Patient's question:
When I first started, sometimes I could get an erection on my own, but usually it was manual. I've been masturbating for many years. During the manual process, sometimes I could achieve very good hardness. Later, during my first sexual experience, both partners felt it. In the following days, sometimes I'd get soft before even entering, and other times I'd only move a few times before getting soft. I'm 24 years old, and so far I've only had a few sexual experiences.Doctor's answer:
Prostatitis is divided into two types: acute and chronic. Acute prostatitis is an acute inflammation caused by bacterial invasion of the prostate. Patients experience chills, fever, elevated body temperature, and pain in the groin area. During sexual activity, there may be 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 etiology as acute prostatitis, mostly because it fails to be cured during the acute phase and progresses to a chronic state. Chronic non-bacterial prostatitis is primarily caused by improper sexual practices. The reasons include:
1. Celibacy or prolonged abstinence, leading to a significant accumulation of prostatic secretions. Over time, this can result in excessive edema and congestion of the prostate.
2. Frequent interruption of sexual intercourse and forcibly suppressing ejaculation, causing the accumulation of secretions and congestion.
3. Excessive frequency of sexual activity, excessive masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to return to normal congestion.
4. Heavy alcohol consumption and eating spicy or acidic foods, which can cause congestion in the pelvic and prostate areas.
5. Exposure to dampness, cold, prolonged sitting, or colds can all lead to prostate congestion.
The symptoms of chronic prostatitis include the following:
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) in severe cases.
3. Leaking cloudy, milky fluid from the urethral meatus during the end of urination or in the morning.
4. Impaired sexual function, such as erectile dysfunction, premature ejaculation, nocturnal emissions, painful ejaculation, or anejaculation.
5. Frequent occurrence of symptoms like dizziness, blurred vision, and insomnia, which are signs of neurosis.
Non-bacterial prostatitis does not require antibiotic treatment and can be managed through massage, hot water sitz baths, physical therapy, or traditional Chinese medicine. However, the treatment duration is long, and the effectiveness may not be ideal. Therefore, it is recommended to seek early examination and diagnosis at a urological specialty hospital for targeted treatment.