Can BPH Cause ED? Understanding the Connection Between Enlarged Prostate and Sexual Function

Alan Lucks | MD

Medically reviewed by Alan Lucks | MD, Alan Lucks MDPC Private Practice - New York on February 1st, 2026.

Key Takeaways

  • BPH and erectile dysfunction are common male health concerns

  • Not all BPH treatments impact sexual function

  • Medications can potentially contribute to erectile challenges

  • Consulting a healthcare provider is crucial for personalized treatment

Benign prostatic hyperplasia (BPH) and erectile dysfunction (ED) are two health conditions that can significantly impact a man's quality of life. While these conditions often co-occur, especially in men over 40, the relationship between them is complex and nuanced. Understanding how an enlarged prostate might interact with sexual function requires careful examination of medical evidence and individual health factors.

Modern medical research has shed light on the intricate connections between prostate health and sexual performance. Men experiencing enlarged prostate symptoms often wonder about potential impacts on their sexual well-being.

Understanding BPH and Its Impact on Sexual Health

BPH is a non-cancerous enlargement of the prostate gland that can cause urinary symptoms like frequent urination and weak stream. While the condition itself does not directly cause erectile dysfunction, certain treatments and associated factors can influence sexual function.

Medication-Related Erectile Challenges

Some BPH medications can potentially contribute to erectile difficulties. Erectile dysfunction treatments often involve careful medication management. Anti-testosterone drugs used to manage BPH may decrease sex drive and impact erectile function, creating additional challenges for patients.

Surgical Treatments and Sexual Function

Surgical interventions for BPH, such as transurethral resection of the prostate (TURP), can occasionally result in erectile complications. However, modern minimally invasive techniques like Rezūm Water Vapor Therapy have shown promising results in preserving sexual function while addressing prostate enlargement.

Psychological and Emotional Considerations

The stress and anxiety associated with BPH symptoms can indirectly contribute to erectile dysfunction. Concerns about urinary control and sexual performance can create psychological barriers that impact sexual health.

Treatment Options and Sexual Preservation

Treatment Approach

Potential Sexual Function Impact

Recommended For

Medication Therapy

Possible ED side effects

Mild to moderate BPH

Minimally Invasive Procedures

Reduced sexual function disruption

Moderate BPH

Surgical Intervention

Variable sexual function impact

Severe BPH cases

The Bottom Line

Understanding the nuanced relationship between BPH and erectile dysfunction requires professional medical guidance. Ready to meet your AI doctor? Get started with Doctronic today.

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