Untreated or inadequately treated prostatitis can lead to repeated bouts of inflammation, potentially disrupting normal sexual function and precipitating issues like premature ejaculation in men.
Why might prostatitis lead to early ejaculation?
The prostate gland acts as the ejaculatory switch. Inflammation in this gland can cause heightened sensitivity and swelling due to irritation. This can make the prostate overly reactive to sexual stimuli, leading to premature ejaculation. Inflammation lowers the threshold to withstand sexual impulses, making premature ejaculation a common companion of prostatitis.
Moreover, prostatitis may compress the ejaculatory duct and testicles, interfering with normal semen expulsion and leading to premature ejaculation.
Furthermore, the chronic nature of untreated prostatitis can intensify symptoms after sexual activity, diminishing the quality of sexual experiences for men. This can psychologically predispose men to develop a negative association with sexual activity, further causing premature ejaculation.
How quickly can premature ejaculation manifest after prostatitis onset?
The prostate's position in the urethra is integral to semen storage before ejaculation. Prostatitis can interfere with this process. While mild symptoms may not immediately induce premature ejaculation, severe cases can hasten its onset. The duration of the condition without effective management is directly proportional to the risk of developing uncontrollable ejaculation.
To avert premature ejaculation, it is crucial to address prostatitis promptly. Treatment typically involves antimicrobial drugs, especially quinolones like ciprofloxacin and levofloxacin, administered over a 4-6 week period to ensure adequate drug penetration through the prostate barrier. Continued medication is advised if symptoms improve; otherwise, a switch to alternative sensitive antibiotics is recommended. Alpha-blockers might be prescribed to alleviate urination difficulties and pain, while drugs like celecoxib can be effective for local pain relief.
In cases of recurrent chronic prostatitis, remedies like the Diuretic and Anti-inflammatory Pill are said to deliver the medication directly to the affected area, potentially eradicating inflammation and restoring normal prostate function.
For those with concurrent prostatitis and premature ejaculation, prioritizing prostatitis treatment is key. Additional measures can include using desensitizing agents such as lidocaine or oxybutynin gel to the glans penis. Medications like dapoxetine can regulate central nervous excitation and extend the ejaculation latency. Behavioral therapy might incorporate exercises to bolster pelvic floor muscles and practices to desensitize penile nerves.
In essence, prompt and proactive treatment of prostatitis is essential for preventing sexual dysfunctions such as premature ejaculation, promoting a faster return to health.
