Patient's question:
What are the obvious symptoms of prostatitis, and can it cause premature ejaculation?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, pain in the groin area, and painful ejaculation during sexual activity. Symptoms may also include frequent urination, urgent urination, painful urination, 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 and can be controlled with the appropriate use of antibiotics. 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 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 the accumulation of a large amount of prostatic secretions, which over time can cause excessive edema and congestion in the prostate.
2. Frequent interruption of sexual activity or forcibly suppressing ejaculation, resulting in the accumulation of secretions and congestion.
3. Excessive sexual frequency, frequent masturbation, or prolonged indulgence in sexual excitement, making it difficult for the prostate to return to normal.
4. Excessive alcohol consumption or eating spicy, 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, urgent urination, painful urination, difficulty urinating, or weak urine flow (thin stream, short range, prolonged duration).
3. Leaking cloudy, milky fluid from the urethral opening during the end of urination or in the morning.
4. Reduced sexual function, such as impotence, 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 effectiveness may not be ideal. Therefore, it is recommended to seek early diagnosis and targeted treatment at a urological specialty hospital.