Do I grow old? If you are a man, the size of your prostate can be concerned.
Prostate development is a natural part of aging. For most men, this usually begins to grow around the age of 40. About 90% of men over 80 years have an enlarged prostate.
The medical term is Benign prostatic hyperplasia (BPH)And scientists are not sure why it happens. The most important word is good. Growth is not an indication of anything wrong. It is not a tumor and is not related to prostate cancer, although it is possible to have both conditions at the same time.
Still, an enlarged protector can create some problems due to anatomy. The urethra, which carries urine and sperm from the body, goes straight through the prostate gland. And with the BPH, the tissue increases inward, putting pressure on the urethra, making urination difficult.
Symptoms of the lower urinary tract (Luts) include problems with weak urine flow, urgent need for urination and knockout (which need to urinate several times during the night).
It is usually the annoying urine that makes men seek treatment. Unfortunately, treatments can have sexual side effects, such as erectile dysfunction (ED) and the problem with ejaculation.
Not all men have these complications, but you need to know the possibilities before proceeding. Your urologist can tell you more about your personal status.
Let’s look in more detail the sexual side effects of BPH treatment.
How could the enlarged prostate treatments affect my sex life?
The most common BPH treatments include drugs (such as 5-alpha reductional inhibitors and alpha inhibitors), minimally invasive procedures (such as stents and laser treatments), and surgery (such as prostate or Turp perpiring). Possible sexual side effects may include the following:
- Low libido – reduced interest in sex
- Erectile dysfunction (ed) – difficulty taking and maintaining an erection fairly rigid for contact
- Selection program
- Retrospective ejaculation – when the sperm flows back to the bladder instead of front of the penis
Can the sexual side effects of bphph treatment be treated?
Yes.
For example, if you find your sexual movement that falls as a side effect, your doctor may suggest changing the medicine or change the dose. (Note: These changes should never be made without a doctor’s guidance. Always check your provider first.)
Erectile dysfunction (ED) is treated in various ways, including pills, injections, vacuum appliances and penis implants. Most men start with medicines and move on to other treatments if they do not respond to medicines. (Again, if you are thinking of trying ED medicines, checking your doctor first. These medicines are not suitable for all men and must be prescribed by a doctor.)
Retrospective ejaculation is not always a problem. Although sperm travels to the bladder, it is not harmful and will pass with your urine. And you should feel pleasure from orgasm. However, if you and your partner would like to start a family, you may need to use alternative methods to export sperm. A fertility specialist can help.
Are some BPH remedies more gender -friendly than others?
This question is difficult to answer because it depends so much on your personal situation.
Taking this, there are several newer BPH remedies and the tests had some encouraging results. For example, aquaculture studies, which use watercolors to remove prostate tissue, suggest that this technique can maintain erections and ejaculation. But the hydraulic device is still considered experimental and scientists must explore their long -term effects before it becomes routine.
What treatment should I choose for the best sexual results?
This is up to you. Be open with your urologist for your priorities and concerns. If you have a partner, you may transfer them to your doctor’s appointments so they can participate in the discussion.
Resources
International Society for Sexual Medicine
“Is the existence of an enlarged prostate (BPH) affecting sexual performance?”
“Does the surgery for benign prostate hyperplasia (BPH) affect a person’s sexual function?”
The magazine of sexual medicine
Bouhadana, David, MD, et al.
“Persons of patients in benign surgical prostate hyperplasia: Focus on sexual health”
(Published full text: August 6th 2020)
https://www.jsm.jsexmed.org/article/s1743-6095(20) 30755-4/Fulltext
Medical news today
Fletcher, Jenna
“What are the impact of an expanded patron on sex?”
(19 February 2018)
National Institute of Diabetes and Digestive and Kidney Diseases
“Expanding the prostate (benign prostate hyperplasia)”
(September 2014)
Urology Foundation
“What is benign prostatic hyperplasia (BPH)?”
(Updated: August 2020)
https://www.urologyhealth.org/urologic-conditions/benign-prostatic-Hyperplasia-(BPH)
