The extent of any sexual problem varies according to the condition of the prostate. 5 side effects of an enlarged prostate on your sex life 1) retrograde ejaculation. Bph can cause bladder problems, and some men who experience these symptoms undergo a surgery called transurethral resection of the prostate (turp). While this procedure treats bladder problems, it has one major sexual side effect retrograde ejaculation. While bph itself is not a directly linked cause of sexual problems, most men that suffer from it do indeed find it affects sexual performance. The enlargement of the prostate can lead to ed because of the pain associated with the genital area, as well as the fact that some treatments of an enlarged prostate can indirectly cause ed. One such scenario is the impacts of having prostate cancer and its associated treatments. An enlarged prostate pushes against both the bladder and urethra. This complication often might precipitate several urinary tract symptoms such as frequent urination, an uneasy feeling of always having to urinate, an inconsistent, unsteady stream of urine flow, urination difficulties, a painful or burning sensation while urinating, blood in the urine and frequent nighttime urination. Theres also evidence that many of the treatments for an enlarged prostate can contribute to erectile dysfunction as well. Bph can cause problems with urination, and some treatments can lead to sexual problems and other side effects. An enlarged prostate may have a number of effects on a persons health, including their sex life. Some men with an enlarged prostate develop erectile dysfunction (ed) or problems with ejaculation. The technical term for an enlarged prostate is benign prostatic hyperplasia (bph). This growth moves inward, pressing on the urethra (the tube that urine and semen flow through).