How does prostatitis affect fertility

Patient's question:

I haven't divorced yet, but I always go to the toilet four or five times at night. I have frequent urination and urgency, sometimes even painful urination, which makes it difficult for me to sleep at night. I don't know what's wrong. Because I don't sleep well at night, I take naps during the day. I consulted online, and it was said that the possibility could be prostatitis. I asked, does this affect fertility?

Doctor's answer:

Prostatitis can affect male fertility through various different pathways, including ions, enzymes, proteins in semen, as well as white blood cells and their secretions, decomposition metabolites, and oxidative stress effects in semen. For example, if there are certain issues with sperm and semen, even if the wife becomes pregnant, the possibility of "miscarriage" () may still occur, ultimately leading to a miscarriage or stillbirth. Additionally, the specific type of prostatitis must be considered. If the prostatitis is caused by a specific pathogen infection (bacterial prostatitis), this situation is also not advisable for conception, as it may also be transmitted to the female partner in the early stages of the illness.

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