Chronic Prostatitis: Causes, Symptoms, and Treatment Options

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First, I would like to thank Dr.
Hsu for the detailed explanation last time.
I would like to understand more, so I have more questions.
I do not smoke or drink, I am controlling my body fat, and I avoid fried and heavily flavored foods.
My daily routine is normal, and I do not have much stress in my work and life.
Why does prostatitis keep recurring? Is it impossible to fully recover? If I have recurring symptoms, should I seek medical attention?
Additionally, I would like to know if my recent issues with erectile duration and hardness are related to prostatitis.
I am in my twenties, and I have concerns about sexual health; should I see a doctor immediately? What are the treatment options? Is the treatment effective? What kind of medications do doctors typically prescribe? Are these medications covered by insurance, or do I need to pay out of pocket?
I apologize for having so many questions, as these issues have been troubling me lately.
Thank you, Dr.
Hsu, for taking the time to help me with my concerns.
I hope to find relief from these worries soon.

BC, 20~29 year old female. Ask Date: 2015/03/25

Dr. Xu Weikai reply Urology

Hello, prostatitis can sometimes just be localized fibrosis, which means there are hard lumps in the area caused by inflammation, leading to a feeling of foreign body sensation during erection.
As for the likelihood of recurrence, opinions vary.
Sometimes it is simply due to irregular lifestyle leading to the accumulation of metabolic waste, and the circulation in fibrotic tissues is poorer, resulting in more waste buildup, which naturally causes local discomfort.
Note: This is also why doctors recommend patients to take frequent warm baths for the affected area.

Erection involves many issues; any slight discomfort in the body can interfere with it.
If the problem is related to blood vessels or nerves, further evaluation and diagnosis are necessary to provide appropriate treatment.
My advice remains the same: 1.
Maintain a regular lifestyle and avoid smoking.
2.
Engage in regular exercise with sufficient intensity.
3.
Keep a positive mental and emotional state.

I hope the above response is helpful.
If there are any unclear points, feel free to ask again for further discussion and research.
Online responses should only serve as a reference; if necessary, it is still important to seek medical attention at a healthcare facility.
The Ministry of Health and Welfare, Taitung Hospital, cares about you.

Reply Date: 2015/03/25

More Info

Chronic prostatitis, particularly nonbacterial prostatitis or chronic pelvic pain syndrome (CPPS), is a complex condition that can be frustrating for patients. The exact causes of chronic prostatitis are not fully understood, which contributes to the difficulty in treatment and management. It is important to note that this condition can occur even in individuals who maintain a healthy lifestyle, as you described—avoiding smoking and alcohol, eating a balanced diet, and managing stress.

Causes and Symptoms
Chronic prostatitis can be caused by a variety of factors, including pelvic floor muscle tension, nerve damage, inflammation, and even psychological factors. Symptoms often include pelvic pain, discomfort during urination, frequent urination, and pain during or after ejaculation. In some cases, patients may also experience erectile dysfunction or changes in sexual function, which can be concerning, especially for younger individuals.

Treatment Options
The treatment of chronic prostatitis is multifaceted and often requires a combination of approaches. Here are some common strategies:
1. Medications: While antibiotics are often prescribed initially, they are not effective for nonbacterial prostatitis. Instead, medications may include:
- Alpha-blockers: These can help relax the muscles around the bladder and prostate, easing urinary symptoms.

- Anti-inflammatory medications: Nonsteroidal anti-inflammatory drugs (NSAIDs) can help reduce pain and inflammation.

- Muscle relaxants: These may be prescribed to relieve pelvic floor muscle tension.

- Pain management medications: In some cases, medications specifically for chronic pain may be considered.

2. Physical Therapy: Pelvic floor physical therapy can be beneficial for patients with muscle tension or dysfunction. A trained physical therapist can help with exercises and techniques to relieve pain and improve function.

3. Lifestyle Modifications: Continuing to maintain a healthy lifestyle is crucial. This includes regular exercise, stress management techniques, and avoiding known irritants such as caffeine and spicy foods.

4. Alternative Therapies: Some patients find relief through acupuncture, biofeedback, or other complementary therapies. While evidence varies, these approaches can be worth exploring.

5. Counseling: If psychological factors are contributing to your symptoms, speaking with a mental health professional may be beneficial. Stress and anxiety can exacerbate physical symptoms.

When to Seek Medical Attention
If you experience a recurrence of symptoms, it is advisable to consult a healthcare provider. Persistent symptoms can indicate the need for further evaluation and adjustment of your treatment plan. Additionally, if you are experiencing changes in erectile function, it is important to discuss these with a healthcare professional. Erectile dysfunction can be related to prostatitis, but it can also be a sign of other underlying conditions that may require attention.

Medical Consultation and Treatment Effectiveness
Visiting a healthcare provider is essential, especially if symptoms are affecting your quality of life. A urologist can provide specialized care and may conduct tests to rule out other conditions. The effectiveness of treatment can vary among individuals, and it may take time to find the right combination of therapies that work for you.

Regarding medications, many treatments for chronic prostatitis are covered by health insurance, but this can vary based on your specific plan. It is best to check with your insurance provider regarding coverage for specific medications and treatments.

Conclusion
Chronic prostatitis is a challenging condition, but with the right approach, many patients can find relief from their symptoms. It is essential to maintain open communication with your healthcare provider and to be proactive in managing your health. Don't hesitate to seek help for any concerns, especially regarding sexual health, as early intervention can lead to better outcomes. Remember, you are not alone in this, and many resources are available to support you on your journey to recovery.

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