This podcast is for you, the Modern Man. I'm Dr Anne Truong,

your host. I'm an intimate health medical doctor and best

selling author of the book, Erectile Dysfunction Fix. I'll

do a deep dive into sexual health and performance and how

it affects men of all ages and backgrounds. So let's get

started, and be sure to visit my website at

sexualhealthformenpodcast.com for more information and

resources from the show. See you on the inside.

Hello there, Modern Man. I'm Dr Anne Truong. I've treated over

7000 men with ED. In today's episode, we're going to talk

about, are you just tired of having enlarged prostate and

it's kind of killing your sex life and your sleep? What most

doctor won't tell you about the shocking link between your

enlarged prostate or BPH and erectile dysfunction, I'm going

to discuss about today. So stay tuned to the end, so that way

you can find out what you can do with enlarged prostate and if

it's affecting your bedroom performance.

While benign prostatic hypertrophy or BPH itself is not

consider a direct cause of ED, there is significant and complex

relationship between the two conditions. The relationship

manifests in several key ways. Number one, shared risk factors.

Both BPH and ED are common condition in aging men, and they

often share underlying risk factor, which include older men

get higher risk of either BPH or ED or both. They share lifestyle

factors such as obesity, diabetes, high blood pressure,

high cholesterol and heart disease. All these conditions

contribute to either BPH progression and or ED or both,

because these conditions, your prostate is affected by blood

flow. So penis and prostate are dependent upon blood flow. Then,

the penis and the prostate is also dependent upon your hormone

changes, particularly your testosterone. The prostate gets

enlarged with low testosterone and high testosterone, and then

high testosterone can be converted to another hormone

called dihydrotestosterone, or DHT, which is an inflammatory to

the prostate. And then ED is also dependent upon low

testosterone as well.

Number two, there is the impact between BPH and sexual function,

indirectly. So the frustrating and disruptive symptoms of BPH

indirectly affect a man's ability to maintain his erection

and overall sexual desire. Come on, admit it, waking up at night

time, going multiple times, even up to four or five times a

night, and then having a weak urine stream can cause

significant distress and anxiety. Well, number one, the

anxiety, the embarrassment of leakage during intimacy, leakage

during the daytime and then going to the bathroom frequently

at night. It's kind of sure reduce your desire for sex. And

then, not to mention, the sleep deprivation of waking up

multiple times. We talked about how sleep is important for

testosterone, how sleep is important for healing and for

blood flow, and you're not getting sleep when you have

enlarged prostate, and then discomfort and pain when you

urinate, or even ejaculation as well with BPH. Now, even with

BPH, sometimes you can have retrograde ejaculation as well.

The next part of psychological impact with preoccupation of

going to the bathroom every hour, every 30 minutes, leading

to stress, depression and almost loss of interest in sexual

ability.

Now number three, the side effects of BPH medication are

pretty significant. Most medications in the class call

Okay, Modern Man, you are not alone and you don't have to

5-alpha reductase inhibitors or 5-ARI medication such as

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

finasteride or dutasteride work by shrinking the prostate, but

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

it can lead to side effects such as decreased libido, ED, and

So some of the side effects of traditional BPH surgery, such as

TURP, do have side effects as well, such as retrograde

ejaculation and also ED. While enlarged prostate itself may not

directly damage the physiological mechanism of an

erection, like blood flow, nerve supply to the penis, but the

symptoms of BPH, especially the side effect of traditional

ejaculation dysfunction, such as reduced semen volume and or

treatments such as medication and the TURP procedure, can

impact a man's sexual health, leading to or worsening of his

erectile dysfunction. This is why it's so important for men to

discuss their symptoms, especially sexual one, and the

urination symptoms, with their doctor.

What do you need to do when you have enlarged prostate? First of

all, go see your doctor first. Don't try to treat it yourself.

And the signs of enlarged prostate is that your urine

retrograde ejaculation. When semen goes into the bladder

stream is not as strong as it used to be. It takes longer for

you to start your urine stream. It takes you longer to stop your

urine stream, and before, if they only take you 30 seconds to

go to the bathroom. Now it taking you, like, 10 minutes,

and you can make a sandwich during the whole time, and then

after you go to the bathroom about an hour later, 30 minutes

later, you need to go again. So called frequency. And the other

thing also is sometimes pain with urination. But the thing

that's most prominent is nighttime urination, or

instead of out in the penis. Another type of medication

nocturia, where you're getting up either between two to five

times at night time to go to the bathroom where you shouldn't be.

It is disrupting your sleep, and it's going to ruin your sex life

as well, too. So go see the doctor, get your examinate, your

prostate examination. Now the prostate, you can see from this

is that it is just right below the bladder. This is the bladder

called alpha blockers, such as tamsulosin or silodosin. These

right here. It's right below the bladder, and kind of where next

to the penis here. And the only way to reach the prostate is

through the rectum right here. And that's how doctors do

examination for your prostate. So it has to be examined

internally to determine the size of the prostate. The normal size

of the prostate is about 30 grams, or the size of a walnut

like this. If it's more large than what it does is that it

compresses the urethra, or the tube that connects the bladder

medications relax the muscle in the prostate and the bladder to

to the penis. That's how you urinate. And it's also where the

nerve go to the penis as well too. It can also affect the

penis function for erection but it's also intimately connected

to the pelvic muscles. So there's a reason why they're all

connected in one or more area, and how important that is.

So to improve your BPH symptoms, you can do Kegel exercises.

improve the urine flow, while this is going to lead to sexual

Check out my video where I talk about how to do Kegel exercises.

And you can also do external prostatic massage with a

massager, you can also do internal prostate massager as

well. But we have something new in the office right now that

will treat BPH symptoms within one to two treatments using

magnetic energy, infrared therapy and also vibration. So

stay tuned on my next episode where I'll talk about that,

dysfunction and also retrograde ejaculation.

where it goes internal, the probe goes internal, and it

treats the prostate area to improve more circulation and

decrease inflammation. And also what's important is you can be

treated without medication and without surgery. And what I want

you to do first is to start doing Kegel and get your

testosterone level measure. Believe it or not, supplementing

testosterone level will also improve urination symptoms as

well, too.

And just know if you have BPH, there are options besides just

medication and surgery, and that if you have BPH, it's also

indirectly linked to ED. You don't have to live with that,

and that's why our treatment focuses on not only treating ED

symptom, but also treating the prostate as well too. So stay

tuned for my next episode where we'll talk about how pulse

electromagnetic therapy, infrared, and vibration combined

in treating the prostate area. It all goes together to how to

improve your sexual health.

So I hope you enjoyed this episode. Let me know what you

think, and I love to hear from you. And it will mean the world

to me if you subscribe to the channel, share this with

somebody that you think can benefit from this information.

And that just know, Modern Man, you do not have to suffer in

silence of your BPH or from ED, there are options, and we're

here to help you with that. So also, check out our Modern Man

Club, it's the space where I coach you to get out of ED

towards more sexual functioning naturally. Check it out at

noedman.com and also, just know that we're here for you, and let

us know in the comment what you think, and I'll see you in the

next episode.

Okay, Modern Man, you are not alone and you don't have to

suffer anymore. ED can feel isolating, frustrating, and even

defeating. The endless guessing, the quiet shame, the weight of

not feeling like yourself is exhausting. But here's the

truth, you are not broken. You are not alone. You don't have to

figure this out alone anymore. The Get Wood Now Boost Program

is your step by step, path to sexual confidence and

restoration. No more suffering in silence, no more trial and

error, just real solution, real result and the confidence you

deserve. It's time to take back your power on your term. Let's

get this journey started together. Check out the course

at getwoodnow.com. I'll see you there.

Thanks for listening to the Sexual Health for Men Podcast.

If you love this episode, then please take a screenshot on your

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and what you like to hear in the future. That will help me know

what's great for you and I would love to give you the most

incredible free gift designed to help you improve performance

quickly. Go to my website at sexualhealthformenpodcast.com to

get the book, The Five Common Costly Mistakes Men Make When

Facing ED. I would appreciate if you subscribe, leave a review on

Apple podcasts or wherever you listen. And just know that you

can have sexual vitality for life. I appreciate you until

next time.