Patient's question:
Previously, I had very frequent sexual activity. Later, I discovered that my erections were not firm; they could still get hard, but they became soft very quickly. Later, I went to the hospital for a check-up and found that it was prostatitis. After taking medication, the symptoms disappeared. However, impotence and premature ejaculation still persisted.Doctor's answer:
In your case, a formal and comprehensive treatment is required.1. Use traditional Chinese medicine, such as Yinhuai Piyanling tablets, for treatment.
2. Pay attention to hygiene, overcome unhealthy sexual habits, and moderately restrain sexual activity. Minimize pressure on the perineal area, such as avoiding tight pants or prolonged bicycle riding. Quit smoking and alcohol, and avoid spicy or irritating foods. Drink plenty of water and urinate frequently to facilitate the discharge of inflammatory secretions. Participate actively in physical exercise to enhance physical fitness.
3. Control sexual activity, not exceeding once per week.
4. For chronic prostatitis patients who have already had children, daily sitz baths with 45°C hot water for 1–2 times, each lasting 30 minutes, can help reduce inflammation. However, this method is not suitable for those who have not had children to avoid affecting fertility.
5. Prostate massage, performed by a professional doctor, once a week.
6. Antibacterial medications: Choose one of the following:
- Compound sulfamethoxazole (2 tablets twice daily) for 4–6 weeks;
- Ciprofloxacin (0.5 grams twice daily) for 30 days;
- Norfloxacin (0.4 grams twice daily) for 30 days.
Other options include cephalosporins and erythromycin. Switch to a different antibiotic every 2 weeks.
7. If you have erectile dysfunction or premature ejaculation, you may add one of the following medications:
- Wuzi Yanzong pills,
- Jinkui Shenqi pills, or
- Zhibai Dihuang pills.