Does Chronic Prostatitis Affect Sexual Function
Symptoms of prostatitis include difficulty to urinate, pain in the genital area and pelvic floor, painful ejaculation, premature ejaculation, erectile dysfunction and low sexual desire. Once the inflammation is treated, sexual problems are resolved. However, in the meantime until remission of inflammation, there are erectile drugs called Phosphodiesterase type 5 inhibitors that can be used to restore quality of erection and increase perfusion of the prostate gland which is essential to treat the inflammation. In very rare cases only, erectile dysfunction may remain even though symptoms have subsided. If so,, the problem is purely psychogenic and it is highly recommended to visit a Sexologist.
Dealing With Erectile Dysfunction: For You And Your Partner
The following information is based on the general experiences of many prostate cancer patients. Your experience may be different. If you have any questions about what prostate cancer treatment services are covered by your health insurance, please contact your health care provider or health insurance provider. This education material was made possible by a Grant from the California Department of Justice, Antitrust Law Section, from litigation settlement funds to benefit Californians diagnosed with cancer or their families.
Bph Treatment With No Sexual Side Effects
Can you reduce your BPH symptoms and avoid the sexual side effects? The short answer is yes, you can.
Benign prostatic hyperplasia affects a large number of men over 50. Having an enlarged prostate is not necessarily an alarming medical condition. However, its symptoms can become burdensome and have a negative impact on a patients quality of life. That is when the risk of experiencing sexual problems also increases.
If you are experiencing any form of urinary symptoms you should seek medical attention to evaluate the severity of your symptoms and determine if they are related to BPH.
You dont have to live with burdensome symptoms that affect your quality of life.
Take the one-minute BPH quiz. We will review your results and contact you shortly .
What Causes Prostate Enlargement
The prostate gland or prostate is an important part of the male reproductive system. It produces fluid that carries sperm during ejaculation. The prostate gland is situated just below the bladder and in front of the rectum .Â It surrounds the urethra . It is roughly the size of a walnut.
The causes of prostate enlargement are not well understood. Research suggests that and changes in the cells of the testicles may play some role in the enlargement of the prostate. This is supported by the fact that males, who got their testicles removed at a young age because of reasons like testicular cancer, do not get BPH). Furthermore, in males with BPH, removal of the testicles causes the prostate to shrink in size. Removal of testicles, however, is not done to treat BPH since there are several other safe and effective treatment options. The chances of having an enlarged prostate increase with age. In several men over 40 years of age, a small amount of prostate enlargement is present. The condition, however, affects over 90% of the men over 80 years of age.
Why The Prostate Can Be Shrunk
Scott Davis The Prostate Protocol takes a highly logical approach.
Your prostate was normal-sized once.
Whereas its not now. Now its too big.
But theres a reason its too big. It didnt just happen. Something caused it to be enlarged.
Now, we have long known that hormonal imbalances in a man cause the prostate to grow out of control.
In particular, if you have an enlarged prostate then right now your estrogen and testosterone hormones are way out of balance.
For as long as your hormones stay like this youll always have BPH.
Unfortunately, weve never actually known why that hormonal imbalance is happening.
This is why BPH treatments are so unreliable. Doctors are guessing to some extent.
To get a shot of BPH we need to straighten out the hormone problem. But how do you do that if you dont know what messed them up in the first place?
Well, thats what has changed.
Because we now do know what leads to our hormones going so out of whack.
And knowing this is the key to how my prostate and the prostate glands of thousands of other men have shrunk back to their normal sizes.
How We Shrink The Prostate
The hormonal imbalance that leads to BPH is caused first of all in the gut.
Yes, the gut. I thought that was weird too when I first heard it.
But heres the thing: human gut bacteria has been with us since the dawn of time. It doesnt just keep us healthy it keeps us alive.
There are hundreds of types of bacteria. Each type has its own job to do.
When theyre healthy and plentiful our gut bacteria minimize inflammation, protect us from heart and kidney disease, manage our weight, regulate our cholesterol, stabilize our blood sugars, keep our moods consistent and perform dozens of other tasks that make our lives possible.
And guess what else these little helpers do for us?
They regulate, manage, and stabilize male hormones. In particular, they make sure the ratios of estrogen and testosterone are exactly how they need to be.
Because when those two get out of whack guess what you end up with?
Benign prostate hyperplasia.
But heres the problem. These bacteria are delicate. So they need exactly the right nutrition, the right conditions to thrive.
Western diets and lifestyles arent helpful in this regard at all. Its not your fault or mine. But over the years our valuable, life-saving gut bacteria are dying off at extraordinary rates. And were paying a hefty price for that.
Which explains why Westerners have heart disease, organ disease, obesity, and a range of metabolic conditions on a scale unheard of in some other parts of the world.
This is Scotts area of expertise.
Treatment Of Enlarged Prostate And Ed
While an enlarged prostate can cause ED, there are treatment options available to you to facilitate normal sexual function. Luckily many forms of enlarged prostate-associated erectile dysfunction are treatable, and by tackling the underlying problem of an enlarged prostate, many men can restore or greatly improve their sexual performance.
How Does Benign Prostatic Hyperplasia Affect Sexual Function
Benign prostatic hyperplasia increases by 7 times the risk of erectile dysfunction and severe urinary disorders. When BPH is treated successfully, erection is also improved. It is mainly Phosphodiesterase type 5 inhibitors that contribute significantly to the treatment of both ED and urinary problems. There is one PDE-5 inhibitor, tadalafil, that has been officially approved in the 5mg dose for the treatment of both ED and BPH.
Can An Enlarged Prostate Affect Ejaculation
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What Is Erectile Dysfunction
Simply put, erectile dysfunction is when you can’t get an erection that’s strong enough to get through sex2. That includes everything from no erection at all to an erection that lasts a few minutes. You might be able to get started, but you can’t finish. It’s a problem that can cause anxiety, depression, and can test or even break relationships.
A normal erection is characterized by blood entering the the spongy tissues in the penis and remaining there. Erectile dysfunction is, well, when that doesn’t happen.
Through the centuries, many different cures for impotence have been promoted. Ancient Indians thought that it could be treated by eating special combinations of food, and traditional Chinese medicine believed it could be treated through herbs that magically re-balance a man’s qi energies3.
Currently you can not only still find many of these traditional remedies, but also scientifically proven pills. One of the most popular recent trends is a more modern take on these folk remedies: using nutritional supplements that contain ingredients which can potentially help counteract the physical problems that can cause erectile dysfunction. These male enhancement pills are popular, but not all are the same.
The Most Common Prostate Problem Among Men Over Age 50 This Condition Can Cause Embarrassing Urination Issues
While BPH does not increase your risk of getting prostate cancer or having sexual problems, it can affect quality of life, specifically by causing annoying and embarrassing urination problems.
“Since prostate enlargement happens gradually, men often think more frequent trips to the bathroom are a natural part of aging,” says Dr. Howard LeWine, chief medical editor at Harvard Health Publishing and an assistant professor of medicine at Harvard-affiliated Brigham and Women’s Hospital. “But a little medication can help relieve symptoms, meaning less urinary urgency and fewer nighttime awakenings to use the bathroom.”
How Are Prostate Cancer And Erectile Dysfunction Related
If you have issues with your prostate, a general workup can include urine tests, bloodwork, and a physical exam. This exam usually consists of a digital rectal exam , where a doctor will feel your prostate from inside your anal cavity. If the prostate feels smooth and round, thats generally a sign that you probably only have BPH. Otherwise, you may need to undergo further testing, and cancer may be a concern. Men who are diagnosed with prostate cancer worry about many areas of their health. I have heard many of these questions over the years: How bad is it?, What options do I have?, and What are possible complications of treatment?
Currently, the mainstays of treatment for prostate cancer are anti-testosterone therapy, surgery, and radiation therapy. Each of these has pros and cons related to treatment success and long-term effects on the body. However, one of the most common complications for all three of these options is erectile dysfunction. We talked about how anti-testosterone therapy can affect erections when we discussed BPH treatments above. Lets now look at prostate surgery and radiation therapy.
I Have Ed After Getting Prostate Surgery What Now
For treating erectile dysfunction after prostate surgery, , , and are considered first-line therapies. Research has shown that these drugs help improve erectile function by relaxing the blood vessels that supply the penis so more blood can flow through. They might not work right after surgery, though. One reason for that is that blood may not flow easily through blood vessels that are still healing. However, after the blood vessels have healed enough, medication is likely to help with ED. Between 35% and 75% of men with ED after surgery respond to Viagra .
If Viagra, Cialis, and/or Levitra dont work, or theyre not an option due to other issues , alprostadil may be used instead. Alprostadil comes as an injection and as a pill to be inserted into the urethra . Read more about these drugs .
What if drugs dont work?
Unfortunately, medications wont help all men with ED after prostate surgery. If youve tried medications and still have ED, you may want to have a close conversation with your doctor about whether or not surgery or mechanical devices are good options for you. Remember, though, that it may take several years before you know for sure if drugs wont work, as tissue around the prostate takes a while to heal.
Sex And The Prostate: Overcoming Erectile Dysfunction When You Have Prostate Disease
If you are concerned about erectile function, its important to understand what erectile dysfunction really is. Failing to have an erection one night after youve had several drinks or even for a week or more during a time of intense emotional stress is not erectile dysfunction. Nor is the inability to have another erection soon after an orgasm. Nearly every man occasionally has trouble getting an erection, and most partners understand that.
Erectile dysfunction is the inability to attain and maintain an erection sufficient for sexual intercourse at least 25% of the time. The penis doesnt get hard enough, or it gets hard but softens too soon. The problem often develops gradually. One night it may take longer or require more stimulation to get an erection. On another occasion, the erection may not be as firm as usual, or it may end before orgasm. When such difficulties occur regularly, its time to talk to your doctor.
Erectile dysfunction can have many causes, including some forms of prostate disease and medications and surgery for prostate cancer. Fortunately, in many cases, this problem can often be effectively addressed. Some men find relief by taking medications to treat erectile dysfunction. If these arent effective for you, a number of other options, including injections and vacuum devices, are available. The possibility of finding the right solution is now greater than ever.
Treatment For Enlarged Prostate May Be The Underlying Cause Of
- Retrograde ejaculation is a side effect that may occur after transurethral resection of the prostate, a procedure called TURP. This does not occur in all men whose BPH is treated with surgery, but it is a potential side effect that we discussed before treatment. Retrograde ejaculation is a condition in which, during the climax, semen enters the bladder rather than exiting the penis.
- Lowered libido. Conservative treatment for BPH may involve oral medication such as a 5-alpha-reductase inhibitor. If you are taking this type of medication and are experiencing a drop in your sex drive, talk with your doctor about potential alternatives to your current treatment plan. Lowered libido may also coincide with erectile dysfunction, which may occur in approximately 10% of men treated for BPH.
An enlarged prostate is a problem for which multiple treatment options exist. The advantages of treatment outweigh the potential downsides for most men. To learn more, contact the Chattanooga office of UT Urology at 778-8765.
Check Top Rated Male Enhancements Of 2021
The idea of taking a pill to help you perform better in the bedroom has been around for centuries, and nowadays there are more choices than ever. But how to you tell which ones are worth it and which ones don’t work? We decided to assemble a guide to male enhancement pills to inform everyone about not only what they should be looking for in a male enhancement pill, but also what they should avoid. We’ve also included our top 5 picks for the best pills we’ve seen all year.
Ejaculation May Lower Prostate Cancer Risk
The findings, published in the April 7 issue of The Journal of the American Medical Association, are based on data collected from nearly 30,000 predominately white men aged 46 to 81.
At the start of the study, men provided information on ejaculation frequency in their 20s, 40s, and in the previous year . Ejaculation frequency included sexual intercourse, masturbation, and nighttime ejaculations that can occur during sleep. The men were then monitored for eight years.
Researchers found most categories of ejaculation frequency were unrelated to prostate cancer risk. But when they looked at men in the highest category of ejaculation frequency, they found evidence of a protective effect.
“When you look at the data in a little bit more detail, you do see that not only is there not an increased risk, but there is potentially even the possibility of a slight decrease in risk with high ejaculation frequency,” says researcher Michael Leitzmann, MD, an investigator at the National Cancer Institute in Bethesda, Md. Leitzmann conducted the research during a post-doctoral fellowship at Harvard University.
Leitzmann says researchers suspected that ejaculation frequency might be a marker of a healthier, more active lifestyle. But when they accounted for diet, exercise, and other risk factors for prostate cancer, the link between frequent ejaculation and lower prostate cancer risk remained.
Pde5 Inhibitors: Viagra Levitra And Cialis
Approved by the FDA in 1998, sildenafil revolutionized the way we think about and treat erectile dysfunction, largely because it is so easy to use and effective. Since then the FDA has approved three closely related drugs, vardenafil , avanafil and tadalafil .
All four drugs work in a similar fashion, by affecting the normal physiology of the penis. In particular, they block PDE5, an enzyme that breaks down the erection-producing chemical cyclic guanosine monophosphate. This enables the penis to fill with blood and to stay erect long enough for intercourse. Of course, its important to realize that none of these drugs is an aphrodisiac. Youve got to feel sexually stimulated in order for them to work.
The main differences between the drugs have to do with timing: how quickly they begin to work, and how long their effects last . Levitra may start working slightly faster than Viagra although the FDA says that like Viagra, it should be taken about an hour before sexual activity. Some studies suggest that Levitra may help some men who dont respond to Viagra. And while some doctors are skeptical about this claim, theres no harm in trying Levitra or Cialis if Viagra doesnt work for you.
Cialis has also been approved to treat men with both erectile dysfunction and BPH. The dose is lower, usually 5 milligrams per day.
Can Sciatic Nerve Affect Prostate
Urinary symptoms also can be caused by an infection of the bladder or other conditions. If cancer has spread outside of the prostate gland, a man may experience: Pain in the back, hips, thighs, shoulders, or other bones. Swelling or fluid buildup in the legs or feet.
Beside above, can enlarged prostate cause back and leg pain? Enlargement of the prostate gland can cause symptoms, for example: Dribbling urine. Blood in the semen or urine. Frequent pain or stiffness in the lower back, hips, pelvic or rectal area, or the upper thighs.
Also asked, can your prostate cause back pain?
Chronic prostatitis, also called chronic pelvic pain syndrome, is a common prostate problem. It can cause pain in the lower back, in the groin, or at the tip of the penis. Treatment may require a combination of medicines, surgery, and lifestyle changes.
What causes a sciatic nerve to flare up?
Stress Some researchers believe that various forms of back pain including sciatica can be triggered by emotional anxiety. Their explanation is that in times of stress, the brain deprives the nerves in the lower back of oxygen, resulting in symptoms such as leg pain, weakness, and other electrical sensation.
The Link Between Bph And Sexual Problems
Men with BPH have an enlarged prostate — the gland that surrounds the tube that carries urine. Symptoms include:
- Often feeling like you need to urinate
- Trouble starting and stopping urination
- Weak stream of urine
The symptoms may wake you up at night.
Scientists aren’t sure why, but they agree that the worse your BPH symptoms are, the more likely you’ll have sexual issues such as:
- Trouble keeping an erection
- Less sexual satisfaction
It may have something to do with genetics or age. It’s also possible that the sleeplessness or anxiety that can come from an enlarged prostate makes sexual problems worse.
What Causes An Enlarged Prostate
Growth of the prostate is a relatively common condition that can have a variety of causes. This condition, referred to as Benign Prostatic Hyperplasia often occurs naturally as part of the aging process. Typically, once men turn 40, their prostates gradually enlarge.
Scientists are not entirely certain what causes the growth of prostatic tissue as men age or why the condition impacts some men more severely than others. Aside from age, however, some medical professionals believe that may also emerge as the result of an imbalance of sexual and reproductive hormones, a family history of the malady, affliction with certain illnesses like heart disease and diabetes, the use of specific medications, obesity and lifestyle factors.
What Have I Learned By Reading This
You learned about:
- Why prostate cancer treatment can cause erectile dysfunction
- What can be done about erectile dysfunction
- How erectile dysfunction may affect your sex life
- What your partner can expect
If you have any questions, please talk to your doctor or health care team. It is important that you understand what is going on with your prostate cancer treatment. This knowledge will help you take better care of yourself and feel more in control. It will also help you manage any side effects you may have from your treatment.
Bph And Sexual Dysfunction Explained
Benign prostatic hyperplasia is a condition in which the prostate becomes so enlarged that it begins to put pressure on the urethra. When this happens, the patient begins to experience lower urinary tract symptoms , including frequent urination, urgency, incontinence, nocturia and weak urine flow. For some men, the condition worsens, causing more severe symptoms that include kidney or bladder problems and urinary retention .
Sexual dysfunction refers to persistent and recurring problems with experiencing satisfaction from sexual activity. Problems can include a decrease in sexual pleasure, a reduced sex drive and difficulty in getting or maintaining an erection .
How Does The Treatment For Bph Cause Erectile Dysfunction
Alpha-blockers including alfuzosin, doxazosin, tamsulosin and silodosin relax smooth muscles, especially in the bladder neck and prostate which can improve urine flow. However, while they can be helpful in relieving BPH symptoms, in some patients they may also cause unwanted side effects such as impotence , dry orgasm , and a decrease in the production of seminal fluids.
5-alpha reductase inhibitors
Research has shown that men who take these drugs for an enlarged prostate could be at higher risk for sexual problems, especially erectile dysfunction , low libido, and trouble ejaculating.
5-alpha-reductase inhibitors represent a type of drug that is used to treat both BPH and androgenic alopecia . Two examples of 5-alpha-reductase inhibitors are dutasteride and finasteride. These drugs are considered safe and effective for these two conditions, but they could have sexual side effects.
In a study published in 2016 by the Journal of Sexual Medicine, Chinese researchers analysed seventeen studies on 5-alpha reductase inhibitors and sexual function. The study included almost 17,500 men with an average age of 60 years. About 55% of men were treated with 5-alpha-reductase inhibitors while the rest received placebo.
Another study performed by the researchers from the Boston University School of Medicine showed that ED associated with long term use of finasteride for the treatment of BPH appears to worsen.
How Soon After Prostate Cancer Treatment Can I Be Sexually Active Again
This will depend on what type of treatment you have had and how you feel. It could be several weeks, for others it may be a lot longer for erections to return. Some men will never be able to keep an erection without the help of artificial methods like medicines or medical devices . If you were having problems having erections before treatment, this will not get better after treatment.
Does An Enlarged Prostate Affect A Man Sexually
The quick and easy answer is that an enlarged prostate can definitely impact men and their sexual health. If that’s all you were looking for, you can go on with your day, but the ways in which an enlarged prostate can affect a man’s sexual health is quite interesting and worth a read.
The prostate is a uniquely male structure in the human body that works in a unique way. Because the urethra is dual purpose and is the common pathway for semen and urine, the prostate acts as the traffic controller, ensuring that both are routed correctly and do not occur simultaneously. Additionally, the prostate is a crucial component in the creation of seminal fluid.
To fully answer the question as to how an enlarged prostate can impact a man sexually, it is important to compare the different dimensions surrounding sexual health and how an enlarged prostate affects these components of sexual functioning. Below is a deeper look into an enlarged prostate and its effect on male sexual health.
The Basics: How An Erection Occurs
At its most basic level, an erection is a matter of hydraulics. Blood fills the penis, causing it to swell and become firm. But getting to that stage requires extraordinary orchestration of body mechanisms. Blood vessels, nerves, hormones, and, of course, the psyche must work together. Problems with any one of these elements can diminish the quality of an erection or prevent it from happening altogether.
Nerves talk to each other by releasing nitric oxide and other chemical messengers. These messengers boost the production of other important chemicals, including cyclic guanosine monophosphate, prostaglandins, and vasoactive intestinal polypeptide. These chemicals initiate the erection by relaxing the smooth muscle cells lining the tiny arteries that lead to the corpora cavernosa, a pair of flexible cylinders that run the length of the penis .
As the arteries relax, the thousands of tiny caverns, or spaces, inside these cylinders fill with blood. Blood floods the penis through two central arteries, which run through the corpora cavernosa and branch off into smaller arteries. The amount of blood in the penis increases six-fold during an erection. The blood filling the corpora cavernosa compresses and then closes off the openings to the veins that normally drain blood away from the penis. In essence, the blood becomes trapped, maintaining the erection.