Can chronic prostatitis lead to weak ejaculation?

Written by Zeng Zhong
Urology
Updated on September 01, 2024
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Patients with chronic prostatitis, if left untreated for a long time, may experience weak ejaculation and a series of sexual dysfunctions, such as impotence and premature ejaculation. Therefore, patients with chronic prostatitis should seek timely systemic examination and treatment at local hospitals' urology or andrology departments. Prostatic fluid bacterial culture along with drug sensitivity tests should be conducted. Based on the results, the pathogen and the antibiotics it is sensitive to should be identified. Then, the selected sensitive antibiotics should be used for treatment. Patients must adhere to the treatment plan prescribed by their doctor, take medications on time and in the correct amounts, and regularly return to the hospital for follow-up evaluations.

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Written by Zeng Zhong
Urology
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Can chronic prostatitis be detected by B-ultrasound?

Chronic prostatitis cannot be detected by ultrasound. Ultrasound can only observe the size of the prostate and whether there are nodules inside the prostate gland, but it cannot diagnose whether a patient has chronic prostatitis. Chronic prostatitis must be diagnosed through routine examination of prostate fluid. Patients can visit the urology department of their local hospital for this examination. The first step involves prostate massage. Through this massage, prostate fluid is extracted from the external opening of the urethra, and then this fluid is tested in the laboratory for diagnosis.

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Written by Wang Shuai
Urology
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Can chronic prostatitis be transmitted to the female partner during intercourse?

There are several types of chronic prostatitis, with nonbacterial prostatitis being the most common clinically. This type of prostatitis is not contagious during sexual activity, so there is no need for concern. However, chronic bacterial prostatitis can potentially be contagious, particularly when caused by Mycoplasma or Chlamydia infections. These pathogens can travel with semen into the female vagina, leading to vaginitis. Therefore, it is best for patients with prostatitis to undergo prostate fluid culture and sensitivity tests to determine the specific type, followed by targeted treatment.

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Written by Chen Feng
Urology
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Can I occasionally drink a bottle of red wine with chronic prostatitis?

Patients with chronic prostatitis should not drink red wine. Chronic prostatitis has a long course of disease, mainly characterized by frequent urination, urgency, and painful urination. After urinating, a small amount of white secretion may drip out. Patients may also experience discomfort or pain in the pubic or perineal area. In some severe cases, there might be a decline in sexual function, manifesting as erectile dysfunction or premature ejaculation. Patients with chronic prostatitis generally need to use anti-inflammatory drugs that have a strong ability to penetrate the prostatic capsule, such as erythromycin and doxycycline. During the treatment period, patients should not drink alcohol, sit for long periods, or ride bicycles for an extended time. Treatment can also be complemented with sitz baths and prostate massage. (Please use medication under the guidance of a doctor.)

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Written by Zeng Zhong
Urology
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Is chronic prostatitis a lifelong disease?

Chronic prostatitis is not a lifelong disease; it can be cured with proper examination and treatment. Patients with chronic prostatitis should not be overly burdened mentally and should actively visit the urology or andrology department of their local hospital for systematic examination. Initially, a bacterial culture of the prostatic fluid should be conducted, along with a drug sensitivity test. By performing prostate massage, prostatic fluid is obtained from the urethral meatus onto a slide, which is then sent for laboratory testing. Based on the results, the pathogen and the antibiotics it is sensitive to are identified, and then the appropriate sensitive antibiotics are selected for the treatment.

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Written by Zeng Zhong
Urology
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What happens if you drink alcohol occasionally with chronic prostatitis?

Patients with chronic prostatitis who drink alcohol will aggravate their symptoms, leading to frequent urination, urgent urination, split urination, and dripping white fluid at the urinary opening. There is discomfort and pain in the lower abdomen, perineum, and lower back area. Therefore, patients with chronic prostatitis should not drink alcohol as it worsens the symptoms of prostatitis, causing excessive congestion of the prostate and affecting treatment. In daily life, patients with chronic prostatitis should drink more water, particularly warm boiled water, urinate frequently, and eat a light and easily digestible diet. They should avoid spicy and irritating foods.