4 Strategies for Coping With an Enlarged Prostate

Men who were treated with finasteride had declined IIEF scores, indicating poor erectile function.

The extent of any sexual problem varies according to the condition of the prostate. How often should the prostate be examined? My wife and I haven't been sexually active for about five years. Health solutions from our sponsors, a vacuum erection device helps draw blood into the penis by applying negative pressure. It is essential you know that some of the drugs used to treat BPH have side-effects. These tests include:

Flomax (tamsulosin hydrochloride) is an alpha-blocker used to treat the symptoms of a prostate gland condition called BPH (benign prostatic hyperplasia). Green tea contains substances called catechins that travel throughout the body and take up residence in the prostate, where they can modulate the production and actions of hormones and may be useful in the treatment of BPH. When this gland gets bigger, it makes it difficult to urinate. This is not an indication of a security issue such as a virus or attack. This is because alpha-blockers relax the bladder and prostate muscle cells. Pathogenic mechanisms linking benign prostatic hyperplasia, lower urinary tract symptoms and erectile dysfunction.

Certain herbal products might increase the risk of bleeding or interfere with other medications you're taking.

What are my treatment options? It is well established that erectile dysfunction contributes to anxiety, depression, loss of self-esteem, and diminished quality of life. The prostate is a small gland, usually about the size of a walnut, that is situated just below the bladder and above the penis. Testosterone requires an enzyme to become dihydrotestosterone, 5-alpha-reductase. It may increase your chances of getting prostate cancer according to a few studies, but It does NOT become cancer.

In severe cases of an enlarged prostate, whatever the cause, urinary retention (being unable to completely empty the bladder) may also occur. These drugs have a major side effect: This test measures whether you can empty your bladder completely. Natural ways to enlarge my penis, additionally, concerned parents can use NLP and memory recall techniques to assist their children prepare more effectively to begin new careers. However, 5-alpha reducatase inhibitors might lower a man’s sex drive or interfere with erections. Who are Good Candidates for CWVA? Is the size of the prostate the issue or could there be other factors here?

At 3 months follow‐up, finasteride caused loss of erectile functions in 8 of 36 potent patients (22%).

The Link Between BPH and Sexual Problems

Lifestyle changes, such as limiting a night-time consumption of liquids, avoiding caffeine and alcohol, avoiding medication such as diuretics, decongestants and antihistamines and getting more exercise, as well as dietary improvements, such as eating more fibre, avoiding artificial sweeteners and sweetened beverages. It’s a small gland that can be reached through the rectum and examined. There are several types of minimally invasive procedures to choose from, including: The enlarged prostate often compresses the urethral wall causing urinary disorders. This surrounds the part of the urethra that passes through the prostate. Advanced tests include: It is not always necessary to treat a varicocele unless it causes fertility problems or severe pain. The majority of those men who have had this surgery will experience temporary or permanent ED.

Share This Page

Oral therapy can be used with any of the three PDE5 inhibitor drugs. Having surgery can be high risk and not every male is eligible for surgery. It’s also possible that prostate enlargement may pinch these nerves and contribute to ED. Are there any restrictions on sexual activity? Quercetin is effective for many men who have category III prostatitis, the type that is not caused by a bacterial infection. What is prostate disease? As men get older, their prostates tend to become enlarged.

Erectile Dysfunction

Some common sexual side effects include : There are several types of prostatitis, including infectious acute or chronic bacterial prostatitis, nonbacterial prostatitis, also known as chronic pelvic pain syndrome (CPPS), and asymptomatic inflammatory prostatitis in which an affected person will not show any symptoms. The release of this thermal energy causes rapid cell death. Which erectile dysfunction drug is best: the big top 5. Benign prostatic hyperplasia (BPH) increases by 7 times the risk of erectile dysfunction (ED) and severe urinary disorders. Prostatitis is not a sexually-transmitted infection, although it can be caused by one. A lighted, flexible instrument (cystoscope) is inserted into your urethra, allowing your doctor to see inside your urethra and bladder. With increasing age, men experience significant changes in their sexual function, namely the average frequency of intercourse and the ability in getting or maintaining erection. But it’s starting to look as though men with early BPH are at increased risk for early ED.

These studies provide evidence that treatment of LUTS with α-blockers in men with BPH may in fact improve erectile function in most patients.

“Do You Still Have Morning Erections?”

Is this harmful if not taken too often? Several men prefer not or simply cannot take antibiotics for prostate conditions. It may not even be due to BPH.


What are the symptoms? An erection depends on blood flow. But the degree of compromise on erectile rigidity is still unclear and hotly debated. Studies have shown that being sedentary could lead to prostate problems.

Related Disease Conditions

Studies have shown a connection between BPH (benign prostatic hyperplasia) and erectile dysfunction (ED). MyChart® is a secure, online health management tool that connects Cleveland Clinic patients with their personalized health information. Men who are having trouble urinating are good candidates for minimally invasive surgery. The risk of infection and cancer is lower with “clean intermittent catheterization” than with an “indwelling” catheter.

A 2020 study explored the dark side of 5-ARIs on sexual health. Sometimes, during these episodes, it seems that I am experiencing something like an overload of adrenaline or something similar. The options include: Sexual side effects were more common in men who administered 5-alpha reductase inhibitors for BPH compared with those who took the drugs for the treatment of male-pattern hair loss. This is the type of radiation currently used for prostate cancer treatment. Alpha blockers — which include alfuzosin (Uroxatral), doxazosin (Cardura), tamsulosin (Flomax) and silodosin (Rapaflo) — usually work quickly in men with relatively small prostates. But that doesn’t mean that Men’s health should stop being a priority.

A catheter can be placed in the bladder through the urethra. Such symptoms can be due to BPH, studies have shown a strong and consistent link between LUTS, BPH and ED. BPH (Benign Prostatic Hyperplasia) is so common that most men will experience it at some point in time. Sidebar, the healing process for men who have had nerve-sparing radical prostatectomy (removal of the prostate) is often 18 to 24 months or more, because nerve tissue requires a longer time to heal. It is the most frequent urological disease in men below the age of 50 and the third most common male urological disease above the age of 50. A total of 36 male patients were included in the study.

Evidence Acquisition

Both increase with age, but one causes problems in the bathroom and the other in the bedroom. Considering this, some researchers believe that factor related to testicles may cause prostate enlargement. Chronic pain (for more than six months with no identifiable cause) is often related to nerve or muscle problems. There are three vasodilator drugs used for self-injection therapy: PSA levels increase when you have an enlarged prostate. Infections can be treated with with antibiotics. If you suffer from one of these conditions, know that you’re not alone and effective therapy is available.

It depends on the cause. How to use cbd oil for erectile dysfunction? If you live in an area where cannabis is legal, you can often get a doctor to prescribe CBD products or medical marijuana. Benign prostatic hyperplasia itself does not cause erectile dysfunction, but some treatments for it, for example the drug finasteride, can. Having said that, six months of treatment should reduce the PSA by 50 percent. The underlying cause of BPH is not known for certain, but it may be related to the decrease of active testosterone men produce as they age, leading to a higher proportion of estrogen or DHT (dihydrotestosterone). Prostate cancer has a good survival rate.


Analyzing a sample of your urine can help rule out an infection or other conditions that can cause similar symptoms. Focused ultrasound therapy. Limit beverages in the evening. Radical prostatectomy is an operation that completely removes the prostate and the surrounding tissue. These implants lift and hold the enlarged prostate so that it no longer blocks the urethra. Unless it gets infected, the prostate remains so unnoticed that many men hardly know they have one. We typically use it at 500 mg.

Eventually though, erections adequate for vaginal penetration return in 40-80% of men.

Lifestyle Changes

Research over the past decade has suggested that early-onset noncancerous prostate enlargement (benign prostatic hyperplasia, BPH) is linked to early ED. Would I judge them? Patients can also attempt to avoid products and medications with anticholinergic properties that may exacerbate urinary retention symptoms of BPH, including antihistamines, decongestants, opioids, and tricyclic antidepressants; however, changes in medications should be done with input from a medical professional.

Picture of Prostate

However, several studies have indicated that BPH and the lower urinary tract symptoms that accompany it are associated with an increased incidence of erectile dysfunction. Therefore, diagnosis can be set only with the annual check-up. PubMed Health. Prostate cancer can spread to other areas of the body. Running through it is the beginning of the urethra, which is how the pee exits the bladder and into the toilet! Basic tests include: • Both tend to get worse with age.

At 3 months, open prostatectomy and transurethral resection caused erectile dysfunction in 2 of 40 (5%) and 5 of 89 (6%) potent patients, respectively.

What is the link between BPH and ED?

Benign prostatic hyperplasia is an age-related disease. Urinary hesitancy, i. PDE-5 inhibitors (for example, vardenafil [Levitra, Staxyn], Adcirca, sildenafil [Viagra, Revatio], tadalafil [Cialis]) add to the blood pressure lowering effects of Flomax and may result in severe blood pressure reduction. • Men who develop symptoms of either BPH or ED should ask their doctors to evaluate them for both conditions. BPH is a condition when your prostate becomes enlarged. The prostate is a small gland (10-20 gr), the size, shape and color of a chestnut. Studies indicate that dietary patterns may affect development of BPH, but further research is needed to clarify any important relationship. My questions are:

Please advise.

Citing Articles

The results show promise, but the data is not long-term. The sexual functions of the patients were assessed with a questionnaire before treatment and 3 and 6 months after the treatment. • Try to gradually and gently get into a routine of urinating only 4 or 5 times a day, at regular intervals, and try to fully empty your bladder each time. You have access to the latest noninvasive laser treatments, including HoLEP and PVP lasers. Shoskes held academic positions at the University of Oxford, where he was a clinical lecturer in surgery; at the University of California, Los Angeles, as an assistant and then associate professor in the Department of Urology; as vice chair of the Regional Organ Procurement Agency in Los Angeles; and at Nova Southeastern University, Fort Lauderdale, FL. Medical treatment of LUTS may also impact on sexual function and side-effects should be discussed with the patient before initiating a therapy. The man did, and he no longer needed to get up every night to urinate.

Ibuprofen is not a therapy for voiding issues and is not without risk.


43 With alfuzosin, one study has found no incidence of abnormal ejaculation. According to the American Society of Clinical Oncology, over 174,650 men in the United States will be diagnosed with prostate cancer this year. But after age 30, the little gland starts growing. Transition zone. Among the conditions associated with ED are: BPH is extremely common, since 1 out of 3 men over the age of 50 will present symptoms due to the disease. 9%, a statistically significant difference vs placebo. The results show that about 1.

As with surgery it is important that nerve and blood vessel damage is minimized so as not to affect the erectile tissue in the surrounding area. For the study, which was published in the March issue of the Journal of Sexual Medicine, Dr. So the relaxation of these vessels always causes blood inflow to the penis. However, reduction of symptoms and improvement in urinary flow may be less than with transurethral resection of the prostate (TURP). In the remainder, an organic component, e. A high-energy laser destroys or removes overgrown prostate tissue.

There are multiple therapies for ED. There are many reasons why men urinate during the night. Keep diabetes under control. Prior to that, I did not experience this urgency. This accumulation of DHT leads to the growth of the prostate cells. Pelvic floor muscle exercises, initial diagnostic workup should usually be limited to a fasting serum glucose level and lipid panel, thyroid-stimulating hormone test, and morning total testosterone level. In the current study, the researchers evaluated the effectiveness of a saw palmetto berry preparation, Prostasan®, to see if it could impact BPH and sexual dysfunction symptoms. Additional procedures, some involving balloons and lasers, are still experimental.

Article Summary

Studies have shown that BPH may occur because the higher proportion of oestrogen within the prostate increases the activity of substances that promote prostate cell growth. Testosterone therapy, it is important to identify the precise etiology of the ED before proceeding with further evaluation and treatment because the work-up can be invasive and costly. Other treatments, such as Transurethral Microwave Thermotherapy (Cooled ThermoTherapy) and Transurethral Needle Ablation (Prostiva RF) offer BPH sufferers a treatment option with fewer sexual side effects, for those that qualify. A total of 212 (70%) patients were judged to be potent before the treatment.

Many people incorrectly believe that ED is a purely psychological problem. We recommend reaching out to a physician for decisions in erectile dysfunction cause and treatment. There are concerns that this may not be a durable treatment as 33% of men need additional surgeries or go back on medications. Penile self-injections provide very effective treatment of ED after prostate cancer surgery. My doctor said if my T count doesn’t improve by my next appointment, he wants me to start taking hormone shots.