Decreased Urine Flow and Sexual Performance: Possible Prostate Issues?

Urination is not as forceful as it used to be, and stamina is not as enduring as before?

Doctor, I’m not sure what my problem is.
Over the past year, I have lost about 10 kilograms (from obese to normal weight), and I’ve noticed that the force of my urination and ejaculation is not as strong as it used to be.
Sometimes, I feel like I can’t completely empty my bladder, and there are also changes in my stamina and hardness.
Could this be due to an enlarged prostate?

John, 10~19 year old female. Ask Date: 2024/05/07

Dr. Fu Shizhang reply Urology

Given your age, benign prostatic hyperplasia is quite rare.
Online consultations do not replace an in-person evaluation and physical examination by a physician.
If you have any health concerns, it is still recommended to seek medical attention at a healthcare facility.

Reply Date: 2024/05/07

More Info

Decreased urine flow and changes in sexual performance can indeed be indicative of underlying prostate issues, particularly benign prostatic hyperplasia (BPH) or prostatitis. As men age, the prostate gland can enlarge, leading to various urinary symptoms, including decreased urine flow, difficulty starting or stopping urination, and a sensation of incomplete bladder emptying. These symptoms can also be accompanied by sexual dysfunction, such as reduced erectile strength and stamina.

In your case, the weight loss you mentioned could have various implications. While losing weight is generally beneficial for overall health and can improve many conditions, it is essential to consider how this change might affect your prostate health. Weight loss can sometimes lead to hormonal changes that may impact sexual function and urinary health. For instance, a significant reduction in body fat can affect testosterone levels, which play a crucial role in sexual performance.

The symptoms you describe—decreased urine flow, a feeling of incomplete urination, and changes in sexual performance—could suggest that your prostate is indeed contributing to these issues. BPH is a common condition in older men, characterized by the enlargement of the prostate gland, which can compress the urethra and impede urine flow. Prostatitis, or inflammation of the prostate, can also lead to similar urinary symptoms and may be associated with pain or discomfort during urination or ejaculation.

In terms of sexual performance, the prostate plays a vital role in the production of seminal fluid, and any issues affecting the prostate can lead to changes in ejaculation. If the prostate is inflamed or enlarged, it may impact the strength of the ejaculate and the overall sexual experience. Additionally, psychological factors, such as anxiety about these symptoms, can further exacerbate sexual dysfunction.

It is essential to consult a healthcare professional, preferably a urologist, to evaluate your symptoms comprehensively. They may recommend a series of tests, including a digital rectal exam (DRE), prostate-specific antigen (PSA) blood test, and possibly imaging studies or urodynamic tests to assess your urinary function. These evaluations can help determine whether you have BPH, prostatitis, or another condition affecting your prostate.

Treatment options vary depending on the underlying cause. For BPH, medications such as alpha-blockers (like Tamsulosin) or 5-alpha-reductase inhibitors (like Finasteride) can help relieve symptoms by relaxing the muscles around the prostate or reducing its size. In cases of prostatitis, antibiotics may be necessary if an infection is present.

In conclusion, your symptoms of decreased urine flow and changes in sexual performance could be related to prostate issues such as BPH or prostatitis. It is crucial to seek medical advice to obtain a proper diagnosis and appropriate treatment. Addressing these concerns early can significantly improve your quality of life and overall well-being.

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