Patient's question:
Approximately three years ago, symptoms of frequent urination appeared, followed by premature ejaculation. However, the erection hardness was normal. Six months ago, symptoms of incomplete urination emerged, and subsequently, it was found that the erection hardness was not as strong as before.Doctor's answer:
According to the symptoms you described, you may have conditions such as prostatitis. Prostatitis is divided into two types: acute and chronic. Acute prostatitis is an acute inflammation caused by bacterial invasion of the prostate. Patients may experience chills, fever, elevated body temperature, pain in the perineum, and pain during ejaculation. Symptoms may also include frequent urination, urgency, dysuria, or hematuria during urination. If acute prostatitis is not treated promptly, it may progress to chronic prostatitis or develop into a prostatic abscess. The treatment for acute prostatitis is not complicated; appropriately using antimicrobial drugs can control the condition. The key is to persist in the treatment to ensure a complete cure and avoid leaving any lingering issues.Chronic prostatitis is further divided into bacterial and non-bacterial types. Chronic bacterial prostatitis has the same cause as acute prostatitis, mostly because it was not fully cured during the acute phase and developed into a chronic condition. Chronic non-bacterial prostatitis is primarily caused by improper sexual practices. The reasons include:
1. Celibacy or prolonged abstinence, leading to the accumulation of a large amount of prostatic secretions. Over time, this can cause excessive edema and congestion in the prostate.
2. Frequently interrupting sexual intercourse and forcibly suppressing ejaculation, which results in the accumulation of secretions and congestion.
3. Excessive frequency of sexual activity, frequent masturbation, or prolonged states of sexual excitement, making it difficult for the prostate to return to normal.
4. Excessive alcohol consumption and eating spicy or irritating foods, which can cause congestion in the pelvic and prostate.
5. Exposure to dampness, cold, prolonged sitting, or colds can all lead to prostate congestion.
The symptoms of chronic prostatitis include:
1. Persistent chronic inflammation, such as tenderness and a sense of fullness or pressure in the perineum, anus, or scrotum.
2. Frequent urination, urgency, dysuria, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration).
3. Milky, cloudy discharge from the urethral opening during urination or in the morning.
4. Impaired sexual function, such as erectile dysfunction, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation.
5. Frequent symptoms of neurosis, such as blurred vision, dizziness, and insomnia.
Non-bacterial prostatitis does not require antibiotic treatment and can be managed with massage, hot baths, physical therapy, or traditional Chinese medicine. However, the treatment duration is long, and the results may not be ideal. Therefore, it is recommended to seek early examination and diagnosis at a urological specialty hospital for targeted treatment.