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.
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what's great for you and I would love to give you the most
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can have sexual vitality for life. I appreciate you until
next time.