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Does Enlarged Prostate Cause Erectile Dysfunction

Enlarged prostate treatment may worsen erectile dysfunction


Men with benign prostate enlargement who used finasteride (also known as Proscar and Propecia) to treat their condition, experienced worsening erectile dysfunction (ED) that did not resolve with continued treatment. In addition, they experienced a testosterone deficiency leading to hypogonadism (little to no production of sex hormones). However, men who used tamsulosin (Flomax) experienced none of these adverse side effects.

The findings, currently available online in the journal Hormone Molecular Biology and Clinical Investigation, were led by researcher from Boston University School of Medicine (BUSM).

Can an enlarged prostate cause erectile dysfunction

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How does an enlarged prostate affect erectile dysfunction

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Sexual Side Effects of Treatments 

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 (alpha-blocker medications): these medications often used for 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.

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