What factors cause prostatitis?

Patient's question:

Diverged paths have been taken. It is said that the probability of transmitting prostatic calculi increases significantly with prolonged abstinence from sexual activity. Online, it is suggested that the best way to prevent this is to have sexual intercourse to expel excessive prostatic fluid, which can actually increase the likelihood of recurrent prostatic calculi. I didn't follow their advice to have sex five times a week or more, but only once. However, recently after returning home, although I really wanted to have sex with my wife, I found that I couldn't feel any guilt. My penis also had no sensation, and instead, it would only get erect for a while with the help of manual stimulation, but it would often become soft before insertion. My wife was very frustrated, and I felt very regretful as well. The more I expected to succeed in giving her a satisfying experience, the less I was able to perform. Instead, it led to discord in our marriage, and she even thought I had other women outside. How could I be so wronged? What should I do? I had once...

Doctor's answer:

Normal sexual activity will never cause any physical problems. Because it brings pleasure, many men develop sexual habits in their teens. Sexual activity can alleviate anxiety, release stress, and fulfill physical needs under certain conditions, so many adult men also have sexual habits. Sex is referred to as "God's gift" abroad; therefore, do not feel psychological pressure or guilt. Since sexual fantasies are often idealized, excessive indulgence in sex generally leads to problems such as losing passion for real life, which is clearly detrimental to family life and intimate relationships. To change this situation, psychological adjustment is primarily required.

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