Prostate Issues: When to Seek Medical Attention - Urology

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Prostate-related issues


Hello Doctor: Recently, I have been experiencing some urinary frequency and was contemplating whether I should see a doctor.
While researching online, I found that my symptoms are somewhat similar to chronic prostatitis.
I have also had symptoms like needing to wait a few seconds to urinate and experiencing pain after ejaculation for several years.
However, since these issues haven't significantly affected my daily life, I didn't realize this could be a medical condition, so I never consulted a doctor.
Considering that there aren't many urology clinics near my home, I would like to know if it is necessary to see a doctor immediately or if I should wait until I experience more symptoms.
Additionally, I am concerned about whether leaving this untreated for so long could lead to serious conditions like prostate cancer.
I am feeling a bit anxious and would appreciate your guidance.
Thank you, Doctor.

TIM, 20~29 year old female. Ask Date: 2021/07/07

Dr. Du Shixi reply Urology


Hello: If it occurs regularly, it is recommended to consult a urologist at the hospital.
If it happens occasionally, you can start by making some lifestyle adjustments: drink more water, reduce beverage intake, maintain a light diet, limit alcohol and spicy foods, avoid prolonged sitting, and engage in moderate physical activity, such as walking for a few minutes each day.
Wishing you good health.

Reply Date: 2021/07/07

More Info


When it comes to understanding prostate issues, particularly chronic prostatitis or chronic pelvic pain syndrome (CP/CPPS), it's essential to recognize the symptoms and when to seek medical attention. Your concerns about frequent urination, pain during ejaculation, and the need to wait a few seconds to urinate are valid and warrant a closer look.

Firstly, chronic prostatitis is a common condition that can significantly affect a man's quality of life. Symptoms can include pelvic pain, urinary difficulties, and sexual dysfunction. While these symptoms may not seem severe enough to warrant immediate medical attention, it is crucial to understand that they can indicate an underlying issue that may require treatment.
In your case, the fact that you have been experiencing these symptoms for an extended period suggests that it would be prudent to consult a healthcare professional, specifically a urologist. Even if the symptoms have not caused significant disruption to your daily life, they can worsen over time or lead to complications if left untreated.
Regarding your concern about the potential progression to prostate cancer, it is important to note that while chronic prostatitis itself does not directly lead to prostate cancer, chronic inflammation of the prostate has been studied for its potential association with prostate cancer risk. Therefore, addressing your symptoms early on can help rule out more serious conditions and provide peace of mind.

When you visit a urologist, they will likely conduct a thorough evaluation, which may include a physical examination, urinalysis, and possibly imaging studies or prostate-specific antigen (PSA) testing. These tests can help determine the cause of your symptoms and guide appropriate treatment options.
In terms of symptoms that should prompt immediate medical attention, consider the following:
1. Severe Pain: If you experience severe pelvic pain or discomfort that interferes with your daily activities.

2. Blood in Urine or Semen: The presence of blood can indicate a more serious condition that requires prompt evaluation.

3. Fever or Chills: These symptoms could suggest an infection that may need immediate treatment.

4. Sudden Changes in Urination: If you notice a sudden increase in urgency, frequency, or difficulty urinating, it is advisable to seek medical advice.

In conclusion, while your symptoms may not seem urgent, it is wise to consult a urologist to discuss your concerns. Early intervention can lead to better management of your symptoms and help prevent potential complications. Remember, taking charge of your health by seeking medical advice is always a proactive step, especially when it comes to conditions that can affect your quality of life. Don't hesitate to reach out to a healthcare professional; they are there to help you navigate these concerns and provide the necessary care.

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