Prostate Health: Symptoms, Causes, and Treatment Options

Prostate diseases

Hello Doctor: Four years ago, I experienced yellow-green semen after using a sex toy to stimulate my prostate.
Additionally, I practice yoga, and I suspect that sitting with my legs too wide may have caused injury to my groin or internal areas.
There are two points to consider: 1.
I have used a sex toy to stimulate my prostate.
2.
I may have injured my groin or internal areas from sitting, but I didn't think much of it and didn't see a doctor.
About two years later, I excessively practiced sitting meditation, which likely exacerbated the injury to my groin (I can't explain why I acted so irrationally at that time).
I then noticed a decline in my mental state, and my semen became increasingly yellow and green, accompanied by symptoms like fatigue, colds, and fever.
I visited a urology department at a hospital, where the doctor suggested a possible bacterial infection.
I took medication for two weeks, which did normalize my semen somewhat, but I eventually discontinued treatment.
Later, I consulted a traditional Chinese medicine practitioner, which improved my overall energy, but my semen remained yellow-green.
A year later, I underwent a health check-up for military service, and the results indicated I was in good health.
I then went to another hospital for a health check-up and saw a urologist, who confirmed there was no bacterial infection.
In fact, urine tests did not reveal any bacteria in the prostate, yet my semen continued to be yellow-green.
Currently, I have stopped masturbating, exercise three times a week for 40 minutes each session, and take zinc, B vitamins, and supplements for prostate health daily.
However, I feel my libido has not increased, and my semen remains yellow-green.
Additionally, abstaining from masturbation leads to nocturnal emissions every two weeks, and after these emissions, I notice a decrease in semen volume (is this normal?).
I also feel discomfort in my lower body when sitting (like riding a motorcycle or sitting on a chair), particularly in the area near my left kidney or left groin.
Notably, after injuring my groin or internal areas during meditation, I began to walk unsteadily, often leaning to the right, and my left eye's vision started to deteriorate.
During that period, I relied heavily on my right eye for vision; while I could still see with my left eye, it was blurry.
I also experienced frequent emotional instability, feeling sad and overly emotional.

So, my current questions are: (I am unsure whether the issues are due to a bacterial infection or injuries from sitting.) 1.
I have adopted a healthy lifestyle to improve my prostate issues, and previous medical evaluations indicated no bacterial infection; why does my semen still appear yellow-green? 2.
Is it possible that physical injury could lead to urinary system problems? 3.
I currently do not have fever, urgency, or burning during urination; I only feel discomfort when sitting.
Through regular exercise, I no longer experience split urine flow.
I often feel pain or itching in my left kidney area; could this be a sign of recovery? 4.
Following point 2, if my urinary system imbalance is indeed due to groin injury, could it be that the transport system on the left side of my body has deteriorated, leading to the aforementioned issues (leaning to the right while walking, emotional instability, and blurry vision in the left eye)? I kindly ask for your guidance.
Thank you.

Mr. Wang, 20~29 year old female. Ask Date: 2018/11/27

Dr. Xu Wencang reply Urology

Follow-up in outpatient clinic for examination and treatment.

Reply Date: 2018/11/27

More Info

Understanding prostate health is crucial, especially when faced with symptoms that can significantly impact one's quality of life. Based on your detailed history, it seems you are experiencing a complex interplay of physical and possibly psychological factors affecting your prostate health and overall well-being. Let's address your concerns systematically.

1. Persistent Yellow-Green Semen
The presence of yellow-green semen can be indicative of several factors. While bacterial infections are a common cause, it is also possible for non-infectious factors to contribute. For instance, the use of sex toys and excessive pressure on the prostate can lead to inflammation or irritation, which might manifest as changes in semen color. Additionally, dietary factors, dehydration, or even the presence of certain supplements can alter the appearance of semen. Since you've mentioned that medical evaluations have not shown bacterial infections, it may be worthwhile to consider other non-infectious causes, including potential inflammation or congestion in the prostate.

2. Physical Injury and Urological Issues
It is indeed possible that physical trauma, such as that caused by aggressive yoga poses or the use of sex toys, could lead to issues within the pelvic region. This could result in pelvic floor dysfunction, which may affect urinary and sexual function. The discomfort you experience when sitting could be related to pelvic floor tension or muscle strain. If the pelvic muscles are tight or injured, they can lead to symptoms such as pain, discomfort, or even urinary frequency.

3. Absence of Acute Symptoms
The absence of acute symptoms like fever, urgency, or burning during urination is a positive sign, suggesting that there may not be an active infection. However, the discomfort you feel in your left kidney area and the sensation of pain could indicate a few possibilities, including referred pain from the pelvic region or even kidney-related issues. It’s essential to monitor these symptoms closely, especially if they persist or worsen.

4. Possible Systemic Effects of Injury
Your concerns about walking imbalance, emotional instability, and visual changes could be interconnected. Physical injuries, especially in the pelvic region, can lead to compensatory changes in posture and movement, which may affect balance. Additionally, chronic pain or discomfort can lead to psychological stress, which might manifest as emotional instability. The visual changes you describe could be related to stress or anxiety, which can affect concentration and perception.

Recommendations
1. Further Evaluation: Given the complexity of your symptoms, it may be beneficial to seek a comprehensive evaluation from a urologist who specializes in pelvic pain or chronic prostatitis. They may recommend imaging studies, such as an MRI or ultrasound, to assess for any structural issues.

2. Pelvic Floor Therapy: Consider consulting a physical therapist who specializes in pelvic floor dysfunction. They can provide targeted exercises to relieve tension and improve function in the pelvic region.

3. Diet and Hydration: Continue to maintain a healthy diet and stay well-hydrated. Avoiding irritants such as caffeine, alcohol, and spicy foods can also help manage symptoms.

4. Mental Health Support: Given the emotional aspects of your experience, it may be helpful to speak with a mental health professional. They can provide strategies to cope with anxiety and emotional distress.

5. Regular Follow-ups: Keep regular appointments with your healthcare providers to monitor your symptoms and adjust treatment as necessary.

In conclusion, while your symptoms may seem overwhelming, a multifaceted approach that includes medical evaluation, physical therapy, and mental health support can lead to significant improvements in your quality of life. Remember, it's essential to advocate for your health and seek out the support you need.

Similar Q&A

Understanding Prostate Symptoms: Insights and Concerns for Young Men

Thank you, Dr. Hsu, for your response to my first question. I have concerns about my prostate due to the following main symptoms: 1. Frequent urination: I've had this since childhood. In August, during a diagnosis of hypertension, I underwent a "24-hour urine test,&qu...

Dr. Xu Weikai reply Urology
Ahan: Hello, benign prostatic hyperplasia or enlargement generally occurs after the age of 60. As for prostatitis, it can occur in any male. Regarding masturbation, Western medicine believes that as long as one is healthy, there is no need for special restrictions. Of course, Tra...

Non-Surgical Treatment Options for Enlarged Prostate Symptoms

Dear Dr. Du, My father, who is fifty-eight years old, is experiencing frequent urination and difficulty urinating. There was even an incident where he was unable to urinate completely after holding it for four to five hours, which required catheterization at the hospital to reso...

Dr. Du Shixi reply Urology
Hello: A 58-year-old male with a history of catheterization and a cystoscopy showing no tumors is experiencing persistent urinary frequency and difficulty urinating. It is recommended to try medication for about three months to improve symptoms. If there is no improvement, surgic...

Understanding Prostate Enlargement: Causes, Symptoms, and Recovery

Hello, Doctor. I have been experiencing significant academic pressure, which has led to excessive masturbation. Recently, I have noticed symptoms of prostate enlargement, such as needing to wait a moment before urinating and frequent urination, but I do not have issues with wakin...

Dr. Du Shixi reply Urology
Hello: Reduce DIY activities, exercise regularly, avoid overly spicy and irritating foods, drink plenty of water, and ensure urine color is not too dark. Recovery should occur within a few days; if symptoms persist or worsen, seek medical attention. Wishing you good health.

Understanding Prostate Health: Tests, Preparation, and Care Tips

Symptoms: Difficulty urinating, significant post-void residual, and frequent urination. Multiple hospital tests including abdominal ultrasound, bladder residual volume, and urinalysis have all returned normal results. After medication treatment, there has been no improvement in s...

Dr. Lin Wenxu reply Urology
Hello, sir: Thank you for your inquiry. I would like to address your question regarding prostate examinations, which include PSA blood tests, digital rectal examinations, and ultrasound assessments. The hospital offers several tests for prostate evaluation that are covered by hea...