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Can BPH Affect Your Sex Life?

As men get older, many suffer from benign prostatic hyperplasia or BPH, a non-cancerous enlargement of the prostate gland. This condition results in multiple symptoms. In particular, can BPH affect your sex life?

Symptoms Of BPH

The tiny prostate gland is part of a man’s reproductive system. It contains the fluid produced during ejaculation. A man’s prostate continues to grow and as he ages, BPH becomes more commonplace. An enlarged prostate can lead to many urinary symptoms.

senior man looking concerned in bed with wife

They include the following:

  • Frequent need to urinate
  • Increasing urination at night
  • Stopping and starting during urination
  • Weaker urine stream
  • Dribbling
  • Difficulty emptying the bladder

In addition, sometimes men have increased urinary infections, have blood in the urine, or they can’t urinate, but how large your prostate is has no bearing on how severe the symptoms can be.

The Elephant In The Room

Let’s 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, it’s 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.

Talk With Dr. Steven Gange

With all of these conflicting and complicated circumstances, it is always best to consult with your doctor if you are experiencing BPH especially with sexual side effects.

Trust Dr. Gange to determine which treatment will be best for all of the symptoms you are experiencing. Call (801) 993-1800, or request an appointment online, to schedule a visit.



I have seen Dr. Gange for a number of years and developed the typical symptoms associated with an enlarged prostate. During my annual urologist visit, Dr. Gange laid out my options. After doing some personal research, I elected to have the Urolift procedure performed by Dr. Gange on an outpatient basis.

The procedure was uncomfortable but not particularly painful compared to other surgeries I have had. Recovery was relatively quick and I was back at work after two days of rest.

I did experience some significant discomfort associated with urination but was counseled that I was not drinking enough water. Once I increased my consumption of water, most of the discomfort went away and I was back to normal after about two weeks.

In the wake of the surgery, the urgency to urinate has gone away. The interval between trips to the bathroom has lengthened significantly such that I usually get up to urinate only once each night and sometimes not at all.

Having talked with others who have had more drastic prostate surgery, I feel that the Urolift procedure was much less stressful and the results were as hoped for.