Can Bph Cause Ed

positivepathways

Just connected a bunch of dots between urinary symptoms and erections and I’m kind of blown away. I always thought “BPH = plumbing issue, ED = blood flow/psych,” but I keep seeing hints that lower urinary tract symptoms (LUTS) and erections move together. Sometimes my stream/urgency are worse and my erections are flatter the same day. Coincidence or is there a real link?

Things I noticed or came across that made me curious:

Daily tadalafil supposedly helps both ED and BPH/LUTS. Anyone here see a two-for-one benefit in real life?
Alpha-blockers (tamsulosin, alfuzosin, etc.) can change ejaculation; do they impact erection quality for you?
5-alpha-reductase inhibitors (finasteride/dutasteride) are reported to affect libido/ED in some people-did anyone mitigate that (dose changes, timing, stopping)? Did benefits for urinary symptoms outweigh sexual side effects?
Nocturia wrecks sleep. On nights I pee 2-3 times, morning wood is almost absent. Has anyone tracked nocturia vs morning erections or testosterone labs?
Pelvic floor tension: relaxing exercises and slow breathing before bed seem to reduce urgency for me and I swear erections are better the next day. Has pelvic floor PT helped both issues for anyone?
Procedures: UroLift, Rezūm, iTind, TURP, PAE-most marketing says erections are “preserved,” but did anyone actually notice erections improve or decline after? Ejaculation changes are common, but I’m curious about erection firmness and sustainability specifically.
Overlap with sleep apnea: OSA can cause nocturia and ED through different pathways. Anyone see both improve after CPAP?
Blood pressure angle: stacking alpha-blockers with PDE5 inhibitors can drop BP. If you’re on both, how did you time doses to avoid dizziness while still getting benefits? (I’ll ask my clinician too-just curious about lived experience.)
Inflammation vs enlargement: anyone diagnosed with chronic pelvic pain/prostatitis who had LUTS and ED improve with anti-inflammatories, heat, or antibiotics-even without classic infection?

Would love to crowdsource:

Your LUTS severity (even a rough “mild/mod/severe”) vs erection quality on the same days
What changed after starting/stopping: alpha-blocker, 5-ARI, PDE5 inhibitor, or a procedure
Whether better sleep lowered nocturia and improved morning wood
Any wins with pelvic floor downtraining, bladder retraining, or timing fluids/caffeine

If there’s a hidden “common driver” like sympathetic overactivity, endothelial function, or sleep fragmentation, dialing that in might be a game-changer. What’s worked (or backfired) for you?

ResilientPath

Hey man, I’ve been tracking this LUTS-ED link for months too-it’s no coincidence. For me, moderate LUTS (urgency and weak stream) tracks right with softer erections, especially on high-stress days. Started low-dose tadalafil daily (5mg), and it’s been a game-changer: urinary flow improved within weeks, and erections firmed up noticeably without the on-demand hassle. No BP issues since I take it at night.

On pelvic floor, reverse Kegels and deep breathing cut my nocturia from 3x to 1x most nights-morning wood is back, and overall sleep quality skyrocketed. Alpha-blockers (tamsulosin) helped urgency but tanked my ejaculation volume; erections held steady though.

If sympathetic overdrive is the culprit, adding magnesium glycinate before bed helped dial it down for me-less urgency, better rigidity. What’s your go-to for stress?