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This is because alpha-blockers relax the bladder and prostate muscle cells. Men who take alpha-blockers such as doxazosin (Cardura) and terazosin (Hytrin) may experience decreased ejaculation. ED medications and alpha-blockers both lower your blood pressure. Men who take these medications may also experience lower sperm count, decreased sperm volume, and lower sperm movement.
This isn’t a common side effect of the surgery, but it does occur in 5 to 10 percent of men. Additionally, reduced sex drive is a possible side effect of the alpha reductase inhibitors dutasteride and finasteride.