Last Updated on 20th March 2025 by Charlie Walsh
When you hear the phrase “enlarged prostate”, it likely doesn’t conjure up the same feeling as hearing the phrase “erectile dysfunction” does. Generally speaking, we might consider ED as something that impacts our sexual performance and our ability to get a hard-on, while an enlarged prostate – if anything – might simply sound like an aesthetic issue rather than a performance one.
However, this isn’t fully the case -your prostate isn’t visible to the naked eye, and dysfunction with the prostate can actually cause significant problems in the bedroom. Let’s take a look.
What is BPH?
BPH, or benign prostatic hyperplasia, is a non-cancerous enlargement of the prostate gland. The prostate is a small gland located below the bladder and surrounding the urethra, and its primary function is to produce seminal fluid. As men age, the prostate gland often grows, which can lead to pressure on the urethra and bladder.
While BPH isn’t typically a life-threatening problem, it can still affect your quality of life, particularly when it comes to your urinary and sexual health.
Common Symptoms of BPH
The symptoms of BPH can vary in severity, but typically include:
- Frequent urination, especially at night
- Difficulty starting or stopping urination
- Weak urine flow
- A feeling that the bladder isn’t fully empty
- Urinary urgency or incontinence
However, the impact doesn’t stop at urinary health—sexual function can also be affected.
How an Enlarged Prostate Affects Sexual Health
For many men, the connection between BPH and sexual health isn’t immediately clear; that being said, the condition can influence various aspects of your sex life, from desire to performance:
Erectile Dysfunction (ED)
BPH itself doesn’t directly cause erectile dysfunction, but the two often coexist. In fact, studies suggest that men with BPH are more likely to experience ED due to:
- Reduced blood flow caused by the condition
- Side effects of certain medications used to treat BPH
- Stress and anxiety related to urinary symptoms
Changes in Libido
With BPH, you might also notice a decline in your libido. While this could be attributed to age (prostate disease is more common in older men) this can also be due to the psychological toll of dealing with persistent urinary problems, and feeling less in control of your body than before.
Impact on Orgasm and Ejaculation
Some men even find that an enlarged prostate can lead to changes in ejaculation; some men experience painful orgasms, reduced semen volume, or difficulty ejaculating, which can make the whole sex experience a bit of a bummer.
Psychological Effects
Living with BPH can take a toll on mental health, leading to stress, frustration, or even depression. These emotional factors can further contribute to issues like ED or decreased libido.
If you’re concerned about prostate health, consider reading our guide to prostate care for tips on managing your symptoms and protecting your well-being.
Managing Symptoms to Maintain a Healthy Sex Life
While BPH can present challenges, there are steps you can take to minimize its impact on your sex life and overall quality of life:
Treatment Options for BPH
- Medications: Some medications – such as Alpha-blockers and 5-alpha reductase inhibitors – can help reduce symptoms and offer relief by relaxing the muscles around the prostate or shrinking the gland itself.
- Minimally Invasive Procedures: Techniques such as laser therapy or transurethral resection of the prostate (TURP) can also alleviate severe symptoms.
- Natural Remedies: Some men find relief with supplements like saw palmetto or beta-sitosterol, though their effectiveness can vary. It’s worth noting that the efficiency of natural remedies often depends on overall lifestyle habits; supplements can’t undo the effects of a bad diet or heavy drinking, for example.
Communication with Partners
If you’re dealing with BPH, open and honest communication with your partner is key to happy outcomes. After all, it’s totally normal for your partner to question the relationship or your feelings if your libido suddenly disappears. Open discussions can strengthen your relationship and alleviate stress, so get those first few difficult conversations over with.
Seeking Help: When to Talk to a Doctor
If BPH symptoms are interfering with your daily life or affecting your ability to enjoy intimacy, we’d highly recommend that you seek medical advice. A doctor can provide a tailored treatment plan to address both urinary and sexual health concerns, which will offer some relief on your head and lead to better outcomes in both your day-to-day life and your relationships.
Additionally, incorporating supportive devices can be a game-changer for sexual performance: penis pumps, for example, can significantly enhance your erections – yes, even if you have BPH or ED. Shop our cock pump online today and say hello to the longest, thickest erections of your life.
Final Thoughts
BPH can be a confidence killer and a real drain on your emotions, but the key is not letting things get to this point. If you notice that your libido, your relationship or your sex life is changing for the worst following a diagnosis, be proactive; try our cock pump, speak with a doctor, and reassure your partner that they’re still as sexy as ever, and that the problem isn’t them. In doing so, you can continue to enjoy intimacy, an emotional connection and rocking your partner’s world.
