Can you have sexual intercourse with prostatitis?

Written by Chen Feng
Urology
Updated on May 10, 2025
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Whether patients with prostatitis can have sexual intercourse depends on the type of prostatitis. Prostatitis includes acute prostatitis and chronic prostatitis. Acute prostatitis has a sudden onset and typically presents with more pronounced clinical symptoms, especially pain and discomfort in the perineal and lower abdominal areas. It also causes the swollen prostate to compress the urethra, leading to difficulty in urination. Therefore, it is generally not recommended for patients with acute prostatitis to have sexual intercourse, as it can exacerbate symptoms and hinder recovery. Chronic prostatitis has a longer course and milder symptoms. Patients with chronic prostatitis can generally have sexual intercourse, but it is not recommended for those with severe symptoms.

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Written by Chen Feng
Urology
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How to determine if you have prostatitis

To determine whether one has prostatitis, it is necessary to make a comprehensive judgment based on symptoms and relevant examinations. Prostatitis is divided into acute prostatitis and chronic prostatitis. Acute prostatitis tends to be severe and is mainly characterized by frequent, urgent, and painful urination. Patients may also experience pain and discomfort in the pubic and perineal areas. Due to the swelling of the prostate compressing the urethra, most prostatitis patients will have difficulty urinating, a thinning urine stream, or even intermittent urine flow. Examination of the patient's urine generally shows an increase in white blood cells. Chronic prostatitis has a longer course and also presents symptoms of frequent, urgent, and painful urination, with a white discharge dripping from the urethral opening after urination. Examination of the patient's prostate fluid generally shows abnormal changes, such as an increase in white blood cells in the prostate fluid.

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Written by Wang Shuai
Urology
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What are the symptoms of prostatitis?

Prostatitis is commonly found in young males, with main clinical symptoms including frequent urination, urgent urination, and a feeling of incomplete bladder emptying. Some patients may also experience discomfort and pain in the perineal, anal, and lower abdominal areas. If it is chronic prostatitis which has not healed for a long time, some patients may also experience irritability, depression, insomnia, and other negative emotions. After being diagnosed with prostatitis, it is necessary to go to the hospital's urology department for a thorough examination to identify the specific causes and pathogenic bacteria of prostatitis. Treatment should be conducted with appropriate antibiotics based on the sensitivity test results, generally for a duration of 3 to 4 weeks. Additionally, it is important to maintain a light diet, avoid spicy and irritating foods, and abstain from smoking and drinking. (Please use medication under the guidance of a doctor.)

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Written by Du Rui Xia
Obstetrics
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Does prostatitis affect pregnancy?

When a man has prostatitis, it can affect the normal chances of a woman becoming pregnant. This is because prostatitis often affects the quality of sperm, leading to conditions such as oligospermia, asthenospermia, and failure of sperm to liquefy. It is advisable to go to the hospital for an examination to determine the specific severity of the condition, and under the guidance of a doctor, medication can be used for treatment. Additionally, it is important to develop good living habits, avoid overwork, ensure adequate sleep, and avoid staying up late. Eating foods rich in zinc can help improve the quality of sperm.

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Written by Wang Shuai
Urology
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How to check for prostatitis?

For the examination of prostatitis, the main methods currently used are color ultrasound, routine prostate fluid analysis, culture of prostate fluid, and susceptibility testing. After contracting prostatitis, a color ultrasound examination often reveals varying degrees of prostate swelling, routine prostate fluid analysis will indicate a decrease in lecithin bodies, accompanied by either an increase in white blood cells or normal white blood cell levels. If the lecithin bodies are decreased and there is an increase in white blood cells, bacterial prostatitis is a likely consideration. If the white blood cell count is normal, nonbacterial prostatitis may be considered. Regardless of the type of prostatitis, timely examination and treatment are necessary. If it is bacterial prostatitis, further culture and susceptibility testing of the prostate fluid should be performed, and treatment should be conducted using antibiotics that are sensitive to the results of the susceptibility test.

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Written by Wang Shuai
Urology
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Prostatitis is caused by what?

The occurrence of prostatitis is mainly due to infections of the prostate or some non-infectious factors. Infectious factors are primarily due to previously untreated conditions such as urethritis or seminal vesiculitis. Bacteria spread along the urinary and reproductive tracts to the prostate, causing infection. Non-infectious factors mainly include poor lifestyle habits, such as prolonged sitting, holding urine, long-distance driving, long periods of cycling, frequent sexual activity, and long-term alcohol consumption. Prostatitis is also related to some endocrine diseases or psychological factors. After developing prostatitis, patients may experience symptoms such as frequent urination, urgent urination, incomplete urination, and a sense of weighty pain in the perineum, anal region, and lower abdomen. It is important to visit a hospital's urology department for a detailed examination and targeted treatment.