Prostatitis: Abstinence or Regular Ejaculation to Drain Prostatic Fluid?
The prostate is a male specific organ. According to common sense, men should dote on the prostate gland. However, for some people, the prostate is a "disaster stricken area".
What happens if the prostate is not valued? Doctor's reminder: Improper protection of the prostate can cause a lot of trouble, such as prostatitis, benign prostatic hyperplasia, and so on. Among them, prostatitis is the most common disease. Some patients may feel uncomfortable during sexual activity during their illness.
How will the sexual life of patients with prostatitis be affected? The doctor said that whether patients with prostatitis can engage in sexual activity should be determined according to different circumstances. Normal sexual activity cannot be separated between couples, but doctors remind that the sexual life of patients with prostatitis may be affected to a certain extent, and their sexual interest, sensuality, quality of sexual life, and frequency will all undergo corresponding changes.
Patients with acute prostatitis advocate moderate abstinence
Does this mean sexual activity is off-limits for those with prostatitis? Doctors explain that during acute prostatitis, symptoms like high fever and discomfort and swelling in the perineal area lead to painful urination, suppressing male sexual function and temporarily reducing sexual desire. Engaging in sexual activity while suffering from acute prostatitis, already a strenuous undertaking, can cause painful intercourse and result in poor quality of sexual experiences.
Additionally, the prostatic fluid in acute prostatitis cases may contain a high amount of bacteria and other pathogens. If these are expelled with semen, it can be detrimental to female partners, potentially causing various gynecological diseases or inflammation.
Therefore, it is not advisable to have sexual intercourse during acute prostatitis. Effective treatment should be sought until all clinical symptoms disappear and the overall health condition has been restored for half a month, after which sexual activity can be gradually resumed. Thus, appropriate abstinence is not just a recommendation but a necessity for patients with acute prostatitis.
How should patients manage sexual activity?
While abstinence is necessary for patients with acute prostatitis, does this imply that those with chronic prostatitis have no restrictions? Doctors note that even in the absence of pronounced symptoms, patients with chronic prostatitis still need to exercise caution during sexual activity.
Some individuals with chronic prostatitis may experience a decline in sexual function, manifesting as erectile dysfunction, premature ejaculation, painful ejaculation, frequent ejaculation, or even hematospermia. In some cases, chronic prostatitis may stem from improper sexual practices or excessive indulgence in sexual matters. This includes frequent masturbation, interrupted intercourse, high sexual desire, and an excessive focus on sexual thoughts, leading to recurrent over-engorgement of the prostate. However, most cases of chronic prostatitis do not affect the patient's sexual function.
Patients with chronic prostatitis often show signs of neurasthenia and autonomic nervous system dysfunction. Many develop psychological anxiety and worry about the impact of the disease on their sexual function, with some even fearing marriage, which can, in turn, actually cause sexual dysfunction.
If a patient with chronic prostatitis engages in sexual activity and does not have existing sexual dysfunction, they are generally capable of completing the act of intercourse. However, if pain during intercourse and ejaculation persists, they should abstain from or strictly control sexual activity and actively seek treatment.
Doctors advise that a significant portion of chronic prostatitis cases are non-bacterial in nature. Even in bacterial prostatitis, the condition is often caused by common bacteria or opportunistic pathogens, with fewer pathogens present compared to acute prostatitis. Generally, this does not pose a risk of infection or adverse effects to female partners. However, in cases of prostatitis caused by specific pathogens such as gonococci, chlamydia, or mycoplasma, there is a potential risk of transmitting the infection to female partners during sexual activity.
At the same time, doctors also remind that patients with chronic prostatitis should abstain from sexual activity during acute flare-ups and when undergoing localized treatments like prostate injections. During periods of stable clinical symptoms or between flare-ups, sexual activity is not only possible but also advisable. However, it is recommended to control the frequency of sexual intercourse.
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