A man’s sexual function can be affected by an enlarged prostate (benign prostatic hyperplasia, or BPH), but the impact varies from person to person. Some men may perceive alterations in their sexual function, however others may not notice any major modifications. The intensity of the BPH symptoms and the specific treatment chosen can have an impact on sexual function.Here are some ways in which an enlarged prostate may affect sexual function:
- Erectile Function:
- BPH itself does not directly cause erectile dysfunction. However, the medications used to treat BPH, such as alpha-blockers and 5-alpha reductase inhibitors, may have side effects that can affect sexual function. For example, some medications may cause a decrease in libido or difficulty achieving or maintaining an erection.
- Ejaculation:
- Some men with BPH may experience changes in ejaculation. Medications like alpha-blockers can cause retrograde ejaculation, where semen enters the bladder instead of being expelled from the penis during ejaculation. While this is not harmful, it can affect fertility.
- Sexual Desire:
- Changes in sexual desire or libido can occur in some individuals with BPH, and this can be influenced by both the condition itself and the psychological impact of dealing with urinary symptoms.
- Discomfort or Pain:
- Severe BPH symptoms, such as difficulty urinating or pain during urination, may indirectly affect sexual function by causing discomfort or anxiety.
- Impact on Intimacy:
- The impact of BPH on urinary function can affect a man’s confidence and comfort in intimate situations, potentially leading to changes in sexual intimacy.
It’s important to note that the relationship between BPH and sexual function is complex, and not all men with BPH experience sexual issues. Moreover, the impact of BPH on sexual function can often be managed with appropriate medical intervention or lifestyle adjustments.
If you are experiencing changes in sexual function or have concerns related to BPH, it’s crucial to discuss these issues with your healthcare provider. They can provide a comprehensive evaluation, discuss treatment options, and address any specific concerns or questions you may have about the impact of BPH on your sexual health.