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Tadalafil vs tamsulosin for BPH
Has anyone switched from tamsulosin to tadalafil for BPH symptoms? I was taking tamsulosin and it caused aching cyclic groin pain every 3-4 days only relieved by ejaculation/orgasm. AI diagnosed it as seminal vesicle congestion and recommended switching medication. Has anyone switched and what has been your experience?
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I raised the possibility of this switch with my urologist when I saw him a month ago. To relieve the side effects of tamsulosin - light headedness, and retro ejac. But to my disappointment he dismissed it out of hand, he said "tadalafil is not indicated for your situation" and he changed the subject. I was quite looking forward to the good side effect of tadalafil, erection-wise that is
Interesting—AUA guidelines call for that as an alternative and the literature shows comparable effectiveness. Long term retro or anejaculation may lead to further problems for some. I guess I would push back on the quality of life issue. It probably costs more than tamsulosin and that may be why. You could also ask for a 90 trial period of tadalafil.