Does an enlarged prostate affect a man’s sex life?

​Understanding the prostate gland
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​Understanding the prostate gland

The prostate gland is a part of the male reproductive system. It produces the fluid that carries the sperm during ejaculation. For the unversed, the prostate gland is situated below the bladder and in front of the rectum. It is roughly the size of a walnut.

​What causes prostate enlargement?
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​What causes prostate enlargement?

The prostate continues to grow as a man ages, which is why older men tend to have larger prostates than younger men.

Non-cancerous enlargement of the prostate is called benign prostatic hyperplasia (BPH).

BPH is very common. It can cause bothersome lower urinary tract symptoms such as the frequent urge to urinate, getting up at night to urinate, difficulty in urinating, and dribbling of urine at the end of urination.

​Enlarged prostate and sex life
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​Enlarged prostate and sex life

Enlarged prostate can cause sexual problems in men. One such problem includes erectile dysfunction (ED). This refers to the inability to attain and maintain an erection sufficient for sex at least 25% of the time.

Other sexual health problems include reduced sex drive and decreased sexual satisfaction.

​Erectile dysfunction and prostate cancer
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​Erectile dysfunction and prostate cancer

Sudden onset of erectile dysfunction could be a sign of prostate cancer. It is important to get an immediate medical evaluation if you experience it.

Erectile dysfunctions can also occur after therapy for prostate cancer. This includes surgery, radiotherapy, and hormonal therapy.

​When to see a doctor
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​When to see a doctor

Men should get their prostates screened regularly, especially if they are older and at risk. It is not necessary that your symptoms are a sign of prostate cancer, which is why it is important to get screened to rule out cancer.

In general, men should seek medical attention if they experience any symptoms related to an enlarged prostate.

​How to cope
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​How to cope

It is important to discuss treatment options with your doctor, and if any medication is required.

Lifestyle changes and surgical options are available that can help reduce the symptoms associated with an enlarged prostate. With proper treatment, men can usually maintain a regular sex life.

According to Prostate Cancer UK, lifestyle changes to alleviate symptoms of an enlarged prostate include:

-Reduce intake of alcohol, sweeteners, and fizzy soda

-Avoid drinking in the evening and before bed

-Check whether medicines are contributing to the symptoms

-Maintaining a healthy weight

-Exercise regularly. Kegel exercises may help improve symptoms associated with an enlarged prostate.

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