Find Information About:

Drugs & Supplements

Get information and reviews on prescription drugs, over-the-counter medications, vitamins, and supplements. Search by name or medical condition.

Pill Identifier
WebMD

Pill Identifier

Having trouble identifying your pills?

Enter the shape, color, or imprint of your prescription or OTC drug. Our pill identification tool will display pictures that you can compare to your pill.

Get Started
My Medicine
WebMD

My Medicine

Save your medicine, check interactions, sign up for FDA alerts, create family profiles and more.

Get Started

WebMD Health Experts and Community

Talk to health experts and other people like you in WebMD's Communities. It's a safe forum where you can create or participate in support groups and discussions about health topics that interest you.

  • Second Opinion
    WebMD

    Second Opinion

    Read expert perspectives on popular health topics.

  • Community
    WebMD

    Community

    Connect with people like you, and get expert guidance on living a healthy life.

Got a health question? Get answers provided by leading organizations, doctors, and experts.

Get Answers

Sign up to receive WebMD's award-winning content delivered to your inbox.

Sign Up

Prostate Enlargement/BPH Health Center

Font Size
A
A
A

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.

1 | 2
Reviewed on February 28, 2014

Today on WebMD

Male Incontinence Slideshow
Slideshow
screening tests for men
SLIDESHOW
 
What Is The Prostate
REFERENCE
Foods To Boost Mens Heath
SLIDESHOW
 
Enlarged Prostate BPH Complex Problem
FEATURE
Benign Prostatic Hyperplasia BPH Surgery
FEATURE
 
How Bad Are Urinary Symptoms From Benign Prostatic
TOOL
Benign Prostatic Hyperplasia BPH Exams And Tests
FEATURE
 
Treating Enlarged Prostate
VIDEO
What Is The Prostate
FEATURE
 
Marks Prostate Enlarged
Video
Low Testosterone Explained When Levels Are Too Low
Feature
 

WebMD Special Sections