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Why Do Chronic Prostatitis Risks Matter to Both Men and Women?

The prostate gland holds a critical role in the male reproductive system, underscoring the importance of comprehending the repercussions of chronic prostatitis for both men and their partners. This condition, characterized by inflammation, can lead to a wide range of complications, varying from localized discomfort to more severe conditions like tumors and uremia.

Understanding the significant risks associated with chronic prostatitis is paramount for both men and women.

1. Diminished Quality of Life

Following an inflammatory reaction in the prostate region, individuals may experience various discomforting symptoms due to inflammatory triggers. These symptoms include swelling and pain in areas such as the lumbar sacrum, perineum, and testicles, as well as noticeable issues like frequent or incomplete urination. This array of symptoms can easily trigger emotional distress in patients, thereby affecting their ability to function normally in daily life and work.

2. Sexual Dysfunction

Untreated prostatitis can worsen symptoms post-marriage, directly impacting marital quality. This can lead to stress reactions, potentially resulting in sexual performance difficulties such as impotence and premature ejaculation.

3. Fertility Challenges

The long-term effects of prostatitis can cause significant changes in prostate fluid composition. This can not only impair the prostate's normal secretion function but also affect semen liquefaction time, reduce sperm vitality, and potentially contribute to male infertility.

4. Renal Complications

Untreated prostatitis in males can lead to prostatic hyperplasia, which may compress the bladder outlet and obstruct complete urine discharge, resulting in residual urine. This residual urine fosters a favorable environment for bacterial growth, increasing the likelihood of urinary tract infections. If left untreated, this can progress to conditions like pyelonephritis and hydronephrosis, eventually leading to nephritis and potentially causing uremia.

5. Endocrine Disruption

Typically, the prostate secretes various active compounds. However, prostatitis can disrupt endocrine balance, leading to neurasthenia, mental disorders, and other abnormal reactions. These manifestations often include physical fatigue, cognitive impairment, and other symptoms.

6. Transmission to Partners

During sexual intercourse, pathogenic microorganisms present in prostatic fluid can be transmitted to female partners through semen, leading to gynecological inflammation. Bacteriological examinations often reveal a variety of bacteria, fungi, mycoplasma, chlamydia, and even trichomonas in the prostate fluid of affected individuals. These pathogens can induce cervical inflammation, vaginitis, and in severe cases, pelvic inflammatory disease.

7. Increased Tumor Risk

Prostatitis affects approximately 50% of men and may increase the likelihood of tumor formation. Normally, prostate fluid contains anticancer substances that help inhibit tumor growth. However, in individuals with prostatitis, the concentration of these substances is significantly reduced, thereby increasing the risk of tumor development.

Early clinical assessment is crucial for determining the appropriate treatment approach, which may include:

1. Medication: Non-steroidal anti-inflammatory drugs can alleviate symptoms, while traditional Chinese medicine like the Diuretic and Anti-inflammatory Pill offers additional benefits in enhancing immunity and preventing recurrence.

2. Surgical Intervention: Surgery may be necessary for chronic bacterial prostatitis that recurs frequently. Procedures like prostatectomy or transurethral resection of the prostate (TURP) can be considered, with the latter being particularly beneficial for addressing prostate duct infections.

3. Prostate Massage and Thermotherapy: These traditional methods can promote drainage, increase medication effectiveness, and provide relief from symptoms.

4. Physical Therapy: Various physical modalities such as microwave and hot sitz baths can help relax the prostate and pelvic floor muscles, reducing pain and enhancing antibacterial efficacy.

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