{"id":9508,"date":"2026-07-07T08:30:00","date_gmt":"2026-07-07T08:30:00","guid":{"rendered":"https:\/\/telyrx.com\/blog\/?p=9508"},"modified":"2026-06-29T20:32:57","modified_gmt":"2026-06-29T20:32:57","slug":"does-bph-affect-you-sexually","status":"publish","type":"post","link":"https:\/\/telyrx.com\/blog\/prostate\/does-bph-affect-you-sexually\/","title":{"rendered":"Does an Enlarged Prostate Affect You Sexually? Understanding BPH"},"content":{"rendered":"\n<p>Benign prostatic hyperplasia (BPH) is the medical term for an enlarged prostate. BPH is not cancerous, but it can cause frustrating symptoms like frequent urination, a weaker urine stream, and difficulty emptying the bladder. BPH is common, affecting <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK558920\/\">half of men over 50<\/a> and up to 80% of those over age 70.<\/p>\n\n\n\n<p>Your prostate is the gland that sits below your bladder and adds fluid to your semen. Given its position and role, it\u2019s natural to wonder if an enlarged prostate can affect you sexually, too \u2014 especially if you\u2019ve been experiencing issues with your erections, ejaculation, or sex drive.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-why-bph-can-affect-sexual-health\">Why BPH Can Affect Sexual Health<\/h2>\n\n\n\n<p>The prostate gland sits just below your bladder and wraps around the urethra, the tube through which you urinate. With BPH, your prostate gland starts to grow, undergoing hyperplasia, which is the term for an increased number of cells. This puts excessive pressure on your bladder, urethra, and pelvic floor, causing both an increased urgency to urinate as well as more difficulty in urinating.<\/p>\n\n\n\n<p>BPH itself is not known to affect sexual function directly. However, BPH <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12149265\/\">commonly overlaps with sexual dysfunction issues<\/a> because the treatment options for BPH can cause sexual side effects such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Erectile dysfunction<\/li>\n\n\n\n<li>Problems with ejaculation<\/li>\n\n\n\n<li>Reduced sex drive (libido)<\/li>\n<\/ul>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-erectile-dysfunction-ed\">Erectile Dysfunction (ED)<\/h3>\n\n\n\n<p><a href=\"https:\/\/telyrx.com\/blog\/mens-health\/mens-sexual-wellness\/truth-about-erectile-dysfunction\/\">Erectile dysfunction (ED)<\/a> is the inability to achieve or maintain an erection firm enough for satisfactory sex. ED is extremely common in men with BPH. Men with severe lower urinary tract symptoms are 3 to 4 times more likely to have ED, and men with ED are <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12149265\/\">up to six times more likely<\/a> to have BPH.<\/p>\n\n\n\n<p>Despite the statistics above, having either ED or BPH does not guarantee that you will develop the other one. BPH does not cause ED, or vice versa. However, the two often coexist for a number of reasons:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>They\u2019re both more common as you age. The older you are, the more likely you are to develop ED or BPH.<\/li>\n\n\n\n<li>They share several risk factors. Both BPH and ED are linked to <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC11575001\/\">depression<\/a>, obesity, and diabetes.<\/li>\n\n\n\n<li>Some medications prescribed for BPH can <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12149265\/\">cause ED as a side effect<\/a>. These include 5-alpha reductase inhibitors (5-ARIs) like <a href=\"https:\/\/telyrx.com\/medications\/dutasteride\">dutasteride<\/a> (Avodart) and <a href=\"https:\/\/telyrx.com\/medications\/finasteride-tablets-bph\">finasteride<\/a> (Proscar).<\/li>\n<\/ol>\n\n\n\n<p>Treatment for ED and BPH may involve a mix of alpha-blockers and PDE-5 inhibitors. PDE-5 inhibitors like <a href=\"https:\/\/telyrx.com\/medications\/tadalafil-1\">tadalafil<\/a> (Cialis), <a href=\"https:\/\/telyrx.com\/medications\/sildenafil\">sildenafil<\/a> (Viagra), and <a href=\"https:\/\/telyrx.com\/medications\/vardenafil\">vardenafil<\/a> (Levitra) are the first-line treatment for ED. Sildenafil and vardenafil are typically taken 30 to 60 minutes before sexual activity, while tadalafil may be taken as needed before sex or once daily at a lower dose.&nbsp;<\/p>\n\n\n\n<p>Tadalafil 5 mg once daily is also FDA-approved to treat both ED and the urinary symptoms of BPH. They\u2019re prescribed for ED in general, but have also been shown to be effective in men who have ED due to an enlarged prostate.&nbsp;<\/p>\n\n\n\n<p>However, combining a PDE-5 inhibitor with an alpha-blocker \u2014 a common <a href=\"https:\/\/telyrx.com\/health\/prostate-health\">treatment for enlarged prostate<\/a> \u2014 <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12149265\/\">may be even more effective<\/a> at improving both urinary and erectile function, according to some research.&nbsp;<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-changes-to-ejaculation\">Changes to Ejaculation<\/h3>\n\n\n\n<p>If you\u2019re getting treated for an enlarged prostate, you might also notice changes in your ejaculation, such as:<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Lower ejaculate volume<\/li>\n\n\n\n<li>Pain or discomfort during ejaculation<\/li>\n\n\n\n<li>\u201cDry\u201d orgasms, where you ejaculate very little or nothing at all<\/li>\n<\/ul>\n\n\n\n<p>Nearly <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC8704358\/\">half (46%) of men<\/a> with enlarged prostate experience ejaculation issues. But remember that having BPH or taking one of these medications does not guarantee that you will experience these issues.&nbsp;<\/p>\n\n\n\n<p>These changes can be disconcerting, but they are usually not a sign of something more serious. As with ED, BPH itself doesn\u2019t cause ejaculation issues, but the treatments for BPH can, including alpha-blockers like <a href=\"https:\/\/telyrx.com\/medications\/tamsulosin\">tamsulosin<\/a> (Flomax), 5-ARIs like finasteride (Proscar), and BPH surgery.<\/p>\n\n\n\n<p>These treatments can sometimes affect ejaculation, although the specific side effects vary by medication. Some men notice a reduced amount of semen during orgasm, while others may experience absent ejaculation or retrograde ejaculation, a condition in which semen enters the bladder instead of exiting through the penis. These effects are generally reversible after the medication is discontinued.&nbsp;<\/p>\n\n\n\n<p>Your doctor may try switching you to another BPH medication to see if that resolves your ejaculation-related side effects. <a href=\"https:\/\/telyrx.com\/alfuzosin-er-tablets\">Alfuzosin<\/a>, for example, isn\u2019t known to cause ejaculation issues. If you\u2019re currently taking both a 5-ARI and an alpha-blocker, your doctor may try having you stop one of the medications, since taking both types of BPH medications <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5422692\/\">triples your risk<\/a> for ejaculation problems.&nbsp;<\/p>\n\n\n\n<p>Finally, they might recommend tadalafil (Cialis). While it\u2019s more well-known as a <a href=\"https:\/\/telyrx.com\/health\/erectile-dysfunction\">treatment for ED<\/a>, tadalafil is also <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5422692\/\">FDA-approved<\/a> to treat BPH.<\/p>\n\n\n\n<h3 class=\"wp-block-heading\" id=\"h-fatigue-and-libido-issues\">Fatigue and Libido Issues<\/h3>\n\n\n\n<p>While BPH doesn&#8217;t directly affect sex drive, the resulting exhaustion certainly can. BPH makes you need to urinate more often, which could mean you need to urinate in the middle of the night. These sleep disruptions can contribute to chronic sleep deprivation, causing your energy levels to plummet and your libido to tank. Lack of sleep can also worsen the symptoms of an enlarged prostate.&nbsp;<\/p>\n\n\n\n<p>For some men, effectively treating your BPH may reduce the midnight bathroom runs. However, if your sleep or libido issues haven\u2019t resolved after starting treatment, it may be worth making an appointment with your doctor. A <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC5422692\/\">small percentage of men<\/a> taking BPH medications \u2014 such as dutasteride and finasteride \u2014 experience a drop in their sex drive unrelated to fatigue. Your doctor can assess your symptoms and suggest an appropriate treatment plan, whether that includes a <a href=\"https:\/\/telyrx.com\/supplements\/sleep\">sleep supplement<\/a> or switching up your BPH medications.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-the-bph-sleep-deprivation-and-low-testosterone-combo\">The BPH Sleep Deprivation and Low Testosterone Combo<\/h2>\n\n\n\n<figure class=\"wp-block-image size-full\"><img loading=\"lazy\" decoding=\"async\" width=\"1000\" height=\"667\" src=\"https:\/\/telyrx.com\/blog\/wp-content\/uploads\/2026\/06\/Does-an-Enlarged-Prostate-Affect-You-Sexually-nap.jpg\" alt=\"\" class=\"wp-image-9515\" srcset=\"https:\/\/telyrx.com\/blog\/wp-content\/uploads\/2026\/06\/Does-an-Enlarged-Prostate-Affect-You-Sexually-nap.jpg 1000w, https:\/\/telyrx.com\/blog\/wp-content\/uploads\/2026\/06\/Does-an-Enlarged-Prostate-Affect-You-Sexually-nap-300x200.jpg 300w, https:\/\/telyrx.com\/blog\/wp-content\/uploads\/2026\/06\/Does-an-Enlarged-Prostate-Affect-You-Sexually-nap-768x512.jpg 768w, https:\/\/telyrx.com\/blog\/wp-content\/uploads\/2026\/06\/Does-an-Enlarged-Prostate-Affect-You-Sexually-nap-585x390.jpg 585w, https:\/\/telyrx.com\/blog\/wp-content\/uploads\/2026\/06\/Does-an-Enlarged-Prostate-Affect-You-Sexually-nap-263x175.jpg 263w\" sizes=\"auto, (max-width: 1000px) 100vw, 1000px\" \/><figcaption class=\"wp-element-caption\">Man struggling with sleep quality taking a nap.<\/figcaption><\/figure>\n\n\n\n<p>As men age, their testosterone production naturally declines and so does their sleep quality,&nbsp; especially if they\u2019re dealing with nighttime interruptions from BPH. Researchers believe that chronic sleep disruption may contribute to lower testosterone levels, and some studies suggest this may play a role in symptoms such as:&nbsp;<\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li>Less sexual desire<\/li>\n\n\n\n<li>More fatigue<\/li>\n\n\n\n<li>Reduced fertility<\/li>\n\n\n\n<li>Erectile dysfunction\u00a0<\/li>\n<\/ul>\n\n\n\n<p>If you\u2019re dealing with these symptoms, talk to your doctor. They can recommend ways to improve your sleep quality, such as limiting your fluid intake before bed, and prescribe appropriate treatment to manage your enlarged prostate and support healthy testosterone levels.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-your-options-when-bph-medications-limit-performance\">Your Options When BPH Medications Limit Performance<\/h2>\n\n\n\n<p>Sometimes, the very medications designed to treat your BPH can end up creating new problems in the bedroom. For example, 5-ARIs work by blocking the conversion of testosterone into dihydrotestosterone (DHT). DHT is the main androgen (sex hormone) that <a href=\"https:\/\/pmc.ncbi.nlm.nih.gov\/articles\/PMC12149265\/\">causes prostate growth<\/a>, so lower DHT levels can help stop the prostate from growing. However, having lower levels of DHT can also lower libido and <a href=\"https:\/\/academic.oup.com\/edrv\/article\/38\/3\/170\/3861397\">affect erectile function in some men<\/a>.<\/p>\n\n\n\n<p>If you feel like your BPH medications are limiting your sexual performance, you have options. Your doctor may try switching you to a different BPH medication, or prescribe a PDE5 inhibitor to treat your ED. In particular, tadalafil (Cialis) has been shown to <a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/27471377\/\">successfully treat both ED and BPH<\/a>.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\" id=\"h-your-next-steps\">Your Next Steps<\/h2>\n\n\n\n<p>An enlarged prostate is a completely normal part of aging for most men. It can throw an unexpected wrench into your sex life, but it does not have to signal the end of it. Whether you\u2019re dealing with low libido, ED, or dry orgasms, your healthcare provider can help you find the right treatment for both your ED and your BPH.<\/p>\n\n\n\n<section class=\"telyrx-faq-section\" data-toc-title=\"FAQs\">\n\t<h2 class=\"telyrx-faq-heading\"><\/h2>\n\t\t<div class=\"telyrx-faq-items\">\n\t\t\n\n<details class=\"telyrx-faq-item\">\n\t<summary class=\"telyrx-faq-question\">\n\t\t<span class=\"telyrx-faq-question-text\"><em>Article Research, References, &amp; Sources<\/em><\/span>\n\t\t<svg class=\"telyrx-faq-chevron\" width=\"20\" height=\"20\" viewBox=\"0 0 20 20\" fill=\"none\" aria-hidden=\"true\">\n\t\t\t<path d=\"M5 7.5L10 12.5L15 7.5\" stroke=\"currentColor\" stroke-width=\"2\" stroke-linecap=\"round\" stroke-linejoin=\"round\"\/>\n\t\t<\/svg>\n\t<\/summary>\n\t<div class=\"telyrx-faq-answer\">\n\t\t\n\n<p>Anawalt, B. D. (2017). Is dihydrotestosterone a classic hormone? <em>Endocrine Reviews<\/em>, <em>38<\/em>(3), 170\u2013172. <a href=\"https:\/\/doi.org\/10.1210\/er.2017-00091\">https:\/\/doi.org\/10.1210\/er.2017-00091<\/a>\u00a0<\/p>\n\n\n\n<p>Carrier, S., Alsaikhan, B., &amp; Alrabeeah, K. (2014). Management options for the treatment of benign prostatic hyperplasia with or without erectile dysfunction: a focus on tadalafil and patient considerations. <em>International Journal of General Medicine<\/em>, <em>7<\/em>, 271. <a href=\"https:\/\/doi.org\/10.2147\/ijgm.s40216\">https:\/\/doi.org\/10.2147\/ijgm.s40216<\/a>\u00a0<\/p>\n\n\n\n<p>Chughtai, B., Jarvis, T., &amp; Kaplan, S. (2014). Testosterone and benign prostatic hyperplasia. <em>Asian Journal of Andrology<\/em>, <em>17<\/em>(2), 212. <a href=\"https:\/\/doi.org\/10.4103\/1008-682x.140966\">https:\/\/doi.org\/10.4103\/1008-682x.140966<\/a>\u00a0<\/p>\n\n\n\n<p>Couteau, N., Duquesne, I., Fr\u00e9d\u00e9ric, P., Thiounn, N., Timsit, M., Mejean, A., Pinar, U., &amp; Audenet, F. (2021). Ejaculations and benign Prostatic Hyperplasia: an Impossible compromise? A Comprehensive review. <em>Journal of Clinical Medicine<\/em>, <em>10<\/em>(24), 5788. <a href=\"https:\/\/doi.org\/10.3390\/jcm10245788\">https:\/\/doi.org\/10.3390\/jcm10245788<\/a>\u00a0<\/p>\n\n\n\n<p>Gacci, M., Sebastianelli, A., Salvi, M., Vignozzi, L., Corona, G., McVary, K. T., Kaplan, S. A., Oelke, M., Maggi, M., &amp; Carini, M. (2013). PDE5-IS for the treatment of concomitant ED and LUTS\/BPH. <em>Current Bladder Dysfunction Reports<\/em>, <em>8<\/em>(2), 150\u2013159. <a href=\"https:\/\/doi.org\/10.1007\/s11884-013-0184-9\">https:\/\/doi.org\/10.1007\/s11884-013-0184-9<\/a>\u00a0<\/p>\n\n\n\n<p>Gandhi, J., Weissbart, S. J., Smith, N. L., Kaplan, S. A., Dagur, G., Zumbo, A., Joshi, G., &amp; Khan, S. A. (2017). The impact and management of sexual dysfunction secondary to pharmacological therapy of benign prostatic hyperplasia. <em>Translational Andrology and Urology<\/em>, <em>6<\/em>(2), 295\u2013304. <a href=\"https:\/\/doi.org\/10.21037\/tau.2017.03.57\">https:\/\/doi.org\/10.21037\/tau.2017.03.57<\/a>\u00a0<\/p>\n\n\n\n<p>Kohn, T. P., Kohn, J. R., Haney, N. M., Pastuszak, A. W., &amp; Lipshultz, L. I. (2020). The effect of sleep on men\u2019s health. <em>Translational Andrology and Urology<\/em>, <em>9<\/em>(S2), S178\u2013S185. <a href=\"https:\/\/doi.org\/10.21037\/tau.2019.11.07\">https:\/\/doi.org\/10.21037\/tau.2019.11.07<\/a>\u00a0<\/p>\n\n\n\n<p>Lee, L., Goren, A., Boytsov, N., Donatucci, C., &amp; McVary, K. (2016). Treatment satisfaction among men with concurrent benign prostatic hyperplasia and erectile dysfunction treated with tadalafil or other phosphodiesterase type-5 inhibitor combinations. <em>Patient Preference and Adherence<\/em>, <em>Volume 10<\/em>, 1205\u20131215. <a href=\"https:\/\/doi.org\/10.2147\/ppa.s105241\">https:\/\/doi.org\/10.2147\/ppa.s105241<\/a>\u00a0<\/p>\n\n\n\n<p>Leslie, S. W., &amp; Sooriyamoorthy, T. (2024). <em>Erectile dysfunction. StatPearls &#8211; NCBI Bookshelf.<\/em> <a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562253\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562253\/<\/a>\u00a0<\/p>\n\n\n\n<p>Ma, K., &amp; Dong, Q. (2023). Association between sleep quality and benign prostate hyperplasia among middle-aged and older men in India. <em>BMC Public Health<\/em>, <em>23<\/em>(1), 1147. <a href=\"https:\/\/doi.org\/10.1186\/s12889-023-15972-6\">https:\/\/doi.org\/10.1186\/s12889-023-15972-6<\/a>\u00a0<\/p>\n\n\n\n<p>Ng, M., Leslie, S. W., &amp; Baradhi, K. M. (2024). <em>Benign prostatic hyperplasia. StatPearls &#8211; NCBI Bookshelf. <\/em><a href=\"https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK558920\/\">https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK558920\/<\/a>\u00a0<\/p>\n\n\n\n<p>Singh, D., Nguyen, T., Burnam, P., Greenberg, J., Raheem, O., &amp; Hellstrom, W. (2025). Benign Prostatic Hyperplasia and Sexual Dysfunction: Review of the impact of new medical and surgical therapies on sexual health. <em>Current Urology Reports<\/em>, <em>26<\/em>(1), 49. <a href=\"https:\/\/doi.org\/10.1007\/s11934-025-01279-z\">https:\/\/doi.org\/10.1007\/s11934-025-01279-z<\/a>\u00a0<\/p>\n\n\n\n<p>Song, Z., Cheng, Z. J., Yuan, H., Chang, Z., Lv, Y., Huang, X., Li, H., Liang, Z., Cao, W., Chen, Y., Wu, H., Qi, D., &amp; Sun, B. (2024). Correlation between benign prostatic hyperplasia and comorbidities: a systematic analysis integrating global burden of disease and mendelian randomization study. <em>Journal of Translational Medicine<\/em>, <em>22<\/em>(1), 1035. <a href=\"https:\/\/doi.org\/10.1186\/s12967-024-05604-x\">https:\/\/doi.org\/10.1186\/s12967-024-05604-x<\/a>\u00a0<\/p>\n\n\n\n<p>Zhang, Y., Zang, N., Xiang, Y., Lin, F., Liu, X., &amp; Zhang, J. (2025). A comprehensive analysis of erectile dysfunction prevalence and the impact of prostate conditions on ED among US adults: evidence from NHANES 2001-2004. <em>Frontiers in Endocrinology<\/em>, <em>15<\/em>, 1412369. <a href=\"https:\/\/doi.org\/10.3389\/fendo.2024.1412369\">https:\/\/doi.org\/10.3389\/fendo.2024.1412369<\/a><\/p>\n\n\t<\/div>\n<\/details>\n\n\t<\/div>\n<\/section>\n<script type=\"application\/ld+json\">{\"@context\":\"https:\/\/schema.org\",\"@type\":\"FAQPage\",\"mainEntity\":[{\"@type\":\"Question\",\"name\":\"Article Research, References, &amp; Sources\",\"acceptedAnswer\":{\"@type\":\"Answer\",\"text\":\"Anawalt, B. D. (2017). Is dihydrotestosterone a classic hormone? Endocrine Reviews, 38(3), 170\u2013172. https:\/\/doi.org\/10.1210\/er.2017-00091\u00a0\\n\\nCarrier, S., Alsaikhan, B., &amp; Alrabeeah, K. (2014). Management options for the treatment of benign prostatic hyperplasia with or without erectile dysfunction: a focus on tadalafil and patient considerations. International Journal of General Medicine, 7, 271. https:\/\/doi.org\/10.2147\/ijgm.s40216\u00a0\\n\\nChughtai, B., Jarvis, T., &amp; Kaplan, S. (2014). Testosterone and benign prostatic hyperplasia. Asian Journal of Andrology, 17(2), 212. https:\/\/doi.org\/10.4103\/1008-682x.140966\u00a0\\n\\nCouteau, N., Duquesne, I., Fr\u00e9d\u00e9ric, P., Thiounn, N., Timsit, M., Mejean, A., Pinar, U., &amp; Audenet, F. (2021). Ejaculations and benign Prostatic Hyperplasia: an Impossible compromise? A Comprehensive review. Journal of Clinical Medicine, 10(24), 5788. https:\/\/doi.org\/10.3390\/jcm10245788\u00a0\\n\\nGacci, M., Sebastianelli, A., Salvi, M., Vignozzi, L., Corona, G., McVary, K. T., Kaplan, S. A., Oelke, M., Maggi, M., &amp; Carini, M. (2013). PDE5-IS for the treatment of concomitant ED and LUTS\/BPH. Current Bladder Dysfunction Reports, 8(2), 150\u2013159. https:\/\/doi.org\/10.1007\/s11884-013-0184-9\u00a0\\n\\nGandhi, J., Weissbart, S. J., Smith, N. L., Kaplan, S. A., Dagur, G., Zumbo, A., Joshi, G., &amp; Khan, S. A. (2017). The impact and management of sexual dysfunction secondary to pharmacological therapy of benign prostatic hyperplasia. Translational Andrology and Urology, 6(2), 295\u2013304. https:\/\/doi.org\/10.21037\/tau.2017.03.57\u00a0\\n\\nKohn, T. P., Kohn, J. R., Haney, N. M., Pastuszak, A. W., &amp; Lipshultz, L. I. (2020). The effect of sleep on men\u2019s health. Translational Andrology and Urology, 9(S2), S178\u2013S185. https:\/\/doi.org\/10.21037\/tau.2019.11.07\u00a0\\n\\nLee, L., Goren, A., Boytsov, N., Donatucci, C., &amp; McVary, K. (2016). Treatment satisfaction among men with concurrent benign prostatic hyperplasia and erectile dysfunction treated with tadalafil or other phosphodiesterase type-5 inhibitor combinations. Patient Preference and Adherence, Volume 10, 1205\u20131215. https:\/\/doi.org\/10.2147\/ppa.s105241\u00a0\\n\\nLeslie, S. W., &amp; Sooriyamoorthy, T. (2024). Erectile dysfunction. StatPearls - NCBI Bookshelf. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK562253\/\u00a0\\n\\nMa, K., &amp; Dong, Q. (2023). Association between sleep quality and benign prostate hyperplasia among middle-aged and older men in India. BMC Public Health, 23(1), 1147. https:\/\/doi.org\/10.1186\/s12889-023-15972-6\u00a0\\n\\nNg, M., Leslie, S. W., &amp; Baradhi, K. M. (2024). Benign prostatic hyperplasia. StatPearls - NCBI Bookshelf. https:\/\/www.ncbi.nlm.nih.gov\/books\/NBK558920\/\u00a0\\n\\nSingh, D., Nguyen, T., Burnam, P., Greenberg, J., Raheem, O., &amp; Hellstrom, W. (2025). Benign Prostatic Hyperplasia and Sexual Dysfunction: Review of the impact of new medical and surgical therapies on sexual health. Current Urology Reports, 26(1), 49. https:\/\/doi.org\/10.1007\/s11934-025-01279-z\u00a0\\n\\nSong, Z., Cheng, Z. J., Yuan, H., Chang, Z., Lv, Y., Huang, X., Li, H., Liang, Z., Cao, W., Chen, Y., Wu, H., Qi, D., &amp; Sun, B. (2024). Correlation between benign prostatic hyperplasia and comorbidities: a systematic analysis integrating global burden of disease and mendelian randomization study. Journal of Translational Medicine, 22(1), 1035. https:\/\/doi.org\/10.1186\/s12967-024-05604-x\u00a0\\n\\nZhang, Y., Zang, N., Xiang, Y., Lin, F., Liu, X., &amp; Zhang, J. (2025). A comprehensive analysis of erectile dysfunction prevalence and the impact of prostate conditions on ED among US adults: evidence from NHANES 2001-2004. Frontiers in Endocrinology, 15, 1412369. https:\/\/doi.org\/10.3389\/fendo.2024.1412369\"}}]}<\/script>","protected":false},"excerpt":{"rendered":"<p>BPH itself is not known to affect sexual function directly. However, BPH commonly overlaps with sexual dysfunction issues because the treatment options for BPH can cause sexual side effects.<\/p>\n","protected":false},"author":17,"featured_media":9513,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"content-type":"","telyrx_subtitle":"","telyrx_last_updated":"2026-07-07T13:32","telyrx_reviewer_name":"","telyrx_reviewer_credentials":"","telyrx_reviewer_job_title":"","telyrx_reviewer_affiliation":"","telyrx_reviewer_url":"","telyrx_show_reviewer_job_title":"0","telyrx_show_reviewer_affiliation":"0","telyrx_show_toc":"1","telyrx_reviewer_bio":"","telyrx_reviewer_avatar":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","_telyrx_clean_url":""},"categories":[97],"tags":[],"class_list":["post-9508","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-prostate"],"yoast_head":"<!-- This site is optimized with the Yoast SEO Premium plugin v27.6 (Yoast SEO v27.6) - https:\/\/yoast.com\/product\/yoast-seo-premium-wordpress\/ -->\n<title>Does an Enlarged Prostate Affect You Sexually? 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