Prostatitis: Symptoms, Risks, and Sexual Health Concerns

Prostatitis

Doctor, I am the inquirer 178443.

1.
Regarding risky behaviors, although I have had sexual intercourse, I have not engaged in any risky behaviors (no unprotected vaginal or oral sex).
It has been about two and a half years since my last sexual encounter.
Six months ago, when I experienced symptoms, I suspected I might have an infection.
I happened to be near a testing facility and got tested for HIV, syphilis, and Chlamydia IgA, all of which were negative.
However, I have not been tested for trichomoniasis or gonorrhea, as mentioned online.
During my self-examination, I found no discharge, and there were no visible ulcers or swelling.
Should I get tested for trichomoniasis and gonorrhea?
2.
Can chronic prostatitis cause sexual dysfunction? I read online that there is a possibility, which makes me very anxious.
Recently, I feel that the frequency of my morning erections has decreased, and I am quite scared.
3.
During the period of prostatitis, should I refrain from DIY (do-it-yourself sexual activities)?
Thank you for your response, doctor.

Hu, 20~29 year old female. Ask Date: 2022/02/10

Dr. Li Xinyi reply Urology

Based on your description, it doesn't seem like a sexually transmitted infection.
It may be worth considering lifestyle factors such as prolonged DIY activities, excessive exercise, diet, fatigue, excessive internet use, and prolonged sitting or standing, which could indicate unhealthy habits.
Testing for Chlamydia through blood work may not be useful; typically, if a doctor suspects an infection, they would proceed directly to treatment.
Gonorrhea does not seem likely, while Trichomoniasis can be tested at your own expense or you might consider direct medication treatment.
Chronic prostatitis can potentially affect sexual function, but from your description, it doesn't seem to be that severe.
Just try to limit the frequency and duration of DIY activities.

Reply Date: 2022/02/10

More Info

Understanding prostatitis, particularly chronic prostatitis, is crucial for managing symptoms and maintaining sexual health. Prostatitis can manifest in various ways, including pelvic pain, urinary difficulties, and sexual dysfunction. Your concerns about the potential impact of chronic prostatitis on sexual health and the need for further testing are valid and warrant a thorough discussion.

1. Risk of STIs and Testing: Given your history of sexual activity and the absence of high-risk behaviors for over two years, the likelihood of contracting sexually transmitted infections (STIs) such as trichomoniasis or gonorrhea is relatively low, especially since you have tested negative for HIV, syphilis, and chlamydia. However, if you are experiencing persistent symptoms, it may be prudent to get tested for trichomoniasis and gonorrhea, as these infections can sometimes be asymptomatic and may contribute to pelvic pain or urinary symptoms. It's important to consult with your healthcare provider about the necessity of these tests based on your symptoms and sexual history.

2. Chronic Prostatitis and Sexual Dysfunction: Chronic prostatitis can indeed lead to sexual dysfunction, including difficulties with erection and reduced libido. The inflammation and pain associated with prostatitis can affect sexual performance and desire. It's not uncommon for individuals with chronic prostatitis to notice changes in their sexual function, such as decreased morning erections or changes in ejaculation. If you are experiencing a decrease in morning erections or other sexual health concerns, it is essential to discuss these symptoms with your healthcare provider. They may recommend a treatment plan that addresses both the prostatitis and any associated sexual dysfunction.

3. Masturbation During Prostatitis: Regarding your question about masturbation (DIY) during prostatitis, it is generally advised to approach this with caution. While some individuals may find that masturbation provides temporary relief from pelvic discomfort, others may experience increased pain or discomfort afterward. If you notice that masturbation exacerbates your symptoms, it might be best to abstain until your symptoms improve. On the other hand, if it does not cause discomfort, it may be acceptable to continue, but moderation is key. Always listen to your body and consult your healthcare provider for personalized advice.

In summary, chronic prostatitis can significantly impact your quality of life, including sexual health. It is essential to maintain open communication with your healthcare provider about your symptoms, concerns, and treatment options. Regular follow-ups and possibly additional testing for STIs may be warranted based on your symptoms and history. Managing lifestyle factors, such as stress and physical activity, can also play a role in alleviating symptoms and improving overall well-being. Remember, you are not alone in this, and seeking help is a vital step toward recovery and maintaining a healthy sexual life.

Similar Q&A

Understanding Prostatitis: Symptoms, Treatment, and Sexual Health

Sometimes there is a cramping pain in the bladder, inner thighs, testicles, and near the genitals. There is discharge during erections, difficulty maintaining an erection, and erections that soften quickly or fade rapidly. Ejaculation occurs earlier than usual, and the semen appe...

Dr. Xu Wencang reply Urology
If chronic prostatitis is present, the treatment duration may be prolonged, and routine urinalysis may appear normal. Prostate massage can be performed to obtain prostatic secretions for examination. Medication treatment requires a period of time to gradually alleviate the sympto...

Understanding Prostate Inflammation: Symptoms, Sexual Function, and Concerns

I have researched a lot of information online, and indeed, the symptoms of prostatitis can vary greatly, with some individuals showing no symptoms at all despite having inflammation. After reading the doctor's response, it was mentioned that prostatitis theoretically should ...

Dr. Xu Weikai reply Urology
R: Hello. 1. First, you must confirm whether it is prostatitis. Next, determine the cause of the inflammation: is it bacterial, viral, or simply a general tissue response unrelated to infection? Additionally, check if there are any chronic changes, which can be assessed through i...

Understanding Chronic Prostatitis: Symptoms, Risks, and Complications

Hello Dr. Du, I have been suffering from prostatitis for a year now. It started a year ago after receiving unprotected oral sex for less than 5 seconds. About 3 to 4 days later, I began experiencing unilateral penile pain, burning during urination, and pain in the epididymis. I ...

Dr. Du Shixi reply Urology
Hello: 1) The main symptom of bacterial prostatitis is pelvic pain (as for whether there is prostatitis, it's really hard to say). 2) Aseptic prostatitis should not occur. 3) In the case of chronic bacterial prostatitis, if left untreated, will it worsen? --> Yes, if immu...

Understanding Prostate Health: Urine Tests and Sexual Function Concerns

1. If the urine test shows normal levels of red and white blood cells, there is no bacterial infection, and there are no symptoms associated with acute or chronic prostatitis, such as frequent urination, and urination is smooth, can we rule out the possibility of prostatitis? 2....

Dr. Liu Jiaju reply Urology
Based on your description, the likelihood of having prostatitis should be low. However, if you still experience related symptoms, further evaluation may be necessary, including a digital rectal examination and prostate fluid analysis to rule it out. Research indicates that patien...