What Will I Learn By Reading This
When you have treatment for your prostate cancer, you may have erectile dysfunction also known as impotence. Erectile dysfunction is a very common side effect . Side effects from prostate cancer treatment are different from one man to the next. They may also be different from one treatment to the next. Some men have no erectile dysfunction. The good news is that there are ways to deal with erectile dysfunction. In this booklet you will learn:
- What erectile dysfunction is
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
It is important for you to learn how to deal with erectile dysfunction so that you can continue to have a satisfying intimate relationship.
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.
So Whats Your Role In Preventing Bph
You cant do anything about your age, but you can do something about your lifestyle and diet to boost the health of your prostate. Start by avoiding or cutting down on dairy and meat, add lots of vegetables, fruits, nuts, seeds and whole grains to your nutrition regimen, and try including soya products like miso, tofu and tempeh in your diet. Initially that may be difficult if you are used to consuming meat and dairy-heavy meals. But by incorporating tasty, plant-based substitutes such as tofu, three-bean curry, mushroom risotto and vegetable satay, you can quickly get used to meals without meat and dairy. Take steps to reduce your stress levels by dealing with the underlying causes of your stress. Take a stress remedy, practice mindfulness or see a counselor whatever works best for you.
For more information on prevention, diagnosis and treatment of BPH, visit the St Pete Urology site.
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Bph And Sexual Dysfunction Explained
Benign prostatic hyperplasia is a condition in which the prostate becomes so enlarged that it begins to put pressure on the urethra. When this happens, the patient begins to experience lower urinary tract symptoms , including frequent urination, urgency, incontinence, nocturia and weak urine flow. For some men, the condition worsens, causing more severe symptoms that include kidney or bladder problems and urinary retention .
Sexual dysfunction refers to persistent and recurring problems with experiencing satisfaction from sexual activity. Problems can include a decrease in sexual pleasure, a reduced sex drive and difficulty in getting or maintaining an erection .
Can Prostate Massage Really Help An Enlarged Prostate
Prostate milking, or prostate massage, has the ability to give men intense relief from prostate problems. The prostate, or the prostate gland is a major organ in the male reproductive system.
The primary function of this gland is to produce prostatic fluid. This is the fluid that helps the sperm survive after ejaculation.
Unfortunately, factors like aging and a poor lifestyle can make the prostate weak. This results in an impairment in urinary function, sexual function and prostate inflammation.
However, by massaging the prostate on a regular basis, blood flow increases in the area. The pain that is related to an inflamed prostate as well as discomfort in the area diminishes.
It is important to know that prostate massage is not a new practice. It is a treatment that has been utilized for thousands of years in Asian culture, and it is still a treatment that is used today.
In fact, many men have reported feeling much better after one prostate massage session.
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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.
Call/text today: 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.
How May Erectile Dysfunction Affect My Sexual Relationships
Prostate cancer and its treatment can affect your desire for sex. Every man is different but the feelings caused by having cancer and the physical stress of treatment can affect the way you feel about your body and your relationships. Some men talk about feelings of a loss of their role within the partnership or family. This can sometimes affect a mans self esteem and confidence. For others, the physical effects of treatment may lead to tiredness and a lack of energy. Physical changes after some treatments can also affect the way you feel about your body and appearance . All of these things may result in a lack of interest in sex.
If you are feeling tired or under stress, tell your partner how your feel. Loss of interest in sex does not mean you lose interest in a loving and supportive relationship. There are ways to remain physically intimate without having sex. If you are used to a close physical relationship, it is important to remember that hugs, cuddles and kisses maintain intimacy, provide support, and do not have to lead to sex.
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How Are Prostate Cancer Stages Determined
Once all testing has been completed, your doctor will tell you the stage of your cancer, or how much it has progressed and whether it has spread beyond your prostate. The stage will help your medical team decide which treatment is best for you. The higher the stage, the more advanced your cancer. The most common way to stage prostate cancer is the TNM system, developed by the American Joint Committee on Cancer, which hinges on three important factors:
T : How much of your prostate the tumor affects
N : Whether the cancer has spread beyond your prostate to nearby lymph nodes
M : Whether your cancer has metastasized, or spread far beyond your prostate to your bones, to nearby organs such as your bladder or rectum, or to more distant organs like your lungs, liver, or brain.
The TNM system also includes your PSA level and your Grade Group, based on your Gleason score. With your stage designated, which is labeled in a range of T1 to T4 , a treatment plan can be developed.
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Prostate Problems Caused By Drinking Water
If you drink a lot of water, you might very well be creating prostate problems for yourself.
But, before we go further, let me just say I DO drink a lot of water each day myself. In fact, I drink over half my body weight in ounces and, that is something anyone with prostate problems or who wants to avoid prostate problems should do in my humble opinion.
But, at the same time, it can be dangerous.
Make your prostate GROW.
And even turn you into a girl!
Well, it is not that water is bad.
Frankly, it is essential for your prostate health.
It is that the plastic bottles you get water in or storing that water in that is the main villain.
Turns out, plastic has estrogenic compounds in it.
What does that mean?
It means, you are ingesting lots and lots of estrogen which can give you girl-like features , cause fat gain and, even worse for guys like us, make our prostates blow up in size like a balloon.
Personally, I am going to get a water filter.
I used to lug around these 5 gallons of water in plastic containers but am getting an under-the-counter water filter instead, and use glass jars to drink out of.
You may want to do the same.
At least, if you do not want a sex change.
Just something to consider about your prostate problems if you like to drink bottle water.
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What Are Bph Symptoms
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.
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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What Causes Prostate Enlargement
Multiple factors cause prostate enlargement. Documented causes include specific medications, some of which are commonly used for prostate problems, as well dietary issues, disease processes, and hormonal imbalances.
Nutritional and dietary issues are known to be common causes of BPH. A diet heavily laden with animal fat is one of the most significant causes. Foods known to have high levels of animal fat include red meat and dairy products.
Aside from BPH, a diet high in animal fats is also known for causing cardiac problems and diabetes. Increasing epidemiological evidence suggests that these foods significantly increase the risk of developing BPH.
Effects Of Bph On Sexual Function
Lower urinary tract symptoms are common in aging individuals with BPH, the primary cause of LUTS in men over 50. The presence of histological BPH at autopsy is approximately 8% in men ranging in age from 31 to 40 years, 50% in those ranging in age from 51 to 60 years, 70% in those ranging in age from 61 to 70 years, and 90% in those ranging in age from 81 to 90 years . LUTS range from nocturia, urinary frequency, and urgency to a decreased and intermittent stream with incomplete bladder emptying and commonly result in a decreased quality of life.
Findings from epidemiological, pathophysiological, and clinical studies indicate that many of these men also suffer from declining sexual function, especially those undergoing treatment for their BPH-related urinary symptoms. Although urinary symptoms and quality of life may improve with BPH therapy, the resulting effects on sexual function vary according to medical, surgical, and minimally invasive approaches and have not been consistently reported.
The incidence of both BPH and sexual dysfunction increases with aging, which suggests the possibility of an association of the two diseases. Similarly, in a study of 1216 patients in Korea, Yong et al reported that the score for sexual function decreased with severity of LUTS and aging of patients .
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The Elephant In The Room
Lets get to the point. Yes, BPH can affect your sex life.
It can cause a reduced sexual drive, there can be a reduction in sexual satisfaction, and thirdly, it can cause ED or erectile dysfunction. Erectile dysfunction is defined as the inability to attain and maintain an erection for intercourse at least 25% of the time.
Some drugs used to treat BPH can lead to ED. They can also reduce sperm count, lower sperm movement and sperm volume.
At the same time, certain ED treatments like Viagra, Cialis, and Levitra can improve BPH and reduce those urinary symptoms.
Yes, its complicated.
To continue, specifically, Proscar, an anti-testosterone drug prescribed for BPH has been linked to ED in 3.7% of men using it, with 3.3% having diminished libido, whereas alpha-blockers like Flomax can improve the symptoms of BPH with a lower risk of sexual side effects.
What Is Bph And Its Effects
Benign Prostatic Hyperplasia happens in many men as they get older. The enlarged prostate for these men can cause problems while urinating. Some of the specific issues with urinating include:
- Constant urge to urinate
- Difficulty beginning or stopping urination
- Weak urine stream
- Feeling like your bladder is not empty
- Higher frequency of urinating
If trouble urinating were a one-time thing, it would be bad enough, but as an on-going condition, BPH can impact the quality of a mans life.
Issues with your prostate can also lead to sexual problems. Some sexual problems of men with BPH include:
- Reduced sexual satisfaction
Does Having An Enlarged Prostate Affect Sexual Performance
It might. Some men with an enlarged prostate develop erectile dysfunction or problems with ejaculation.
The technical term for an enlarged prostate is . BPH occurs when prostate tissue increases in size. This growth moves inward, pressing on the urethra . As a result, some men with BPH have trouble urinating and need treatment.
Unfortunately, some treatments might have sexual side effects:
- Medications. 5-alpha reducatase inhibitors and alpha-blockers are two types of drugs commonly prescribed for BPH. However, 5-alpha reducatase inhibitors might lower a mans sex drive or interfere with erections. Alpha blockers could lead to difficulty ejaculating.Finasteride in particular has been associated with a greater risk for ED. In a 2015 study of 700 men with BPH, men who took finasteride gradually developed ED while a comparison group of men who took tamsulosin did not.
- Minimally-invasive procedures. These approaches, which could include stents, heat treatments, or laser treatments, can sometimes lead to ED or retrograde ejaculation .
- Surgery. Transurethral incision of the prostate , which involves widening the urethra, sometimes results in ED. Transurethral resection of the prostate , in which the inner portion of the prostate is removed, can lead to retrograde ejaculation.
It should be noted that is not harmful, as semen exits the bladder along with urine. However, couples who wish to conceive a child may need to see a fertility specialist.
Is It Easy To Orgasm This Way
Lets say it may take some practice and patience.
Actual clinical research on prostate-induced orgasms is seriously lacking, so we dont know how common it is or if its possible for everyone with a prostate to have this type of orgasm.
Every body is different, so some experimenting to see what feels good is in order. If you do manage to have one, reproducing it will be easy.
Symptoms Of An Enlarged Prostate
Because the prostate is positioned so close to the bladder, penis and rectum, most disorders which cause enlargement of the prostate share several basic symptoms. These include:
- An urgent, at times uncontrollable, need to urinate, which may lead to incontinence if the person canât make it to the bathroom in time
- Trouble urinating
- Sexual problems and loss of sex drive
- Postcoital pain
In the case of prostate cancer there may be no immediate symptoms, or there may be urinary symptoms like those listed above. In addition, there may be symptoms such as:
- Hematuria or blood in semen
- New onset of erectile dysfunction
- Back, especially lower back, hip or pelvic pain
- Unexplained weight loss
Good to know: A lot of the urinary symptoms above could also be caused by diabetes or may be related to the use of certain medications. If any of these symptoms are detected, it is of paramount importance that a physician is consulted and the cause diagnosed, so that appropriate next steps can be taken.
Worried you may have an enlarged prostate? Start your free symptom assessment in the Ada app.
Sexual Side Effects Of Common Treatments For Bph
Some treatment options for enlarged prostate can cause sexual side effects. Not every man gets these side effects but depending on the treatment some or many men can experience these side effects.
Flomax and Uroxatral : these medications are often used for the treatment of enlarged prostate can have un-ejaculation as a side effect. This is not dangerous but many men can get concerned. What happens is that no semen comes out after sex. Men who are bothered by this side effect can often take a different medication that may not cause the same side effect. Men who are trying to get their partner pregnant and develop un-ejaculation from medications such as Flomax should stop the medication and see us to discuss a different treatment option for BPH.
Proscar : finasteride is often taken by men with an enlarged prostate and smaller doses are used to prevent hair loss. Some men develop side effects to finasteride which may include difficulty obtaining and maintaining erections and decreased libido.
TURP and Laser Surgery for Enlarged Prostate: Many surgical treatment options for enlarged prostate can cause retrograde ejaculation . This is not dangerous but some men are concerned. In addition, a small number of men may develop erection problems after transurethral surgery.
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