Does prostatitis affect fertility?

Patient's question:

My husband suffers from prostatitis, and we don't have any children yet. I'm very worried that this condition might affect fertility. Can prostatitis affect fertility?

Doctor's answer:

Hello, the hazards of prostatitis include:
1. Leading to infertility. Long-term chronic inflammation changes the composition of prostatic fluid, affecting its secretion function, which in turn impacts the liquefaction time of semen and reduces sperm vitality, potentially causing male infertility.
2. Causing endocrine disorders and mental abnormalities. Under normal conditions, the prostate secretes various active substances. Due to inflammation, endocrine disorders may lead to neurosis, resulting in abnormal mental states; symptoms such as insomnia, frequent dreams, fatigue, dizziness, slow thinking, and memory loss may also occur.
3. Causing impotence and premature ejaculation. Due to the disease not being cured for a long time, various symptoms and discomforts worsen after sexual activity, or it directly affects sexual quality, causing patients a negative stimulus. Gradually, they may develop aversion to sex, leading to impotence and premature ejaculation.
4. Spreading to sexual partners and causing gynecological inflammation: Prostatitis can be transmitted to a wife, especially in cases of prostatitis caused by special bacteria, where the inflammation can spread to the wife through sexual contact. Examples include mold prostatitis, trichomoniasis prostatitis, gonococcal prostatitis, and non-gonococcal (chlamydia, mycoplasma) prostatitis.

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