Any healthy man can develop prostatitis; no one is immune.Even astronauts and athletes with ideal lifestyles are in the "danger zone."Understanding the symptoms will help you detect prostatitis promptly and begin treatment.
urinary tract disease
The urethra, the urethra, passes through the prostate.One of its functions is to control the flow of urine, opening and closing the outlet of the bladder.Therefore, when the prostate becomes irritated or inflamed, urinary problems often occur.
increased or decreased impulsivity
The symptoms of prostatitis are an increase in the frequency of urinary urgency and a decrease in partial urine output.Simply increasing the frequency of urges for the same portion size and volume can be normal (I just started drinking more fluids) or it can be a sign of a condition like diabetes or non-sugar diabetes.That is, the total amount of urine produced per day increases dramatically, so people run to the toilet more frequently.Usually, this happens when eating watermelon.The portion of urine is large or large.
However, if the same amount of urine is excreted in a day, but distributed in 10 to 30 toilet visits, then of course the size of each one will be several times smaller.In women, cystitis can be observed, and in men, prostatitis or urethritis, as well as any irritation of the urinary tract, including inflammation.This symptom can be fairly constant or fluctuate.If the irritant temporarily reduces its effect, such as when inflammation subsides.For chronic prostatitis, this does not mean recovery, but improvement.This is important in a diagnostic sense
Reduced urinary flow
A weak urine stream is an important symptom characteristic of prostate problems.Usually it is caused by two main diseases.Prostatic adenoma (hyperplasia) and prostatitis.It's easy to distinguish them.Typically, adenomas appear in older people, while prostatitis is more common in younger, active men.Regardless, this is a symptom that warrants examination of the prostate rather than other organs.Exceptions are rare (stones, urethral stricture).
The dependence of urinary flow intensity on glandular effects is specific.Due to ejaculation, intercourse, or lack of intercourse.due to walking or sitting for long periods of time.For violating or following dietary habits.
unpleasant feeling
Very typical is not only an increased frequency of urination, but also an unpleasant sensation during urination.For example, when eating watermelon, you can run to the toilet every 10-15 minutes, but the feeling is quite pleasant and satisfying.But prostatitis can leave you with a very unpleasant, "compulsive" urge to go to the bathroom.This brought relief—but it was rather short-lived.At night, the urge occurs more frequently and is often more unpleasant.This can interfere with sleep and is often one of the main complaints.
Urine volume
Decreased urine volume.This is due to the stimulating effect of inflammation of the prostate and the increased sensitivity of the urinary tract in inflammatory conditions.Allergies - Feeling like a lot of urine has accumulated in the bladder, "half a bucket" - but there is actually 30-100 ml.
Serving sizes may vary.With more fluid, urinary tract irritation decreases as the urine becomes more dilute.It turns out it's a paradox - a person drinks more fluids but makes fewer trips to the bathroom due to the increased portion size.
sharp and urgent urge
Imperative (sharp) impulsivity - more common during exacerbations or with age.They can force a person to refuse to travel, or to walk "from toilet to toilet" on their own.In severe cases, this can result in men needing to wear diapers.On the one hand, the flow of urine becomes weak, and on the other hand, when you feel the urge to pee, you have to go to the toilet.No matter what the cost.
It's almost impossible to "suffer" the urge
urine dripping
There is always some urine left after urinating.“No matter how hard you shake your penis, the last one will be in your panties” – popular wisdom.But the point is 1-2-3 drops of urine, no more.Anything significantly above this normal value is typical of male urinary tract problems but is not always characteristic of prostatitis.
This also includes a completely different symptom - urethral discharge.Sometimes they are difficult to distinguish and require additional analysis.More often than not, secretions do not depend on urination, are more viscous than urine, can be light, colored, clear and cloudy... They require mandatory analysis to identify the cause.It can be a sign of prostatitis and urethritis or an STD.
pain
Just as a sore throat can cause pain in the lower abdomen, perineum, groin, lower back, or sacrum, prostatitis can also cause pain.
Where does it hurt and how does it hurt?
The pain can also "radiate" into the scrotum, legs, and sometimes the abdomen to the level of the belly button or even higher.What matters to us is the nature of these pains, their connection to other symptoms and external causes.
when and why they appear
Links to lifestyle, sedentary work, ejaculation, or abstinence can make you almost rule out prostatitis, or make it more likely to be suspected.Therefore, persistent pain independent of these causes is more commonly a manifestation of a "neuropathic" cause, such as CPPS, chronic pelvic pain syndrome.But the pain that occurs after ejaculation lasts for hours or days.Or conversely, it disappears hours or days after ejaculation - it's most likely related to prostatitis.
duration
Any.Duration may depend on the severity of exacerbations and other concomitant illnesses.For example, depression can cause persistent, severe pain even with mild prostatitis.Painless prostatitis can mask the disease, possibly for many years.
In other words, the disease and its severity cannot be judged based on this symptom alone.
What makes it better or worse?
This is what doctors worry about most.
The location, nature, or duration of pain can vary widely for the same disease.However, the dependence of this condition on ejaculation, sedentary work or walking, excessive excitement, cooling or spicy food, can very accurately help us to determine the diagnosis itself and the direction of treatment and preventive measures so that chronic prostatitis can actually be recovered.
Heart, back, and other organ pain
The prostate is a small organ in the pelvis.But its inflammation affects the entire body.
The first mode of influence is intoxication.As with any severe inflammation, such as the flu, the entire body or large parts of it will be injured.Likewise, prostatitis can take a toll on the body and lead to worsening of the condition.
The second mechanism of pain in distant areas (head, heart, ribs, legs) is neuropathic.Along the nerves and spine, pain can "radiate" to fairly distant areas of the body and even form "secondary" inflammation foci.For example, in the lumbosacral region.From there, the pain can "radiate," to the thoracic and cervical spine, to the legs, and pretty much anywhere.
erection problems
"Official" erections should not be affected by inflammation of the prostate.She also has other developmental mechanisms that are not directly related to a man's "second heart."In reality, however, erections are compromised.At least during exacerbations.There are likely several mechanisms involved - ranging from direct effects of inflammation in nearby organs on the "turning on" of the penis - to indirect regulatory mechanisms, similar to the weakening and slowing of erections during prolonged abstinence in adult men (certainly not teenagers).
Fortunately, this type of erectile dysfunction is well and reliably treated.Unless there are psychological factors.Men with mild prostatitis experience a slight decrease in erectile function.He began to worry, listening to the sounds of his penis - the neurosis had essentially destroyed his erections completely.This is the third and most serious mechanism by which prostatitis affects erections.
Ejaculation disorders
Ejaculation refers to the process of sperm being ejected from the penis at the end of sexual intercourse.Performed by the muscles of the pelvic floor and prostate.More common symptoms are a weakening of this release, a reduced "range" and a shortened intercourse.Sometimes, or temporarily - intercourse may be prolonged and the man cannot "ejaculate" in any way.
Sperm ejection force
When a muscle weakens, its function and effect are diminished.As the composition of semen and sperm changes, so does the force of ejaculation.
This is important for three reasons.The first is one of the most accurate signs of prostate damage.Almost all other manifestations and symptoms can occur in other diseases.But the weakening of secretions is characteristic, especially of prostatitis.
The second reason.Reduced prostate secretion after intercourse is a factor in worsening prostate conditions, leading to POIS (Post-Orgasmic Discomfort Syndrome).
During treatment, men with POIS report that their condition worsens due to weak, ineffective sperm output.The opposite is also true—more and more people are saying that high-quality ejaculation does not cause POIS symptoms.Not 100%, but very likely.Third, this may be a major factor preventing men from curing prostatitis without medical procedures.Once the sperm release force returns to normal, the "self-cleaning" of the prostate, the main mechanism for maintaining male health, is activated.
Feeling fuzzy
Instead of experiencing vivid orgasms, men feel like "peeing in boiling water" or "barely feeling anything at all."
The intensity of the sensation may fluctuate and can also serve as a fairly accurate signal of prostate problems, or the beginning of improvement.
Color, quantity, and consistency of semen
One of the important objective parameters related to the prostate and prostatitis.Typically, a sperm analysis is performed simply to determine fertility and chances of conception.However, semen analysis provides a wealth of information about the condition of the prostate.Therefore, the color of sperm and semen is usually milky and cloudy.The consistency is medium and must have "stickiness," the stretchability of a drop of sperm into a thread.The smell is unique, without any rotten, pus-like smell mixed in with it.
If any changes in these parameters have not yet been diagnosed, urgent examination and treatment are required - for example, when prostatitis has been diagnosed.
Color (bright white, yellowish, and green) indicates the presence of impurities in the sperm, often of an inflammatory, purulent nature.
Transparency indicates decreased prostate function.And there will almost certainly be very few "lecithin granules" present on microscopic analysis, indicating a decrease in the function of this particular organ, although not necessarily due to inflammation.
The amount can vary or fluctuate normally, depending on the rhythm of your sex life.A steady decrease or increase in sperm count can cause alarm.Perhaps this is a sign of "blockage" in some of the prostate tubules, or simply a decrease in ejaculate volume.
Although not 100%, it is a typical symptom of chronic prostatitis.
Hematospermia
Let's consider separately hematospermia - sperm mixed with blood.It may be evident by the eyes alone, more commonly it is vascular damage, stone inflammation, cancer, and finally trauma.The blood can be bright red or old, dark venous blood.Regardless, this requires urgent semen analysis and other tests.
Semen is also mixed with a small amount of blood - microhematosperm.Usually occurs during an exacerbation of prostatitis, which is accompanied by an increase in the number of white blood cells.Sometimes this option can be perfectly cured by strengthening the body.Many urologists, just in case, prescribe multivitamin preparations during a good course of treatment, usually together with zinc, selenium, etc.
This is similar to bleeding gums.Loose, inflamed gums often bleed.When the inflammation is eliminated and the gums are strengthened, the mixture of blood will of course disappear.If you know the cause of blood in your semen, you don't need to worry about this symptom.
loss of libido
A very important symptom.Officially, it also shouldn't occur with prostatitis.In practice, two mechanisms are usually involved.
The first is poisoning.With any inflammation, from the flu to a sore throat, sex drive and libido can be reduced.The body sets its sights on other tasks.
Secondly, perhaps the libido is affected by phenomena similar to those of Tarkhanov and Belov.The symptom is non-specific, it can also occur, for example, with a background of depression, it can occur with any chronic disease, and even without a chronic disease.But combined with other performance, we believe this decline is important and significant.Including affecting the prospects for recovery.If this problem is not solved, resulting in a loss of sexual desire in men, it will be difficult to cure prostatitis.Reduction can lead to increased risk of sexual irregularity, pelvic stagnation, and exacerbations.
Other indirect signs
Weakness, drowsiness, sweating
Often, these are just symptoms of intoxication.Like chronic pharyngitis, bronchitis, etc.Usually these symptoms do not bother you, but even a slight worsening of the overall condition can occur; there is a fairly clear proportion between the intensity of inflammation and the degree of sweating, weakness and apathy.As the condition improves, these symptoms will disappear.This problem is not unique to prostatitis at all.But it helps, for example, to assess the intensity of the exacerbation.
Headache and dizziness
Dizziness and migraines may occur immediately after activity or a day or two later.They are "vegetative" reactions that often accompany exacerbations of prostatitis and are more common in people who are prone to vascular reactions.Of course, this is a non-specific symptom.Perhaps dozens or even hundreds of other conditions can be treated.But we'll definitely take that into consideration.Of course, we can remove it during treatment.