Does chronic prostatitis require regular ejaculation?

Written by Wang Shuai
Urology
Updated on May 20, 2025
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Patients with chronic prostatitis need to ejaculate regularly, as regular ejaculation helps to clear the prostate ducts and expel inflammatory exudates secreted by the prostate through semen, which positively affects the treatment of prostatitis. However, sexual activity should not be too frequent. If it is too frequent, it may cause congestion and edema of the prostate, exacerbating the inflammation. Therefore, it is advisable to ejaculate once every 3 to 5 days. Besides regular ejaculation, it is also important to maintain a light diet, avoid spicy and stimulating foods, quit smoking and drinking, and strengthen physical exercise appropriately.

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Written by Wang Shuai
Urology
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Can chronic prostatitis be cured?

Chronic prostatitis is curable and is mainly divided into chronic bacterial prostatitis and chronic abacterial prostatitis. For patients with chronic bacterial prostatitis, it is necessary to culture prostatic fluid and perform an antibiotic sensitivity test to identify the pathogen. Then, based on the test results, appropriate sensitive antibiotics are chosen for treatment lasting four to six weeks. On the other hand, abacterial prostatitis is mainly caused by poor lifestyle habits. For this type of prostatitis, it is important to strengthen daily care, pay attention to a light diet, and avoid spicy and irritating foods. Avoid sitting for long periods, holding urine, long drives, staying up late, and overly frequent sexual activity. Developing good lifestyle habits will gradually lead to recovery.

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Written by Wang Shuai
Urology
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Why does ejaculation hurt with chronic prostatitis?

Patients with chronic prostatitis experiencing painful ejaculation mainly results from the presence of the ejaculatory ducts within the prostate. When the prostate is inflamed, it leads to congestion and swelling, which compresses the ejaculatory ducts causing them to narrow. During ejaculation, due to the high pressure of ejaculation, semen passes through these narrowed ducts producing a significant pain sensation. For this condition, active treatment targeting the type of chronic prostatitis is necessary. If it is caused by bacterial infection, prompt antibiotic treatment should be administered regularly. After controlling the inflammation, the congestion and swelling of the prostate will gradually subside, and the symptoms of painful ejaculation will also alleviate. Patients with chronic prostatitis should pay attention to strengthening physical exercise, maintaining a light diet, and controlling the frequency of sexual activity to reduce prostate congestion and swelling.

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Written by Zeng Zhong
Urology
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How long does it take for chronic prostatitis to heal in young people?

The recovery time for young people with chronic prostatitis is not fixed, as each patient's condition is different, and so are the treatment plans, resulting in varying recovery times. Generally, recovery can occur within 1 to 2 months. Patients should first visit the urology or andrology department of their local hospital for a systematic examination. Treatment should be based on the results of this examination, using sensitive antibiotics. Treatment can also be supplemented with some traditional Chinese medicines. Additionally, patients can take warm water sitz baths every night and regularly visit the hospital for prostate massages.

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Written by Chen Feng
Urology
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Do you have to take medicine for chronic prostatitis for a lifetime?

Chronic prostatitis generally does not require lifelong medication. Although the course of chronic prostatitis is relatively long and treatment can be more challenging, requiring a longer treatment period, it usually does not necessitate medication for life. For patients with chronic prostatitis, it is necessary to collect prostatic fluid for examination to check for bacterial or other pathogenic microbial infections. If signs of infection are present, antibiotic treatment is required, which may last for an extended period. Patients can also complement their treatment with warm sitz baths and prostate massage. For those with severe pain symptoms, pain relief medications can be used symptomatically. Some patients may also experience anxiety symptoms, for which anti-anxiety medications can be appropriately used. Typically, treatment cycles for chronic prostatitis last about two months. If the condition improves, medication can be discontinued.

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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.)