How to talk about BPH and ED with your doctor
BPH and ED are common, especially as men age, but many avoid discussing them with their doctors due to embarrassment or uncertainty. However, ignoring these issues can affect not just your confidence but also your overall health.
Understanding BPH and ED
If you're dealing with symptoms of benign prostatic hyperplasia (BPH) or erectile dysfunction (ED), you're not alone. Talking to your doctor is the first step toward finding solutions and improving your quality of life.
BPH is a non-cancerous enlargement of the prostate that can cause urinary problems such as:
- Frequent urination
- Difficulty starting and stopping
- A weak stream
ED is the inability to achieve or maintain an erection, which can stem from physical, hormonal, or psychological causes.
"Many men start experiencing urinary symptoms or erectile issues in their 40s and 50s, says urologist Amanda Swanton, MD. These two conditions can co-occur."
While these conditions don't always occur together, they share risk factors such as aging, hormonal changes, and lifestyle habits.
Why it's important to talk to your doctor
Leaving BPH or ED untreated can lead to complications. BPH can cause bladder infections, kidney damage, or complete urinary blockage. ED may signal underlying health issues like heart disease or diabetes.
"Ignoring these symptoms doesn't make them go away. In fact, they often worsen over time. Addressing them early can prevent more serious problems down the road," Swanton says.
Treatment can also improve your daily life and restore confidence, intimacy, and overall well-being. The good news is that effective treatments exist, but first, you need to have the conversation.
Overcoming stigma and discomfort
Many men hesitate to bring up BPH or ED because they feel embarrassed, worry they'll be judged, or believe it's just a normal part of aging.
"Doctors discuss these issues every day. You won't shock us, and we're here to help, not judge," Swanton says.
If you feel uneasy, try reframing the conversation in your mind: You're not just talking about symptoms—you're advocating for your health.
Strategies to make it easier to talk about BPH and ED
- Write it down: If speaking about it feels awkward, jot down your symptoms and concerns.
- Practice saying it out loud: Rehearsing a simple sentence like, "I've been having trouble with urination and erections; can we talk about it?" can ease nervousness.
- Bring a partner: If comfortable, your spouse or partner can provide support and insight.
Preparing for your doctor's appointment
Coming prepared helps you get the most out of your visit. Before your appointment, track your symptoms, noting:
- How often you urinate, especially at night
- If you experience pain or discomfort
- Any changes in your ability to get or maintain an erection
- Lifestyle habits that may contribute to symptoms (diet, exercise, stress)
Key questions to ask your doctor
- What could be causing my symptoms?
- What tests do I need to diagnose BPH or ED?
- What treatment options are available, and what are the risks and benefits?
- Can lifestyle changes improve my symptoms?
- Are there any medications I should avoid?
What to expect during the conversation
Your doctor will likely ask about your medical history, lifestyle, and current medications. You can expect a physical exam and possibly tests such as a prostate exam, blood tests, or urine analysis.
Treatment options range from lifestyle changes and medications to minimally invasive procedures or, in severe cases, surgery.
"Most men are relieved to learn that many treatments are simple and effective, without major side effects," Swanton says.
Advocating for your health
Don't hesitate to seek a second opinion if you're unsure about a diagnosis or treatment. Medicine isn't one-size-fits-all, and what works for one person may not be your best option.
Working with your doctor
- Be honest about your symptoms and concerns.
- Ask about alternative treatments if you're hesitant about medication.
- Keep follow-up appointments to track progress and adjust.
You are not alone
Talking about BPH and ED may feel uncomfortable at first, but it's an essential step in taking control of your health. With the right information and medical support, you can find relief and improve your quality of life.
As Swanton puts it, "The sooner you start the conversation, the sooner we can find a solution that works for you."
So, take that step. Your health and confidence are worth it.