Does PAE Impact Sexual Function or Fertility? What You Need to Know
If you’re considering prostate artery embolization (PAE) to relieve the discomfort and embarrassing urinary symptoms of benign prostate hyperplasia (BPH) you may be wondering whether the PAE procedure will affect your sexual ability or fertility. This post discusses what‘s involved in PAE, how it affects sexual function, and what you can expect following the procedure.
What is the PAE procedure?
PAE is a minimally invasive treatment for BPH, a common condition that affects around 50% of men aged 51–60, 70% of those aged 60–69, and 80% of men aged 80 and above.
BPH refers to an enlargement of the prostate gland that can often squeeze the bladder and urethra leading to frustrating urinary symptoms such as an urgent and frequent need to urinate.
The PAE procedure works by temporarily blocking the artery supplying blood to the prostate gland, causing it to shrink, thereby relieving the pressure on the bladder and urinary tract, and significantly improving the symptoms. But how does it affect a man’s sexual function?
Sexual function following the PAE procedure
One of the biggest concerns for men considering PAE is whether it will prevent them from maintaining a healthy and enjoyable sex life.
Well, the good news is that research shows PAE to have a minimal impact on sexual function. A 2014 study of 500 men confirmed that PAE does not cause sexual dysfunction and preserves fertility. Moreover, more than 31% of the participants reported improved sexual function. It was also noted that the larger the prostate and the more severe the symptoms, the better the PAE results were.
Erectile function
The PAE procedure concentrates purely on the blood vessels supplying the prostate avoiding the nerves responsible for erections.
Some traditional surgeries pose a risk of damaging these critical nerves but in the majority of cases, PAE preserves erectile function.
Ejaculation
Another advantage of prostate artery embolization is that it does not interfere with ejaculatory pathways. While surgeries such as TURP may cause retrograde ejaculation which can lead to male infertility, the PAE procedure preserves natural ejaculation.
Libido and confidence
PAE can also heighten a man’s sexual satisfaction. Without the worry of discomfort and frequent need to urinate, some men can experience a boost to their libido and confidence.
Fertility following the PAE procedure
If you’re worried you may not be able to father children after the PE procedure, it’s good to know that this treatment has minimal effects on fertility.
Sperm production
The PAE procedure concentrates on reducing the flow of blood to the prostate and leaves the testes and sperm production unaffected. Unless there are pre-existing conditions unrelated to the PAE procedure, fertility issues are unlikely to arise,
Prostate and semen flow
Since the PAE procedure shrinks the prostate it may improve semen flow which sometimes can be obstructed by an enlarged prostate.
If you and your partner are thinking of starting a family or having another child, it’s best to discuss your concerns with your provider before undergoing the PAE procedure to ensure you’re fully informed.
Advantages of PAE over traditional treatments
The PAE procedure offers several benefits when compared to traditional BPH treatments, particularly concerning sexual health. Surgical options like TURP often come with a higher risk of side effects such as erectile dysfunction and retrograde ejaculation. On the contrary, prostate artery embolization provides effective symptom relief while preserving sexual function.
Other benefits of PAE include:
- No requirement for general anesthesia
- Less risk of complications
- Speedy recovery compared to surgery
- PAE is performed as an outpatient, meaning there’s no hospital stay
What to expect after the PAE procedure
Most patients start to notice a daily improvement in their urinary symptoms within 10 to 14 days after their treatment. As the months progress, they can look forward to an enhanced quality of life.
Recovery and follow-up
- Patients may feel a little tenderness in the groin area and mild bruising where the artery was entered.
- Some patients also find their urinary symptoms get a little worse for the following few days – a side effect known as PAE Syndrome.
- These symptoms can be curbed with medication and most patients get back to normal within 4-7 days.
- Follow-up appointments help monitor your recovery and check that you are reaping the benefits of PAE.
Be sure to discuss any concerns you may have about your sexual functionality with your provider before undergoing treatment. Open communication is the secret to success.
Take the next step
Don’t let BPH symptoms hold you back. Take the first step toward relief with the PAE procedure—minimally invasive, effective, and designed with your well-being in mind.
At MINT STL, we specialize in advanced, minimally invasive treatments like the PAE procedure to help you regain control of your health and life. Our experienced team understands the importance of addressing your BPH symptoms without compromising your sexual and reproductive health.
If you’re tired of living with the discomfort of BPH and want to explore whether the PAE procedure is right for you, call us today to schedule a consultation. Alternatively, visit our website to learn more about the PAE procedure and how it can transform your life