How to have sex if you are diagnosed with chronic prostatitis

Prostatitis and sexProstatitis is inflammation of the prostate caused by bacteria. It can be intermittent or chronic. This type of prostatitis occurs in about 1 in 10 cases. More commonly, men worry about another form of prostatitis, chronic nonbacterial prostatitis, which is not associated with infection. Very little is known about it, and most urologists don't consider it a true diagnosis. But most problems are related to this, including sexual issues. Chronic prostatitis is also called chronic pelvic pain syndrome (CPPS).

The pain is sometimes strong and sometimes weak

With chronic prostatitis, men may worry about the following symptoms:
  • Discomfort or pain in the perineum, lower abdomen, groin, scrotum, or penis;
  • Changes in urination: difficulty urinating, frequent bladder emptying, feeling of incomplete emptying;
  • Some men experience difficulty in erection, discomfort during ejaculation, and increased pain after intercourse. This discomfort may reduce a man's ability to become or remain sexually aroused.
This type of problem can occur in men of any age and statistically affects 10 to 15 percent of the U. S. male population, most commonly in men between the ages of 30 and 50. Unlike "classic" prostatitis, chronic prostatitis cannot be cured with antibiotics, and its symptoms may plague men for months or years. They may come and go and vary in severity.Just three years after David Lonergan was diagnosed with chronic prostatitis, he found a way to live with the condition. During the first year he was given antibiotics, but that didn't help (antibiotics don't help with chronic non-bacterial prostatitis). David discussed his feelings in an interview with Vice:"At some point, I started experiencing wild sensations throughout my pelvic area. At first, I would have a slight burning sensation in my rectum whenever I sat down. Then the pain became severe and spread throughout my pelvis. It ended up feeling like hundreds of razor blades stabbing into my urethra. On a scale of 1 to 10, I'd rate the pain an 11.Ejaculation becomes extremely painful. At first I felt pleasure from the orgasm and relief after it, but this was followed by hours of pain, and when the pain got worse I stopped having sex. I was prescribed prostate massage (the benefits of prostate massage have not been proven) and told to have sex and ejaculate. But since sex wasn't bringing any pleasure, I decided to try masturbating once a day. Doing this twice a day is a big mistake - the pain is off the charts (there is no need to have sex and masturbate through pain, it will not improve your health). My wife and I went to a therapist for individual and couples therapy. In many ways, she helped us overcome all our sexual problems. "Most men diagnosed with chronic prostatitis (CPPS) experience improvement in symptoms within six months. In one study, one-third of men had complete resolution of their symptoms after a year. In another large study, one-third of men's condition improved within two years.

There are few studies on chronic prostatitis

Chronic prostatitis has not been well studied. Experts believe there are several potential causes, including autoimmune diseases, genetic predispositions, nerve or muscle damage near the prostate, and hormonal imbalances. Another risk factor may be psychological stress. However, the specific cause can be difficult to determine. Treatment usually includes lifestyle changes and medications to relieve symptoms. Prostatitis cannot be prevented.Urologist Daria Chernysheva:- Chronic prostatitis is just a word combination that can hide conditions such as pelvic venous congestion syndrome, chronic pelvic pain syndrome, interstitial cystitis, pudendal neuropathy, and more. Our country's leading urologist, Dmitry Pushkar, said this is a rubbish diagnosis that doctors give to patients when they don't want to know about their condition. Inflammatory changes in the prostate can only be confirmed by a four-cup test (analysis of several parts of urine and prostate secretions). Everything else is a far-fetched diagnosis with no cure. To prevent inflammation of the prostate, there is a general recommendation - regular sex: however achieved, ejaculate at least once every four days. Symptoms of prostatitis can be relieved by simple things like taking a warm bath or heating pad, and avoiding alcohol, caffeine, and spicy or acidic foods (these can irritate the bladder).If you have urinary problems, your doctor may prescribe alpha blockers—they help relax the muscle fibers in the bladder neck and where the prostate and bladder meet. Chronic pain can be treated with painkillers. If you have sexual problems, your doctor may refer you to a psychotherapist or sexologist.

Sexual problems have nothing to do with chronic prostatitis

Urologist Artem LoktevExpressed the following thoughts: "Modern Aspects of Evidence-Based Medicine for Thinking Patients" writes that advertising and media attribute erection problems to prostatitis, which is why many men associate it with prostatitis. but it is not the truth. Even if the prostate is completely removed, an erection can still be maintained. Many well-known urologists believe that erectile dysfunction in patients with chronic prostatitis is caused by psychological problems. Usually, after saying the words "you have prostatitis", a man's erection will decrease immediately.Sexologist, psychotherapist, psychiatrist Dmitry OrlovI am also convinced that chronic prostatitis will not affect sex life:"If there is a problem with the prostate, it can affect urination and sensation in the perineal area, but it has nothing to do with sex. Unfortunately, many men and some urologists believe that prostate problems can affect sex because of the proximity of the prostate to the genitals. The prostate has a special's function: it produces fluid - the building blocks of sperm. She's not involved in anything else. "Dmitry Orlov said that in world practice, doctors almost never diagnose "chronic prostatitis". Rather, it is a field diagnosis that has no pathophysiological basis but is simply a theoretical concept on the basis of which the person is treated. After hearing the diagnosis, a man became concerned it might affect his sexual function. During intimacy, he does not enjoy the process but monitors his erection. Focusing on an erection reduces its quality and causes men to see the connection between the diagnosis and the problem that is occurring. But the reason is purely emotional.If you experience pain and discomfort during sex, you need to know why. It is best to consult a urologist who adheres to an evidence-based approach to medicine.Dmitry Orlov added: "If a doctor recommends having sex more frequently or not at all, then there must be a medical reason. I don't know of any disease that can be cured by increasing sexual activity. Life times come to cure. Most of the time, such advice is due to experts not knowing how to help. There is also no need to limit or completely eliminate sex and masturbation, as regular sexual release is good for both prostate and psychological health.The path from the urologist's office to the sexologist's office is the standard path for men over the age of 35-40 years. If a man has erection difficulties or other sexual problems, he first sees a urologist because he considers this to be his area of expertise. If the urologist finds nothing or diagnoses "chronic prostatitis, " the only thing left is the sexologist's office. A sexologist has a variety of techniques at his disposal that can help his patient: he can recommend elements of sexual therapy, can conduct psychotherapy or, if necessary, prescribe medications. Statistically, this is an effective working model - on average, issues are resolved within a month. "