How Does an Enlarged Prostate Affect A Man’s Sexual Performance?

How Does an Enlarged Prostate Affect A Man’s Sexual Performance?

An enlarged prostate, also known as benign prostatic hyperplasia (BPH), is a common condition that affects men as they age. The prostate gland, located just below the bladder, tends to grow larger, leading to a variety of urinary symptoms. However, many men are unaware that an enlarged prostate can also have a significant impact on their sexual performance.

Does an Enlarged Prostate Affect a Man Sexually?

An enlarged prostate can affect a man sexually. When the prostate gland enlarges, it can put pressure on the urethra, leading to urinary symptoms such as frequent urination, difficulty starting and stopping urination, and a weak urine stream. 

Enlarged Prostate Affecting a Man Sexually

An enlarged prostate can affect a man’s sexual function in several ways. Here are some of the key impacts:

Erectile Dysfunction

Pressure on the urethra due to an enlarged prostate can affect the blood flow to the penis, leading to difficulties in achieving or maintaining an erection.

Ejaculatory Changes

An enlarged prostate can obstruct the flow of semen, leading to a decreased volume of ejaculation and weaker ejaculation. This can impact the intensity and satisfaction of sexual activity.

Psychological Impact

The physical symptoms of an enlarged prostate, along with the changes in sexual function, can lead to feelings of inadequacy, frustration, and embarrassment, affecting a man’s overall well-being and confidence.

It’s important for men experiencing symptoms of an enlarged prostate to seek medical attention. Treatment options, including medication and surgery, are available to alleviate symptoms and improve sexual function. Consulting with a healthcare professional is crucial to explore the available treatment options.

8 Tips for a Fulfilling Sex Life with an Enlarged Prostate

Maintaining a fulfilling sex life with an enlarged prostate can be challenging, but it is possible with the right approach. Here are seven tips for managing sexual function while dealing with an enlarged prostate:

  1. Open Communication: Discuss any sexual concerns with your partner. Open and honest communication can provide emotional support and strengthen your relationship.
  1. Seek Medical Advice: Consult a healthcare professional to discuss your specific symptoms and explore treatment options. Medications, lifestyle changes, and surgical interventions may be recommended to address the underlying prostate issues.
  1. Manage Medications: Some medications used to manage an enlarged prostate can impact sexual function. Your doctor may be able to adjust your medication regimen to minimize these effects.
  1. Sexual Positioning: Experiment with sexual positions that minimize discomfort and pressure on the prostate. Finding positions that are comfortable for both partners can help maintain intimacy.
  1. Pelvic Floor Exercises: Strengthening the pelvic floor muscles through exercises, such as Kegels, may help improve erectile function and ejaculation control.
  1. Psychological Support: Consider seeking counseling or therapy to address any emotional or psychological challenges related to sexual function and the impact of an enlarged prostate on intimacy.
  1. Explore Alternative Sexual Activities: Engaging in non-intercourse sexual activities, such as sensual massage or mutual exploration, can help maintain intimacy and connection with your partner.
  1. Patience and Understanding: It’s important to be patient and understanding with yourself and your partner as you navigate these challenges. Recognize that overcoming sexual difficulties related to an enlarged prostate may require time and experimentation.

Remember that each individual’s experience with an enlarged prostate and its impact on sexual function is unique. Seeking personalized advice from a healthcare professional and maintaining open communication with your partner are essential steps in addressing and overcoming sexual challenges caused by an enlarged prostate.

Remember that every individual’s situation is unique, so it’s important to consult a healthcare professional to develop a personalized approach for managing sexual function with an enlarged prostate.

Healthy Diet To Boost Sex Drive With Enlarged Prostate

Maintaining a healthy diet can play a significant role in supporting overall health, including sexual function, for individuals with an enlarged prostate. Here are dietary recommendations that may help boost sex drive while supporting prostate health:

  • Fruits and Vegetables: Aim for a diet rich in fruits and vegetables, particularly those high in antioxidants and vitamins, such as tomatoes, berries, spinach, and kale. These can help reduce inflammation and support prostate health.
  • Healthy Fats: Incorporate sources of healthy fats, such as avocados, nuts, seeds, and fatty fish like salmon, which contain omega-3 fatty acids. These fats can help reduce inflammation and support cardiovascular health, which is linked to sexual function.
  • Whole Grains: Choose whole grains, such as brown rice, quinoa, and whole wheat, over refined grains. Whole grains provide fiber and nutrients that support overall health and may help regulate hormone levels.
  • Lean Proteins: Opt for lean sources of protein, such as poultry, fish, legumes, and tofu. Protein is essential for overall health and muscle function, including those involved in sexual activity.
  • Hydration: Drink plenty of water to stay hydrated. Proper hydration is important for overall health and can support sexual function.
  • Limit Processed Foods: Minimize the consumption of processed foods, sugary snacks, and high-fat, high-sodium items, as they may contribute to inflammation and negatively impact overall health.
  • Moderate Alcohol and Caffeine: Limit alcohol consumption and moderate caffeine intake, as excessive amounts of both can negatively affect sexual function and prostate health.
  • Discuss with a Healthcare Provider: It’s important to discuss dietary changes with a healthcare provider, especially when managing an enlarged prostate. They can provide personalized guidance based on your specific health needs and medications.

In addition to dietary changes, regular physical activity, stress management, and maintaining a healthy weight can also contribute to overall well-being and sexual health while managing an enlarged prostate.


An enlarged prostate can have a significant impact on a man’s sexual performance and overall quality of life. By understanding the potential effects of BPH on sexual function and seeking appropriate treatment, men can take steps to improve their sexual health and well-being. If you or a loved one is experiencing symptoms of an enlarged prostate, it’s important to consult with a healthcare professional to explore the available treatment options.

If you enjoyed this article, you may also want to read this article on When is the Best Time to Take Prostate Supplements?

*This information is not intended to serve as a substitute for professional medical or dietary advice tailored to individual needs.

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Dr. Kimberly Langdon

Kimberly Langdon

Dr. Kimberly Langdon has been an MD for 31 years, board-certified obstetrician/gynecologist with 19-years of clinical experience. She graduated from The Ohio State University College of Medicine, earning Honors in many rotations. She then completed her OB/GYN residency program at The Ohio State University Medical Center, earning first-place accolades for her Senior Research Project and Score of 98th percentile on a National Proficiency Test.

During her clinical career, she delivered over 2000 babies and specialized in minimally invasive procedures, menopause, endometriosis, menstrual disorders, and polycystic ovarian syndrome. After retiring from clinical practice, she founded a medical device company to commercialize her two patented and four patent-pending medical devices for both life-threatening and non-life-threatening infections.

Kimberly Langdon M.D.

Founder and Chief Scientific Officer, Coologics, 2010-present
The Ohio State University College of Medicine, Doctor of Medicine 1987-1991
The Ohio State University Hospital Department of Obstetrics and Gynecology Residency Program 1991-1995
Private practice 1995-2010

Po-Chang Hsu

Po-Chang Hsu

Po-Chang Hsu, M.D., received his medical doctorate from Tufts University School of Medicine in Boston. During his medical school training, Dr. Hsu worked with various patients, including adult and pediatric patients with acute and chronic conditions. Dr. Hsu’s interests include neurology, psychiatry, pediatrics, and sleep medicine.

Before medical school, Dr. Hsu finished a master’s degree at Harvard University and wrote a thesis on neuroimaging in schizophrenia patients at Brigham and Women’s Hospital, a Harvard Medical School-affiliated hospital. Dr. Hsu was also a part of the 2008 NASA Phoenix Lander Mission team, which sent a robotic spacecraft to the North polar region of Mars. Dr. Hsu also had research experience on neuroimaging in neonates at Boston Children’s Hospital, another Harvard Medical School-affiliated Hospital.

Since graduating from medical school, Dr. Hsu has worked as a full-time medical writer and consultant. In addition, he has experience writing and ghostwriting books and articles for physicians and health technology start-up companies. Dr. Hsu believes good communication between healthcare providers and patients creates the best results.


-Peer Reviewed Journal Article:
Kounaves, S.P., Hecht, M.H., West, S.J., Morookian, J.-M., Young, S.M.M., Quinn, R., Grunthaner, P., Wen, X., Weilert, M., Cable, C.A., Fisher, A., Gospodinova, K., Kapit, J., Stroble, S., Hsu, P.-C., Clark, B.C., Ming, D.W. and Smith, P.H. The MECA wet chemistry laboratory on the 2007 phoenix mars scout Lander. Journal of Geophysical Research. 2009, Mar; 114(E3): 10.1029/2008je003084.

-Poster Presentation:
2011 Harvard Psychiatry Mysell Poster Session; Boston, MA
Hsu, P.C., Rathi, Y., Eckbo, R., Nestor, P., Niznikiewicz, M., Thompson, E., Kubicki, M., Shenton, M.E. (March, 2011). Two-Tensor Diffusion Tensor Imaging of Acoustic Radiations in Schizophrenia

Dr. Nicolette Natale

Nicolette Natale

Dr. Nicolette Natale is a physician, with a background in Psychology, General Medicine, and English Literature, combining her expertise to provide readers with the most accurate, easy-to-understand, and comprehensive information regarding healthcare. She received her Doctorate in Osteopathic Medicine from Nova Southeastern University, and her bachelor’s in English Literature and Psychology from the University of Miami. Dr. Natale seeks to empower individuals with knowledge, fostering a greater understanding of holistic health and encouraging a proactive approach to well-being