How Does Having an Enlarged Prostate Affect Your Love Life?

enlarged prostate and sex drive

Having a larger prostate in your late adulthood is completely normal – our prostates grow as we get older. An enlarged prostate or benign prostatic hyperplasia (BPH) manifests itself with several symptoms such as a frequent need for urination, straining during urination, and a weak urinary stream. However, in addition to these symptoms, BPH can also affect your sexual performance.

So, what is the link between enlarged prostate and sex drive?

Enlarged Prostate and Sex Drive

BPH affects our sex drive in numerous ways. Some common effects are:

Although BPH and erectile dysfunction are separate conditions, ED can often be made worse by BPH. That being said, an enlarged prostate doesn’t cause ED. It is usually caused by an underlining medical condition like high blood pressure, diabetes, or psychological issues.

Treatment and Side Effects

The relationship between enlarged prostate and sex drive becomes more complicated when we take a look at common drugs used to treat BPH and ED. There are several drugs used to treat ED that can also help with BPH symptoms. These include tadalafil, sildenafil, and vardenafil. One study found taking vardenafil twice a day helped reduce BPH symptoms in 108 men.

However, some drugs that are used to treat BPH can contribute to erectile dysfunction. These include doxazosin, dutasteride, and terazosin finasteride. You can manage BPH symptoms by exercising, avoiding alcohol and sweets, and maintaining a healthy weight.


The link between enlarged prostate and sex drive is a complicated one, as it depends on many factors such as your genetics, age, anxiety levels, and reaction to medication. Contact your doctor if you feel like your medication is affecting your love life.

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