Penis Health

[Class52]

since being diagnosed with an enlarged prostate I’ve taken Tamsulosin and finasteride. I no longer get erections without a lot of work my ejaculate is clear watery and I think I’ve lost about an inch in erect length. given the reduction in testosterone the tablets are trying to do I suppose my side effects are to be expected my query is am I normal in getting such issues. Are others getting the same results?

[Norwich1 Moderator]

Sorry to hear about your problems. The side effects you are experiencing are, sadly, quite usual. Tamsulosin is an alpha blocker and relaxes tissue through reduced blood pressure. The main cause of your side effects is finasteride which inhibits the production of dihydrotestosterone, a more potent form of testosterone. Neither drug, as far as I am aware, reduces your testosterone level.

[SetteeSofa in reply to Norwich1]

Thank you for your very informative answer, if I may say so. I completely endorse your comments.

With all good wishes to you all,

SetteeSofa

[Norwich1 Moderator in reply to SetteeSofa]

Here to help😀

[SetteeSofa in reply to Norwich1]

....and you do!!!

Best as ever.

Settee Sofa

[xsevenx]

5mg daily tadalafil (cialis) is licensed in the UK for the treatment of benign prostatic hyperplasia/hypertrophy. Maybe you could discuss swapping this instead of tamsulosin with your doctor. It could also improve your erections.

[Class52 in reply to xsevenx]

I used to take Tadalafil it was really good 10 mg was sufficient but I have heart issues and take a half tablet of Chemydur 60XL and any make of erection creator is banned but thanks for the thought I’m 72 so should I be grateful for a good sex life in the past and just quietly give up ?

[Omniscient1 in reply to Class52]

72? No, be grateful for a good sex life SO FAR but you're only 72. If the erection problem is truly caused by the BPH medication,have you explored other kinds of meds or surgical intervention for the BPH? In my experience tamsulosin is fairly benign so presume it's the finasteride causing the erection issue?

[xsevenx]

I understand your sad predicament. Never give up hope!

[LondonB]

I have posted about urololift procedure for BPH. Take a look at those posts and comments

[BexyBoy]

I was once on Tamsulosin, but occasionally I got a bit dizzy (when suddenly standing up ) on it so was changed to Xatral (Alfuzosin). I then had Finasteride as well. I recently had a successful TURP and on stopping both tablets, I feel much more normal. I get morning erections better firmness when I want to masturbate and have more normal libido, so feel more like I felt when I was in my forties now. I know not everone recovers this well so I feel very fortunate.

[Class52 in reply to BexyBoy]

Thanks for that. How long did it take to get over the TURP

[BexyBoy in reply to Class52]

The ability to urinate with a free flow was immediate. I had 2 nights in hospital to make sure I was OK without an indwelling catheter, then I had a bit of discomfort and pinkish urine for a couple of weeks. I didn't notice the return of libido till 3 weeks or so after stopping the 2 medications I had been prescribed for so many years, but gradually started back masturbating every few days, with rests in between, and although my ejaculate is still less than in my thirties (dribble rather than spurts) and clear rather than whitish, there's no sense of retrograde ejaculation (which was also an effect of Tamsulosin). It's now 8 weeks since the procedure and I wouldn't know I'd had any prostate problem at all.