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Q. I am a 74-year-old male with BPE. Is sexual activity good for the prostate?

Answered by
Dr. Samer Sameer Juma Ali Altawil
and medically reviewed by Dr. Preetha J
This is a premium question & answer published on Oct 13, 2020 and last reviewed on: Jan 20, 2023

Hi doctor,

I am a 74-year-old male with BPE. I am in good health for my age. I take blood pressure and cholesterol medicines along with Tamsulosin (Flomax) for my BPE. Is it true that sexual activity (ejaculation) is good for the prostate? Can it help prevent prostate cancer?

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Hi,

Welcome to icliniq.com.

Thanks for consulting with us.

BPE (Benign prostate enlargement) is a problem of people after the age of 50 years. Obstruction depends on the prostate shape rather than size; that is, which part of the prostate is enlarging rather than the prostate's total size. Some people have a prostate of 30 g with obstruction, and some have a prostate of 130 g with no significant blockage. Now whether to know that ejaculation prevents prostate cancer, some studies say sex and ejaculation can prevent prostate cancer, but there is no clear evidence for that. We know that ejaculation can increase the PSA (Prostate specific antigen) level, making cancer suspension, but that raise in PSA is temporary and will return to normal. Ejaculation activates the prostate and reduces the stagnation of semen in the gland, hence the theory of reduction of risk of prostate cancer. Antioxidants and low-fat, high fiber diet and dietary supplements like selenium can reduce prostate cancer risk. Screening for prostate cancer with PSA every year is better for all patients with BPE.

If you have any more queries, please do not hesitate to ask.

Kind regards.


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