Patient's question:
I am 23 years old, male, and have rarely experienced nocturnal emissions since puberty. I do not have a masturbation habit. I started having sexual activity at the age of 20, and it has always been normal. Recently, I have experienced a decrease in libido, with almost no sexual activity in the past two months. There is no morning erection, and I also lack impulses with friends. I have a vague pain in my scrotum, weak urination, and weak ejaculation. I work long hours sitting down and often hold in urine. Four months ago, I had phimosis, which caused inflammation and swelling, but it has since healed. Please advise how I should handle this.Doctor's answer:
The symptoms of prostatitis are generally classified into five categories.(1) Systemic symptoms: Fatigue, weakness, anorexia, nausea, vomiting, high fever, chills, collapse, or septicemia. In sudden onset cases, systemic symptoms may mask local symptoms.
(2) Local symptoms: Heavy pressure in the perineal or suprapubic area, worsening with prolonged sitting or defecation, and radiating to the waist, lower abdomen, back, thighs, and other areas.
(3) Rectal symptoms: Rectal fullness, urgent defecation, and painful defecation, with white discharge from the urethra during bowel movements.
(4) Urinary symptoms: Burning pain during urination, urinary urgency, frequent urination, dribbling urine, and purulent urethral discharge. Edema of the bladder neck may cause difficulty urinating, thinning or interruption of the urine stream, and severe cases may lead to urinary retention.
(5) Sexual symptoms: Decreased libido, painful intercourse, impotence, and hematospermia.