Treatment plan for prostatitis, psychological adjustment, endocrine examination and reasons why grooms are prone to prostatitis

Treatment plan for prostatitis

Patients with acute prostatitis should rest in bed, receive traditional Chinese medicine treatment based on syndrome differentiation, or receive intravenous fluid replacement, along with antibiotics, antipyretics, and analgesics. If acute urinary retention occurs, catheterization should be performed, and indwelling catheters should be avoided as much as possible. At the same time, patients should increase their water intake, strengthen their nutrition, abstain from alcohol and spicy foods, and keep their bowels regular. Prostate massage should be avoided to prevent the spread of inflammation.

In addition to traditional Chinese medicine diagnosis and treatment and Western medicine treatment, patients with chronic prostatitis should balance work and rest, maintain a regular lifestyle, abstain from alcohol and spicy foods, keep their bowels regular, and maintain regular sexual activity (single men can masturbate regularly to ensure smooth excretion of prostate gland). At the same time, they should participate in more cultural, sports and social activities as appropriate, try to relax, and completely relieve mental stress.

Why is prostatitis often treated with antibiotics?

Although only 5%–10% of prostatitis patients have positive bacterial cultures, 30%–40% of prostatitis patients experience significant improvement after antibiotic treatment, and 60% of chronic prostatitis patients respond well to antibiotic therapy initially. This is because many factors (such as sample collection, culture methods, and testing techniques) can interfere with the accuracy of bacterial culture results, leading to false negatives; it can also be caused by pathogenic microorganisms that are difficult to detect using conventional culture techniques (such as L-form bacteria, anaerobes, gonococci, chlamydia, and mycoplasma). Therefore, clinicians usually prescribe antibiotics appropriately when treating prostatitis patients.

Why should patients with prostate disease pay attention to psychological adjustment?

Many men, after being diagnosed with prostate disease, experience psychological distress due to a lack of timely and proper treatment, coupled with various inaccurate societal beliefs surrounding prostatitis. Some patients even hesitate to marry. In reality, prostatitis is not a terrifying condition, as a significant proportion of cases present with mild symptoms. Prostate disease requires systematic treatment, encompassing both physical and psychological aspects.

Prostate diseases include prostatitis, prostate tumors, and other conditions. The incidence of prostate diseases is high; approximately 50% or more of men have experienced prostate problems at some point.

Prostatitis is particularly common among young and middle-aged men, and with the increasing incidence of prostatitis, prostate diseases are showing a trend of affecting younger men. Currently, the incidence of prostatitis accounts for about 30% of men aged 20-50, and almost 30% or more of patients in urology and andrology clinics have prostatitis.

Prostatitis is characterized by its complexity, persistent nature, and high recurrence rate. Besides the physical discomfort of the disease itself, it also has a significant negative impact on the patient's mental health. Among those affected, introverted personalities are more common; they are often sentimental, meticulous, and extremely attentive to any symptoms of the disease. They describe these symptoms in great detail, leading to an unusually strong fear of the disease, which can cause serious psychological distress, needlessly exacerbating the condition and creating a vicious cycle. Therefore, the treatment of prostatitis should employ a comprehensive approach combining medication, physical therapy, and psychotherapy.

The main causes of this disease include pathogen infection, the patient's own immune factors, neuroendocrine factors, and psychological factors. The complex causes and the thick prostate capsule, which makes it difficult to achieve effective drug concentrations locally, contribute to the long course and persistent nature of the disease. Standardized diagnosis and treatment should be adopted for this disease, and it should be classified according to NIH or other methods. Scientific classification not only benefits disease research but also aids in diagnosis, treatment, and prevention.

What is the significance of a prostate fluid examination?

Prostatic fluid secreted by the prostate gland is an important component of semen. It's easy to imagine that if delicate sperm were to live in an environment full of bacteria and viruses, their survival rate and motility would be greatly reduced. Furthermore, the prostate gland also secretes liquefaction factors that restore semen to a liquefied state. Once the prostate gland is damaged, its secretory function declines, leading to semen liquefaction problems and impaired sperm motility. Additionally, the acidity of seminal plasma increases in cases of prostatitis. All of these factors reduce male fertility.

Under high magnification, normal prostatic fluid contains a large number of lecithin bodies, which decrease when the prostate is inflamed. Normally, prostatic fluid contains very few red blood cells, which typically only appear during inflammation. White blood cells scattered within a high-power field should not exceed 5 per 1000 mm³; if the number exceeds 15 per high-power field, inflammation should be considered.

What endocrine tests should male patients undergo, and what is their significance?

For male patients suspected of having endocrine disorders, radioimmunoassay or immunoluminescence assays can be used to examine the levels of follicle-stimulating hormone (FSH), luteinizing hormone (LH), testosterone (T), and serum prolactin (PRL) in the patient's peripheral blood circulation.

Elevated FSH and LH levels indicate primary testicular disease, suggesting severe and widespread testicular lesions. The severity is directly proportional to the degree of elevation. Decreased FSH and LH levels suggest possible hypogonadotropic hypogonadism or atestis-like condition. In oligospermia and azoospermia, elevated FSH often indicates damage to the vas deferens and impairment of testicular regulatory function; normal FSH levels usually indicate obstruction of the epididymis or vas deferens.

Serum T measurement is generally only meaningful in Klinefelter syndrome. T can be measured in men with low libido or low sexual function.

PRL testing is often used to determine hyperprolactinemia. It is generally believed that elevated plasma prolactin levels can inhibit interstitial cell function, thereby hindering the synthesis of dihydrotestosterone in the testes. Furthermore, when PRL is elevated, androgen receptors will decrease, leading to hypogonadism and oligospermia.

Why are grooms prone to prostatitis?

The wedding night is supposed to be a joyous occasion, but some newlyweds unfortunately develop prostatitis, adding a touch of trouble to their otherwise happy mood. This type of prostatitis is also known as "honeymoon prostatitis," and is mainly related to the excessive frequency of sexual activity among newlywed men during this period.

First, the excitement and novelty of newlywed life often lead to unrestrained sexual activity during the honeymoon. Excessive sexual activity causes repeated and continuous congestion of the prostate, a major cause of inflammation. Reports indicate that men who engage in frequent intercourse within a short period have an 89.7% chance of developing prostatitis. Furthermore, using methods like withdrawing ejaculation or premature ejaculation for contraception can also cause prostate congestion and inflammation.

Secondly, during the joyous occasion of a wedding, friends and relatives often offer congratulations, which inevitably involves alcohol. Ethanol can cause rapid congestion, eventually leading to inflammation. Furthermore, excessive consumption of spicy and rich foods, or the blind use of so-called "aphrodisiac" drugs, can also cause prostate congestion and edema, resulting in illness.

Furthermore, the stress and busyness of preparing for a wedding, the fatigue of long-distance travel, irregular eating habits, and unpredictable temperature changes can all lower the body's resistance, making it more susceptible to bacterial infections and prostate problems.

Some people neglect sexual hygiene, leading to urethritis, which can then spread and cause prostatitis.

Some men already have chronic prostatitis before marriage, which worsens due to the above reasons, even leading to acute prostatitis. Therefore, we advise all grooms to remember to prevent prostatitis while enjoying the joy and happiness of their honeymoon, so as to avoid being plagued by the disease and adding to their troubles.