Suspected urinary tract infection or prostatitis?

Patient's question:

Long-term sexual activity, about a year, basically every two or three days, sometimes once a day. Now, I don't feel anything during sex. Watching porn videos, the symptoms are still hard, but there's no pleasure. My lower abdomen is a bit painful, and it's been severely painful in the mornings for the past two days. Mild pain started a week ago. The lack of pleasure started about a month ago. Now, during sex, I finish in about ten to fifteen seconds, and the semen is a bit cloudy and slightly yellow. I haven't masturbated before, and I'm a virgin. Medical examination and test results: I haven't had a thorough check-up. Past treatment history and effectiveness: I haven't been treated, and I'm too embarrassed to see a doctor. What kind of help I need: I'd like to know what might be wrong and ask for some medication recommendations. I can buy it myself at a pharmacy to solve this problem.

Doctor's answer:

Hello: In your case, it is more likely to be chronic prostatitis, and the chance of urethral infection is not high, as men rarely suffer from urethral infections. What you mentioned are all symptoms of prostatitis.
1. It is recommended to go to the urology department of a hospital for a thorough examination of prostatic fluid to confirm the diagnosis and then start treatment. There is nothing embarrassing about it. Prostatitis is more common among young people, married individuals, and those who can support themselves financially. If possible, you can consider prostatic fusion therapy, where medication is directly delivered to the prostate.
2. If you do not want to undergo a thorough examination, you can consult a traditional Chinese medicine practitioner and take some traditional Chinese medicine for a period of time.
3. If you really do not want to see a doctor and prefer to buy medicine yourself, you can consider buying Bao Zheng San combined with Pule Lan Pian.

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