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The prostate gland itself isn't directly related to fertility. But there is a connection. For example, if you suffer from BPH (Benign prostatic hyperplasia—a fancy way of saying that the prostate is enlarged), you may experience trouble urinating, because when the prostate swells, it constricts the urethra—the tube takes urine from the bladder. Some drugs that are prescribed to treat BPH and to make urination easier can erectile dysfunction or a reduction in the amount of semen that’s ejaculated. Both can have an effect on your fertility. Other BPH drugs can reduce your sex drive, lower your sperm count, and negatively affect sperm health. Certain surgeries designed to treat an enlarged prostate and improve urination can cause retrograde ejaculation, causing the sperm you would ordinarily ejaculate during sex to go into your bladder instead of coming out of your penis. No sperm = no fertility.

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