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    Managing Sexual Concerns if You Have BPH

    Erectile Dysfunction Medications continued...

    "When men with BPH take them on a daily basis, their symptoms improve," McVary says. They can help with BPH symptoms and ED, so doctors say you're able to take care of two conditions with one pill.

    But ED drugs aren't for everyone, Hong says. "Many men will require further treatment for BPH," he says. And if you have a history of recent heart attacks, strokes, uncontrolled high blood pressure, or unstable angina, you shouldn't take ED pills.

    BPH Medication That Can Lead to Sexual Problems

    Some treatments for BPH can have sexual problems as side effects. Two types of pills, alpha blockers and 5-alpha-reductase inhibitors, have traditionally been used to treat BPH. Both have sex-related side effects.

    If you take 5-alpha-reductase inhibitors, you may have side effects such as:

    • ED
    • Drop in libido
    • Reduced semen release

    Alpha blockers have been linked to problems with ejaculation. But two newer alpha blockers, alfuzosin and terazosin, may have fewer sex-related side effects. You can't take pills for ED if you take certain alpha blockers, so always check with your doctor before taking any new medicine.

    If you're taking BPH medicines and having sexual problems, talk to your doctor. He or she may be able to change your medications.

    Surgery for BPH

    Surgery can help reduce BPH symptoms, but it may lead to long-term sexual complications.

    A common surgery called TURP (transurethral resection of the prostate) has been linked to ejaculation problems and erectile dysfunction. It's not clear why, says New York urologist Alex Shteynshlyuger, but there is an association.

    Two newer types of surgery that are less invasive may have fewer sexual side effects:

    • TUIP (transurethral incision of the prostate)
    • TUMT (transurethral microwave thermotherapy)

    Another new BPH treatment, Shteynshlyuger says, is a prostatic urethral lift. It's a minimally invasive and effective option that involves an insertion of a stent to keep open the tube that urine passes through.

    McVary and several colleagues recently did a study of this treatment and found promising results. Not only did it help improve BPH symptoms, but it kept sexual function intact. "Nobody actually developed the onset of ED or ejaculatory dysfunction," he says.

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    Reviewed on February 28, 2014

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