Does the prostate affect fertility?

Patient's question:

Last year, my husband was diagnosed with prostatitis at the hospital, and at that time, we were planning to have a child. However, for the past three or four months, we hadn't taken any contraceptive measures but still couldn't get pregnant. Later, during that period, we didn't want a child, so my husband started using condoms. I heard that with prostatitis, a man's sperm has difficulty combining with an egg and fertilizing it—is that true? Now that we want a baby, we'd like to consult whether we might still have trouble getting pregnant as before, and if it's necessary for my husband to check into the hospital. What should my husband pay attention to in terms of his lifestyle and diet? Does the daily exposure to computers affect the prostate and the quality of sperm due to radiation? Additionally, I've always had a very light menstrual flow—this time, on the first day, it stopped on the second day, and there was only a little on the third day...

Doctor's answer:

Prostatitis generally does not affect fertility, but sometimes it can directly impair sperm vitality due to the action of bacteria or toxins, leading to reduced fertility or infertility. Additionally, there are many reasons that can cause a decrease in menstrual flow, such as endocrine disorders, gynecological inflammation, changes in the mental environment, anemia, and so on. It could also be related to the condition of the endometrium itself, such as endometrial tuberculosis causing endometrial lesions or artificial abortion and curettage leading to thinning of the endometrium. Long-term menstrual irregularities may result in amenorrhea or infertility. It is recommended to seek medical attention promptly, identify the underlying cause, and receive targeted treatment to avoid impacting overall health. Conditions like endometritis may also be contributing factors. Find the cause and treat it accordingly.

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