Prostatitis: Can Frequent Masturbation Affect Urinary Health? - Urology

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Regarding prostatitis?


Hello, doctor: I have been experiencing frequent urination and intermittent urination issues for the past few months.
On Monday, I visited the hospital, where the doctor only asked me to fill out a questionnaire and measure my urine flow rate.
He then told me that my urination is indeed slower than normal for my age and prescribed A301 Harnalidge extended-release film-coated tablets 0.4 mg/tab, giving me a one-week supply of only 7 tablets to take one each morning.
Today is my second day on the medication, but I feel no significant change; my urination is still intermittent, frequent, and my urine flow rate remains low.

While browsing articles online today, I came across one that mentioned "excessive masturbation may cause the detrusor muscle to contract too frequently without adequate rest, leading to increased sensitivity and stimulation of the detrusor nerve, conduction nerves, and brain." I had a period where I masturbated frequently, and after a few ejaculations, I experienced dry orgasms (though I did ejaculate normally a few days ago).
This led me to wonder if I might have prostatitis.
If that is the case, the article suggested that taking a break from masturbation for a few months and doing Kegel exercises could lead to gradual improvement.
Is this true? However, when I mentioned my masturbation habits to the doctor on Monday, he said it was not related.
So, does excessive masturbation really contribute to frequent urination and intermittent urination?

Yan, 30~39 year old female. Ask Date: 2019/06/05

Dr. Du Shixi reply Urology


Hello: Does frequent masturbation lead to frequent urination and intermittent urination? --> The relationship is minimal; rather, lifestyle factors such as insufficient exercise, prolonged sitting, inadequate water intake, and a diet high in fat can have an impact.
If there are no unsafe sexual practices, you can start with Harnalidge to improve urethral symptoms; this medication may take several days to show effectiveness.
It's also important to pay attention to your lifestyle.
If you want to read articles, I recommend looking at educational materials from medical centers, as some online articles may be partially true and not entirely reliable.
In your case, walking may be more beneficial than Kegel exercises.
Wishing you good health.

Reply Date: 2019/06/05

More Info


Understanding the relationship between prostatitis, urinary health, and masturbation frequency is essential for addressing your concerns. Prostatitis, which refers to inflammation of the prostate gland, can manifest through various urinary symptoms, including frequent urination, urgency, and difficulty in urination. These symptoms can be distressing and may lead to further anxiety regarding sexual health and overall well-being.


The Impact of Frequent Masturbation on Urinary Health
Masturbation is a normal sexual activity, and for most individuals, it does not pose any significant health risks. However, excessive or very frequent masturbation can lead to temporary changes in the body, including the pelvic floor muscles and the prostate. The pelvic floor muscles, which support the bladder and prostate, may become overly tense or fatigued with frequent contractions during masturbation. This tension can potentially contribute to urinary symptoms such as urgency or difficulty starting urination.

The article you read about the bladder muscle (detrusor muscle) being overly stimulated is valid. If the detrusor muscle is frequently activated without adequate rest, it may lead to increased sensitivity and a feeling of urgency. However, this is not a direct cause of prostatitis but rather a symptom that can occur alongside it.

Prostatitis and Urinary Symptoms
Prostatitis can be caused by bacterial infections or can be non-bacterial in nature. Symptoms often overlap with those of other urinary tract issues, making diagnosis challenging. The fact that you are experiencing symptoms such as frequent urination and a weak urine stream could indicate prostatitis, especially if these symptoms persist despite medication.
Your doctor prescribed Harnalidge (tamsulosin), which is an alpha-blocker that helps relax the muscles in the prostate and bladder neck, making it easier to urinate. It is common for patients to not notice immediate relief, as these medications can take time to show their full effects. If you do not see improvement after a week, it is advisable to follow up with your healthcare provider for further evaluation.


Should You Reduce Masturbation?
While your doctor indicated that masturbation is not a concern, if you believe it is contributing to your urinary symptoms, it might be worth considering a temporary reduction in frequency. Some individuals report that taking breaks from masturbation can help alleviate symptoms of pelvic tension and urinary urgency. Engaging in pelvic floor exercises, such as Kegel exercises, can also strengthen the pelvic muscles and improve urinary control.


Conclusion
In summary, while frequent masturbation may contribute to temporary urinary symptoms, it is unlikely to be the sole cause of prostatitis or chronic urinary issues. It is essential to maintain open communication with your healthcare provider regarding your symptoms and treatment progress. If your symptoms persist or worsen, further diagnostic tests may be necessary to rule out other underlying conditions.
Remember that managing prostatitis often requires a multifaceted approach, including medication, lifestyle changes, and possibly physical therapy. If you have concerns about your urinary health or the effects of masturbation, discussing these openly with your healthcare provider can help you find a tailored approach to your situation.

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