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Hello, doctor.
I apologize for interrupting you during your busy schedule.
I am a person with a BMI above the normal range.
A year ago, due to prolonged sitting and lack of exercise, I experienced pain in the groin area.
After visiting a urology clinic, I was diagnosed with groin muscle inflammation.
A month later, I developed pain in the lower part of my testicles and returned to the urology clinic, where I was diagnosed with chronic prostatitis through a physical examination.
The doctor prescribed medication and advised me to avoid prolonged sitting.
After taking the medication and being mindful of my sitting habits, my symptoms nearly disappeared.
Recently, due to home schooling, I experienced similar pain again from prolonged sitting and visited the same urology clinic.
The doctor indicated that it was likely another case of prostatitis and prescribed five days of XATCNE E.C.
TABLET and IBUPROFEN 400.
After being cautious about sitting and taking the medication on time, my symptoms improved again.
Last week, I suddenly experienced itching in the urethra, frequent urination, and a feeling of incomplete urination, along with occasional pain in my lower back and groin.
After another visit to the urology clinic and a urinalysis, the doctor noted that there was itching at the tip of the urethra and some clear white discharge.
Following the urinalysis, the doctor diagnosed me with a bacterial infection and prescribed four doses of Metronidazole and a week of DOXYCYCLINE 100 and REH NAR TONG TABLE to be taken after breakfast and dinner.
I was instructed to self-examine for discharge within two weeks after completing the treatment.
I apologize for the lengthy message; I wanted to provide a complete description.
I have a few questions:
1.
Doctor, as you know, I am 25 years old and still a virgin.
Although I share a toilet with family members, they have not contracted any infections (I have prepared a bottle of alcohol to disinfect the toilet seat after using it).
Is it really possible to have such bad luck and contract a sexually transmitted infection indirectly as a virgin? Or could it be related to my chronic prostatitis?
2.
I have read many questions and answers regarding chronic prostatitis on Taiwan's e-hospital platform and noticed that the treatment duration is quite long, with a high recurrence rate, primarily managed through a regular lifestyle and a light diet.
Could my weight be a contributing factor? Or is prolonged sitting the main cause? Could this urinary tract infection have any impact on my chronic prostatitis?
3.
I am currently on the third day of treatment.
Over the past few days, I have occasionally experienced sudden pain in the upper part of my lower back, but I lifted heavy objects yesterday, so I am unsure if it is due to the infection or the lifting.
Can a urinary tract infection cause pain in the upper part of the lower back?
4.
Lastly, during the treatment period or the observation period after treatment, is it permissible to masturbate? I am a young man with normal sexual urges, but I have refrained for five days due to concerns about any potential impact, especially since I was not in the mood when symptoms appeared.
The doctor mentioned avoiding sexual intercourse due to the risk of infection, but I found a similar question on Taiwan's e-hospital platform, and the response was only about avoiding intercourse due to the risk of infection.
Is masturbation also not recommended?
Li, 20~29 year old female. Ask Date: 2021/06/16
Dr. Du Shixi reply Urology
Hello: 1.
If there is no sexual activity, is it still possible to contract a sexually transmitted infection, or could it be related to my chronic prostatitis? --> Possibly.
2.
Could my weight also be a contributing factor? --> Lifestyle habits may have a greater impact; is prolonged sitting really the main cause? --> It is possible.
Could this urinary tract infection affect my chronic prostatitis in any way? --> Since they both involve the urinary tract, there could be an impact.
3.
Can a urinary tract infection cause pain in the upper part of the back? --> It is possible, but typically there would be fever and chills; if those are absent, it is less likely.
4.
Lastly, doctor, is it advisable to masturbate during the treatment period or after the treatment has been completed? --> It is not recommended.
Wishing you good health.
Reply Date: 2021/06/16
More Info
Chronic prostatitis, particularly nonbacterial prostatitis or chronic pelvic pain syndrome (CPPS), can be a challenging condition to manage. Your concerns about the symptoms, treatment options, and lifestyle factors are valid and deserve thorough exploration.
1. Possibility of Infection: It is indeed possible to contract a sexually transmitted infection (STI) even if you identify as a virgin or have not engaged in penetrative sexual intercourse. STIs can be transmitted through skin-to-skin contact, and certain infections can be asymptomatic for long periods. However, it is also plausible that your symptoms are related to chronic prostatitis rather than an STI. Chronic prostatitis can lead to similar symptoms, including urethral itching and discomfort. It’s essential to follow up with your healthcare provider for accurate diagnosis and treatment.
2. Impact of Lifestyle Factors: Your weight and sedentary lifestyle can significantly contribute to the exacerbation of prostatitis symptoms. Obesity can lead to increased pelvic pressure and inflammation, which may worsen your condition. Prolonged sitting can also contribute to muscle tension and discomfort in the pelvic area. Maintaining a healthy weight through regular exercise and a balanced diet can be beneficial. Additionally, avoiding irritants such as spicy foods, caffeine, and alcohol can help manage symptoms. Your recent urinary tract infection (UTI) could potentially aggravate your chronic prostatitis, as infections can lead to increased inflammation and discomfort.
3. Back Pain and Infection: It is possible for a urinary tract infection to cause referred pain in the lower back or pelvic area. The kidneys, bladder, and prostate are interconnected, and inflammation or infection in one area can lead to discomfort in another. However, if you recently lifted heavy objects, it could also be a strain or injury unrelated to your urinary symptoms. If the pain persists or worsens, it would be prudent to consult your healthcare provider for further evaluation.
4. Masturbation During Treatment: Regarding sexual activity, including masturbation, during treatment for prostatitis, it is generally advisable to avoid any sexual activity that could exacerbate symptoms or lead to further irritation. While masturbation is less likely to introduce bacteria compared to penetrative sex, it can still cause irritation or discomfort, especially if you are experiencing acute symptoms. If you feel comfortable and your symptoms are manageable, light masturbation may not pose a significant risk, but it is best to listen to your body. If you experience increased discomfort or symptoms after masturbation, it may be wise to refrain until you have completed your treatment and your symptoms have resolved.
In summary, managing chronic prostatitis involves a multifaceted approach that includes medical treatment, lifestyle modifications, and symptom management. Regular follow-ups with your healthcare provider are crucial to monitor your condition and adjust treatment as necessary. If you have ongoing concerns or if your symptoms do not improve, consider seeking a second opinion or consulting a specialist in urology for further evaluation.
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