Prostatitis and Pregnancy: the Risks and Concerns - Urology

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Prostatitis and Pregnancy Issues


Hello Doctor, thank you for your assistance.
I have two questions to ask you:
1.
In mid-June of this year, I experienced issues with urination, including difficulty urinating, frequent urination, and a feeling of incomplete bladder emptying, but without any burning sensation or other pain.
I consulted two doctors.
The first doctor suggested it might be prostatitis (without conducting any tests) and prescribed antibiotics, which I did not take.
After two weeks of persistent symptoms, I saw a second doctor who performed a urinalysis and cultured for bacteria, both of which returned normal results.
After seeing the normal test results, I did not take any medication and did not think much of it.
About a week later (mid-July), the symptoms resolved.
Doctor, could this situation possibly be prostatitis?
2.
After my symptoms resolved in mid-July, my wife and I planned to conceive, and we successfully became pregnant at the end of August.
However, I recently came across a report stating that it is best not to conceive if one has prostatitis, as it may affect the baby.
Since these two situations are somewhat close in time, I am a bit concerned.
Doctor, does prostatitis really pose a risk during pregnancy that could affect the baby? Thank you for your response!

A-Jie, 30~39 year old female. Ask Date: 2016/09/20

Dr. Liu Jiaju reply Urology


Due to the fact that prostatitis often accompanies pain symptoms and is not easily resolved naturally, your symptoms may not be typical.
However, if the symptoms recur, it is advisable to seek medical attention for a detailed examination to assess the situation.
Currently, there is no clear evidence that prostatitis affects the fetus, so there is no need to worry excessively.

Reply Date: 2016/09/20

More Info


Prostatitis, particularly nonbacterial prostatitis, can indeed be a challenging condition to manage, especially when it comes to concerns about pregnancy and potential risks to both the mother and the baby. Let's address your questions one by one.

1. Could your symptoms indicate prostatitis?
The symptoms you described—urinary frequency, urgency, and a sensation of incomplete bladder emptying—can be associated with prostatitis, but they are not definitive indicators. The fact that you did not experience burning sensations or other pain, and that your urine tests came back normal, suggests that it might not be prostatitis. It's possible that your symptoms were due to a transient condition, such as a mild urinary tract infection (UTI) or even a functional issue with your bladder. Since your symptoms resolved on their own, it’s a good sign, but if they return, it would be prudent to follow up with a healthcare provider for further evaluation.

2. Concerns about pregnancy and prostatitis:
Regarding your concerns about the impact of prostatitis on pregnancy, it’s important to clarify that while prostatitis can affect male fertility, it does not directly pose a risk to the developing fetus during pregnancy. The primary concern with prostatitis is its potential impact on sperm quality. In cases of bacterial prostatitis, there can be an increase in white blood cells and inflammatory mediators in the semen, which may affect sperm motility and overall fertility. However, if you have successfully conceived, it indicates that your sperm quality was sufficient at that time.

The report you read suggesting that prostatitis should be avoided during pregnancy may stem from concerns about the health of the father and the potential for complications in the future. However, once conception has occurred, the presence of prostatitis in the father does not pose a direct risk to the fetus. The placenta acts as a barrier, protecting the fetus from many infections and inflammatory conditions.


Additional Considerations:
- Monitoring Symptoms: If you experience any recurrent symptoms such as pain, discomfort, or changes in urinary habits, it’s essential to consult your healthcare provider. Persistent or worsening symptoms may warrant further investigation to rule out any underlying conditions.

- Lifestyle Modifications: Maintaining a healthy lifestyle can also support reproductive health. This includes staying hydrated, avoiding irritants (like caffeine and alcohol), and managing stress.

- Follow-Up Care: Regular check-ups with your healthcare provider are advisable, especially during pregnancy. They can monitor both your health and the health of your partner and baby, addressing any concerns that may arise.

- Communication with Your Partner: It’s also crucial to maintain open communication with your partner about any concerns regarding health and pregnancy. This can help alleviate anxiety and ensure both partners are informed and involved in the care process.

In summary, while prostatitis can complicate fertility, it does not inherently prevent a successful pregnancy or pose risks to the baby once conception has occurred. If you have any further concerns or if symptoms arise, do not hesitate to reach out to your healthcare provider for tailored advice and support.

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