risks of erectile dysfunction following this treatment.

In instances where ED occurs following treatment for a swollen gland, measures like the use of PDE5 inhibitors, intracavernosal injections, and combination therapy may be able to treat sexual dysfunction.

As always, it is important to talk to your healthcare provider to ensure you get the best and safest advice on what approaches to consider for your specific condition.

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The Impact Of An Enlarged Prostate On Erectile Dysfunction

It is easy to see a symptom while misunderstanding the underlying cause.

Erectile dysfunction is a common medical condition that impacts more than a third of men at some point in their lives. As men get older, they tend to struggle more commonly with erectile dysfunction . There are many other health issues for men as they get older. Some of these health risks may have an impact on their ED as well.

One common area with troubling conditions for aging men is their prostate. Their prostates can be a source of cancer, but even when they are cancer-free, they may have an enlarged prostate called Benign Prostatic Hyperplasia . In this article, we will focus on how BPH impacts mens health and how that may contribute to erectile dysfunction.

What Determines Erection Recovery After Surgery

Enlarged Prostate (BPH)

The most obvious determinant of postoperative erectile dysfunction is preoperative potency status. Some men may experience a decline in erectile function over time, as an age-dependent process. Furthermore, postoperative erectile dysfunction is compounded in some patients by preexisting risk factors that include older age, comorbid disease states , lifestyle factors , and the use of medications such as antihypertensive agents that have antierectile effects.

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Treatment Of Bph Can Improve Sexual Health

Treatment for ED and BPH

Fortunately, effective treatment for enlarged prostate can help with some sexual symptoms such as problems with ejaculation, tiredness and energy levels.

Urolift, an innovative procedure for BPH and an enlarged prostate, has been shown to improve sexual symptoms and ejaculation problems in men.

For some men with mild symptoms of BPH who also have erectile dysfunction, medications such as Cialis may help with symptoms of BPH and ED.

For most men with an enlarged prostate who have difficulty obtaining and maintaining erections, erectile dysfunction needs to be treated separately from urinary symptoms caused by an enlarged prostate.


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