Patient's question:
I have had chronic prostatitis for over a year and have been taking medication for more than six months, but it hasn't improved. Now I'm planning to have a child. Will I be able to have fertility if this condition isn't treated? What are the chances of getting a child?Doctor's answer:
Disease Analysis: Chronic prostatitis is a highly prevalent and confusing disease. Its clinical symptoms are diverse and can affect a man's sexual life and fertility. The main manifestations include:1. Urinary discomfort
2. Local symptoms, such as a sense of fullness and discomfort in the posterior urethra, perineum, and anus, which worsen when squatting, having a bowel movement, or sitting for long periods
3. Radiating pain
4. Sexual dysfunction
Recommendations: While it cannot be said that chronic prostatitis has a 100% correlation with fertility, it is also incorrect to say there is no relationship at all. From a medical theoretical perspective, chronic prostatitis does have a certain relationship with fertility, primarily manifested as:
- Reduced prostatic secretion, leading to a decrease in semen volume and interference with sperm activity and survival;
- Decreased enzyme activity in prostatic fluid, increased semen viscosity, and prolonged liquefaction time;
- Changes in semen pH, which is unfavorable for sperm survival, leading to the production of antisperm antibodies and sperm death.
- A large number of bacteria and bacterial toxins in prostatic fluid can consume the nutritional components of semen, thereby affecting sperm survival.