Sexual Side Effects of Prostate Treatment
Sexual Side Effects Include Erectile Dysfunction and Premature Ejaculation
An enlarged prostate (also called benign prostatic hyperplasia – BPH) is often treated with medication or surgery. However, these approaches can have sexual side effects that are not always discussed with patients, according to a recent report in the World Journal of Urology.
Many patients are unaware of the possible sexual side effects as a result of prostate cancer treatments.
The association was especially strong for younger and older men, the study found.
Erectile dysfunction (ED) and ejaculatory disorders like premature ejaculation are among the most common side effects.
When researchers surveyed 245 healthcare providers (most of whom were urologists), they discovered that many did not discuss the sexual side effects of BPH treatment. In addition, many did not discuss treatment alternatives if their patients had sexual concerns.
Some treatments for an enlarged prostate and related urinary symptoms have sexual side effects. However, doctors don’t always let patients know about them, according to a recent survey.
The medical term for an enlarged prostate is benign prostatic hyperplasia (BPH). As men get older, their prostate gland grows inward. For some men, the process causes urinary problems, since the enlarged tissue squeezes the urethra.
Unfortunately, some treatments have sexual side effects. For example, men who take medications called 5α-reductase inhibitors (5-ARIs, such as dutasteride and finasteride) may have trouble with erections or ejaculation. Their sex drive can decrease, too. Men who have surgery for BPH might develop retrograde ejaculation, when semen travels backward into the bladder instead of forward out of the penis.
For the study, researchers surveyed 245 healthcare providers who were attending the 2015 World Congress of Endourology in London. Eighty-one percent of the respondents were urologists, specialists that typically treat an enlarged prostate.
The doctors were asked about the treatments they typically prescribed, how often they discussed ED and ejaculatory disorders as side effects, and the alternative treatments they might suggest if patients were concerned about sexual dysfunction.
The three most commonly-used treatments were alpha-blockers (another type of medication), 5-ARIs, and a surgical procedure called transurethral resection of the prostate (TURP).
The survey revealed that many providers don’t discuss sexual side effects with their patients. For instance, only 70% of the doctors said they explained ejaculatory disorders associated with alpha-blockers. About 60% of doctors prescribing 5-ARI therapy covered possible ejaculatory problems. For doctors recommending TURP, the rate was 80%.
In addition, many doctors didn’t discuss alternative treatments if their patients had sexual concerns.
In an interview with Reuters, lead author Dr. Simone Giona said, “We need to talk to patients about their expectations and offer the treatments that will help them, including new alternatives.”
“Patients should mention all their worries and discuss their sex life concerns. Urologists should get a full picture of what will make their patients happy,” Dr. Giona added.
The study was published online in April in the World Journal of Urology.
International Society for Sexual Medicine
“Are sexual problems linked to 5ARI use for benign prostatic hyperplasia (BPH)?”
“Does surgery for benign prostatic hyperplasia (BPH) affect a man’s sexual function?”
What is benign prostatic hyperplasia (BPH)? How is it diagnosed?
“Doctors don’t always explain sexual side effects of prostate treatments”
Are "off label" drugs used for Premature Ejaculation a good idea?
Well, that’s a tricky question. Most men would say that using a prescription drug for something it wasn’t intended to treat is not a great idea. Anti-depressants have been shown to have some use in treating premature ejaculation – however most people would rather avoid taking an anti-depressant if they’re not actually depressed.
In addition, most of these pharmaceutical drugs come with a number of side effects – some of which can be quite serious. One possible side effect of anti-depressants is erectile dysfunction – or the lack of ability to achieve an erection for intercourse. This obviously makes these drugs a questionable choice for improving sexual function.
An alternative treatment for improving sexual stamina is the growing popularity of herbal premature ejaculation supplements. Among these natural premature ejaculation remedies, Prexil is one of the most popular – and that’s because we’ve created a product that works extremely well – WITHOUT any negative side effects.
Is Prexil a drug for premature ejaculation?
While Prexil has shown to be an excellent supplement to eliminate premature ejaculation – Prexil IS NOT a drug. Pharmaceutical drugs are a very specific type of medicine which is used to diagnose, cure, treat, or prevent disease – and they can only be prescribed by a doctor.
Premature ejaculation is a condition – not a disease – and there are currently no pharmaceutical drugs which have been effective enough to gain FDA approval as a premature ejaculation treatment. Natural premature ejaculation treatments however, have shown to be extremely effective in curtailing premature ejaculation and improving sexual stamina and vitality.
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Many herbs such as L-Arginine, Damiana, and Ginseng – to name a few – have shown in many studies to increase sexual stamina, improve erectile blood flow, and improve several aspects of male sexual function. That’s why top selling premature ejaculation supplements contain these and many other herbs known to improve sexual function.
Before you decide which kind of premature ejaculation treatment is right for you, it’s important to try and determine the underlying cause of your premature ejaculation, as many things can influence or cause premature ejaculation, and premature ejaculation supplements will not necessarily be appropriate in some instances. There are several different factors which can help to cause early ejaculation in men.
Problems that contribute to Premature Ejaculation
You may be at a higher risk of premature ejaculation if you have experienced occasional or consistent problems in getting or maintaining an erection.
Fear or anxiety associated with “losing your erection” may cause you to hurry through sexual encounters.
If you have chronic or serious pre-existing medical conditions, this can be another leading cause of early ejaculation. Conditions such as high blood pressure or heart disease may make you feel nervous or anxious during sex and may unknowingly be causing you to rush to achieve climax as soon as possible.
As noted previously, many researchers believe that low serotonin levels in the brain and/or neurotransmitters can be a primary cause of premature ejaculation. This is why anti-depressant medications (SSRI’s) are often prescribed for off-label use as a treatment for premature ejaculation. The most effective premature ejaculation supplements are those that contain ingredients focused on increasing male serotonin levels.
VIDEO - Medication for Premature Ejaculation/ED
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There are a number of premature ejaculation supplements available for men suffering with PE. Some you can try at home, some require a doctor’s or therapist’s supervision. Some are natural and some require a prescription. Keep in mind that some techniques for stopping premature ejaculation, such as psychotherapy may only work for a small percentage of men.
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