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Prostatitis

Prostate plays an important role in male reproduction. The main function of prostate is to secrete prostate fluid, one of the components of semen. The inflammation in prostate, which is called prostatitis, is considered a major cause of male infertility. 

 

This is what happens if there is an inflammation in prostate: 

 

 prostatitis

The forms of prostatitis

 

According to different causes and symptoms, prostatitis is classified into four categories:    

 

Acute prostatitis

 

This type of prostatitis happens suddenly, is caused by bacteria that travel from the urethra, and perhaps from the rectum, to the prostate. It’s the least common but most dramatic form of prostatitis. It starts suddenly with high fever and chills, joint and muscle aches, and general weakness. Besides, you also have problems with urination, such as burning or dribbling when urinating, urinary frequency and urgency, difficulty urinating, frequent urination at night, weak urine stream, cloudy or bloody urine. And there are also other discomfort, including pain above the penis, in or below the scrotum, in the lower back, lower abdomen or in the rectum. If the symptoms are too severe, hospitalization may be necessary. 

 

Chronic bacterial prostatitis

 

It is also caused by bacteria, such as Escherichia coli, chlamydia and neisseria gonorrhea. It is a rare condition that causes recurring infections in the prostate. Unlike the acute type, however, chronic bacterial prostatitis is less severer but can last for more than 3 months, and even years. 

Chronic bacterial prostatitis usually doesn’t cause high fever and chills, but it can bring other unbearable symptoms, such as strong urge to urinate immediately, painful and burning urination, blood in urine, difficulty starting urination, weak urine stream, Frequent need to urinate during the night. In addition, it also causes painful ejaculation, low-back pain, pain in perineum, testicles, penis and other parts of genital areas.  

 

Chronic nonbacterial prostatitis

 

This is the most common form of prostatitis, which accounts for 90% to 95% of all cases. It’s also known as chronic pelvic pain syndrome. Its symptoms are similar to chronic bacterial prostatitis. A man with this type of prostatitis will suffer from pelvic and genital areas pain, urinary symptoms, and sexual dysfunction. A urine test is needed to find out whether there is bacteria. If only white blood cells are discovered, as is usually the case, a man may get nonbacterial prostatitis.

 

Asymptomatic inflammatory prostatitis

 

This type of prostatitis exists with no symptoms. It is usually discovered during tests for other medical conditions, such as infertility or other prostate disorders. White blood cells are found in the urine or prostate fluids, but there are no symptoms. The causes of this type is unknown. 

 

How do I know if I have prostatitis? 

 

Your doctor will ask about your symptoms and medical history. He or she will also do a physical exam, which includes a digital rectal examination. In this procedure, your doctor will gently insert a finger into your rectum to check your prostate. A infected prostate is usually swollen. Initial diagnostic tests are as follows: 

 

Urine tests. Your doctor will have your urine specimen analyzed for evidence of infection, such as bacteria and white blood cells.   

Blood tests. Your doctor will also examine your blood to check kidney function and other prostate problems.

Cystoscope. Your doctor may use a cystoscope to examine your urethra and bladder.  This test is used to rule out other conditions that could be causing your symptoms.

Post-prostatic massage. In rare cases, your doctor might massage your prostate and test the secretions.

 

Can prostatitis lead to other problems if left untreated? 

 

Male reproductive system consists of many organs, including testicles, epididymis, vas deferens, ejaculatory duct, urethra seminal vesicle gland, prostate, bulbourethral glands, scrotum and penis. These organs are close to each other, thus, the inflammation will spread to the adjacent organs if it can’t be cured effectively.

 

Here are the common complications of prostatitis: 

 

Epididymitis

Seminal vesiculitis 

Urethritis

Cystitis

Erectile dysfunction

Infertility

 

What symptoms will I have if I get epididymitis?

 

Except for symptoms that associated with prostatitis, you may also suffer from other symptoms if you get epididymitis, including a swollen, red or warm scrotum, pain and tenderness in the infected testicle, painful ejaculation re sexual intercourse, a lump on the testicle, discharge from the penis, enlarged lymph nodes in the groin, etc.

 

epididymitis

 

Am I at risk of infertility if I get prostatitis?   

 

Yes, you are if your condition can not be controlled by treatments that you have tried. There are four reasons why prostatitis can lead to male infertility. Firstly, the fertility rate will be low if the sperm count is reduced. The secretion of prostate, which is called prostate fluid, is an important component of semen. When there is inflammation is prostate, the prostate fluid will increase, thus, the number of sperm in a unit of semen will reduce. Secondly, the increasing of semen viscosity will affect the motility of sperm. The liquefaction factor in prostate fluid is a substance that helps to regulate the viscosity of semen. However, the liquefaction factor will be destroyed if there is inflammation in prostate. Hence, semen viscosity will increase so that the sperm motility will be blocked. Thirdly, the change of prostate fluid pH value can also affect sperm vitality. Normally, prostate fluid is alkaline, so normal semen is alkaline as well. However, acidic or alkaline substances will increase sometimes if you have prostatitis. Thus, the pH value of semen can’t keep in a normal range, thereby reducing the sperm vitality. Fourthly, the prostatitis lower the quality of prostate fluid.     The content of zinc in prostate fluid will decrease which will reduce the enzymatic activity and affect the metabolism and motility of sperm, then lead to infertility.  

 

Can sperm count be improved if the inflammation in prostate has been cleared fully? 

 

The answer is yes. If the decreasing sperm count is caused by the inflammation in prostate, it will be improved if the inflammation is cleared completely. Therefore, it’s very important to have a timely and proper treatment once diagnosed with prostatitis.       

 

What treatment should I take if I have prostatitis?       

  

The treatment for prostatitis depends on its type. Thus, if you notice the signs or symptoms of prostatitis, you need to go to see a doctor and have related tests   

 

Acute prostatitis: Antibiotics are commonly-used medicine for the treatment of acute prostatitis. It’s high effective in this form of prostatitis. You need to finish the entire prescribed course of antibiotics even if you feel better to make sure the infection won’t recur.  

 

You may also need to take over-the-counter pain relievers to relieve the pain and discomfort, such as aspirin or ibuprofen. It’s important to drink a large amount of water to flush the bacteria out of your system. 

 

Chronic bacterial prostatitis: It’s also treated with antibiotics. Due to the recurrence of the symptoms, a prolonged treatment is often needed.

 

Chronic nonbacterial prostatitis: There is no best cure for chronic nonbacterial prostatitis due to its unknown causes. It may be caused by interaction between stress, hormonal and neurological factors, immunity disturbance.

 

The condition of this type of prostatitis vary from man to man. The treatment options depend on the certain condition. Commonly, a man have to take several different treatments or therapies to manage the pain and discomfort, such as antibiotics, painkillers, nonsteroidal anti-inflammatory drugs (NSAIDs), anticholinergic medicines and even alternative therapies.

 

Asymptomatic inflammatory prostatitis: It’s no need to treat it since it causes no pain and discomfort, or other health conditions.

 

Surgery is needed if your prostatitis does not respond to long-term medications. 

 

Surgery is typically done only if all possible treatments have failed. You may need to have a surgery to remove part of the prostate or to remove infected prostate stones. But this treatment can’t ensure a full recovery, it may even make symptoms worse. 

 

Alternative medicine treatment options:

 

If you have no significant improvement by having conventional western medicine, there are other treatment options for prostatitis such as alternative medicine. Traditional Chinese Medicine has been used for more than 3000 years in China. And the Chinese medicine practitioners have done a large number of trials in treating male urinary and reproductive system diseases. This alternative treatment approach is used worldwide now. 

 

In the theory of TCM, the inflammation in prostate is caused by the blocked Qi and blood, and the damp heat in the lower part of our body. TCM practitioners use more than 50 types of natural herbs which have specific properties and make them into pills.   The herbal formula is responsible for improving Qi and blood flow, dispelling the damp heat, and enhancing the immune system. Thus, the inflammation or infection can be removed. It won’t develop drug resistance and other body damages.    

 

TCM also emphasizes the importance of daily diet. You should avoid spicy and irritating foods, alcohol, smoking, coffee and other things that may exacerbate your condition. A proper diet can hasten the recovery and treatment of prostatitis.

 

The treatment duration with alternative medicine is usually longer than western medicine. Traditional Chinese medicine practitioners point out that a disease is not caused in a day. It takes time for the disease to affect the body and cause problems. thus, the infection won’t disappear in a short time and herbs need time to remove all the infection in prostate. The treatment duration depends on the severity of the disease and the effectiveness of the given diet.

 

Alternative medicine treatment has helped many patients go back to normal life. It usually take 3 to 6 months for a complete cure. This natural, non-surgical and safe treatment is a new option for prostatitis.   

 

prostatitis treatment

 

Consult Dr.Lee, the inventor of the herbal treatment of male reproductive system via e-mail address: wuhandrlee@hotmail.com or herbalistlee@yahoo.com

Wuhan Dr. Lee's Clinic Address: Shop 2-2, Nan Hu Xin Cheng, Wenchang Road, Hongshan District, Wuhan, Hubei Province, China.

Doctors specialize in genital/urinary system conditions are available online to offer medical advices & ordering consultant, please feel free to send us emails if you need any help.

  

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