How Serious Is My Cancer
If you have prostate cancer, the doctor will want to find out how far it has spread. This is called the stage of the cancer. You may have heard other people say that their cancer was stage 1 or stage 2. Your doctor will want to find out the stage of your cancer to help decide what types of treatment might be best for you.
The stage is based on the growth or spread of the cancer through the prostate, and if it has spread to other parts of your body. It also includes your blood PSA level and the grade of the cancer. The prostate cancer cells are given a grade, based on how they look under a microscope. Those that look very different from normal cells are given a higher grade and are likely to grow faster. The grade of your cancer might be given as a Gleason score or a Grade Group . Ask your doctor to explain the grade of your cancer. The grade also can helpdecide which treatments might be best for you.
Your cancer can be stage 1, 2, 3, or 4. The lower the number, the less the cancer has spread. A higher number, like stage 4, means a more serious cancer that has spread outside the prostate.
If your cancer hasn’t spread to other parts of the body, it might also be given a risk group. The risk group is based on the extent of the cancer in the prostate, your PSA level, and the results of the prostate biopsy. The risk group can help tell if other tests should be done, and what the best treatment options might be.
Prostate And Prostate Massage: What They Are
The prostate is a very important gland of themale genital system, characterized by a mostly fibrous tissue. Positioned under the bladder and in front of the rectum, it has the task of producing and storing seminal fluid, necessary as nourishment and protection for the spermatozoa generated by the testicles. This liquid is then released with ejaculation or, if in excess, reabsorbed by the gland itself.
In addition to the production of seminal fluid, the prostate also plays a fundamental role in the process of male arousal, stimulating the erection and also influencing the production of hormones. Furthermore, it contributes to sexual pleasure.
Prostate massage refers to a series of techniques, developed already in very ancient times, to stimulate the gland for different purposes. The practice can in fact be chosen in the urological field, for example to manage a swollen and irritated prostate by promoting the release of accumulated fluids, but also simply as a technique for sexual pleasure.
Side View Of The Prostate
The prostate is a walnut-sized gland located between the bladder and the penis. The prostate is just in front of the rectum. The urethra runs through the center of the prostate, from the bladder to the penis, letting urine flow out of the body.
The prostate secretes fluid that nourishes and protects sperm. During ejaculation, the prostate squeezes this fluid into the urethra, and itâs expelled with sperm as semen.
The vasa deferentia bring sperm from the testes to the seminal vesicles. The seminal vesicles contribute fluid to semen during ejaculation.
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Side Effects And Risks
The tissues lining the prostate and rectum are delicate and vulnerable to cuts, tears, and abrasions. Massaging the prostate too intensely can easily lead to soreness. In the study described above, for example, 8.3% of participants reported discomfort after prostate massage.
Overly aggressive prostate massage can also cause rectal bleeding, creating a risk of bacterial infection or aggravating hemorrhoids.
Furthermore, manual prostate massage is discouraged for men with acute bacterial prostatitis. The massage increases inflammation and may promote the spread of bacteria to the urethra, other parts of the urinary tract, and the bloodstream.
That said, a few small studies of the effects of prostate massage performed by a physician have shown it to be beneficial as a therapy for chronic prostatitis when paired with antibiotics.
Choosing Based On Vibrator Or Motor
Next you need to decide what kind of vibration, and therefore motor, youd like.
Sex educator and founder of LeWand, Alicia Sinclair, recommends asking yourself the following questions: broad or targeted ? Patterns or non-stop vibrations?
Here are some great recommendations:
- If you enjoy being stimulated across your vulva, you might enjoy broader vibrations with toys that have a bigger surface area, such as Le Wand Petite.
- If you enjoy only certain parts stimulated, you may enjoy a more targeted vibrator with a smaller surface area, such as the Sona Cruise.
- If you enjoy constant stimulation, youll want a motor that runs consistently, which is luckily most vibrators.
- If you prefer a certain pattern, such as short pulses or a pattern of pauses, youll want a vibrator that offers settings, such as the Laya II.
- If you want the element of vibrating and thrusting, there are some that stimulate penetrative sex, such as the Stronic Surf Pulsator.
You may also want to consider if you want one motor or multiple motors. If youre just starting out, a single motor will do the trick as you discover what exactly you like in your vibrator. Smaller and one-type vibrators often have single motors.
Combo vibrators, such as the Lelo Soraya rabbit vibrator, have two motors that work independently, giving you control over the amount of stimulation you receive internally and externally.
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Why Would My Doctor Refer Me To Have This Procedure
Your doctor might request an MRI of the prostate gland for a number of reasons:
Gene And Protein Expression
About 20,000 protein coding genes are expressed in human cells and almost 75% of these genes are expressed in the normal prostate. About 150 of these genes are more specifically expressed in the prostate with about 20 genes being highly prostate specific. The corresponding specific proteins are expressed in the glandular and secretory cells of the prostatic gland and have functions that are important for the characteristics of semen. Some of the prostate specific proteins, such as the prostate specific antigen , and the Prostatic acid phosphatase.
In the developing embryo, at the hind end lies an inpouching called the cloaca. This, over the fourth to the seventh week, divides into a urogenital sinus and the beginnings of the anal canal, with a wall forming between these two inpouchings called the urorectal septum. The urogenital sinus divides into three parts, with the middle part forming the urethra; the upper part is largest and becomes the urinary bladder, and the lower part then changes depending on the biological sex of the embryo.
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What Are The Risks Of A Prostate Mri
A very small number of people have an allergic reaction to the gadolinium contrast medium. Most reactions are mild, such as a rash or hives .
If you have very poor kidney function, you will not be given contrast medium, as there is a small risk of nephrogenic systemic fibrosis see Contrast Medium: using gadolinium or iodine in patients with kidney problems.
If an endorectal coil is used for the scan, there is also a very small risk of damage to the rectum from the balloon. If you have any concerns, please contact the MRI facility.
What Is Prostate Cancer Screening
The diagnosis of prostate cancer usually follows a biopsy prompted by a significantly elevated initial PSA level, an increase in PSA levels over time, or an abnormal digital rectal examination. According to JAMA, patients with a prostate cancer history benefit from extended PSA monitoring. Elevated PSA levels may help determine when to go in for a prostate MRI and hopefully avoid unnecessary or repeat prostate biopsies.;
The American Journal of Mens Health reports that prostate cancer diagnosis occurs most often in men older than 50. Other factors influencing the rate of prostate cancer are ethnicity and family history. Screening is vital because localized prostate cancer sometimes causes no symptoms or warning signs.
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Descriptions Of The Male Orgasms
Unlike the female orgasm, where a number of competing descriptions for induced orgasms exist , those for the male are limited . Surprisingly, neither Masters and Johnson , Zilbergeld , Margolis , or Bancroft in their books on human sexual arousal mention those obtained from prostate stimulation in the male while even in the book on orgasm by Komisaruk et al. has only a single, very short paragraph of but two sentences.
Who Can Have A Prostate Orgasm
There’s a problematic yet persistent notion out there that you can’t be straight and enjoy butt play. This is falsea complete myth.
Anyone who has a prostate can potentially have a prostate orgasm, regardless of their gender identity or sexual orientation, says Dr. Justin Lehmiller, a research fellow at the Kinsey Institute, host of the Sex and Psychology Podcast, and member of the Men’s Health Advisory Board.
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Questions To Ask The Doctor
- What treatment do you think is best for me?
- Whats the goal of this treatment? Do you think it could cure the cancer?
- Will treatment include surgery? If so, who will do the surgery?
- What will the surgery be like?
- Will I need other types of treatment, too?
- Whats the goal of these treatments?
- What side effects could I have from these treatments?
- What can I do about side effects that I might have?
- Is there a clinical trial that might be right for me?
- What about special vitamins or diets that friends tell me about? How will I know if they are safe?
- How soon do I need to start treatment?
- What should I do to be ready for treatment?
- Is there anything I can do to help the treatment work better?
- Whats the next step?
What To Expect During A Prostate Massage
A prostate massage is a lot like a digital rectal exam . Urologists routinely use DREs to check the prostate for lumps, changes, or other signs of possible cancer. Your doctor may perform a DRE to obtain an expressed prostatic secretion that can be further examined for signs of prostatitis, infection, or other disorders.
During a prostate massage, the person performing the massage will insert a gloved, lubricated finger into your rectum. Theyll gently press on, or massage, the prostate for several minutes. If this massage is painful, tell the person preforming the massage. The massage might be uncomfortable for a few moments, but it shouldnt be painful.
How frequently you have a prostate massage is up to you and your doctor or the treating professional. You can expect to attend several sessions each week for at least a month. Then, you may be able to reduce the number of visits.
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Drugs To Treat Cancer Spread To Bone
If prostate cancer spreads to other parts of the body, it almost always goes to the bones first. These areas of cancer spread can cause pain and weak bones that might break. Medicines that can help strengthen the bones and lower the chance of fracture are bisphosphonates and denosumab. Sometimes, radiation, radiopharmaceuticals, or pain medicines are given for pain control.
Side effects of bone medicines
A serious side effect of bisphosphonates and denosumab is damage to the jaw, also called osteonecrosis of the jaw . Most people will need to get approval from their dentist before starting one of these drugs.
Ejaculation Physiology Anatomy And Dysfunction
Ejaculation is a complex process comprised of two phases: emission followed by expulsion. Following emission, during which time semen collects in the prostatic urethra, the bulbar urethra rapidly distends. Distension of the bulbar urethra triggers the expulsive phase of ejaculation, at which time the semen is rapidly propelled along the penile urethra by contraction of the bulbocavernosus muscle . Closure of the internal urethral sphincter is crucial to antegrade ejaculation, preventing retrograde flow of semen into the bladder.
The complex process of emission and expulsion is coordinated by sympathetic efferent fibers . Spinal cord injuries, as well as peripheral neuropathies, including iatrogenic injury during retroperitoneal and pelvic surgery, can result in partial or complete bladder neck dysfunction . Once bladder neck dysfunction occurs and retrograde ejaculation is noted, medical treatment can be offered to return antegrade flow during expulsion. Other patients may suffer from delayed or complete absence of ejaculation, while the last group of patients may have premature ejaculation .
Dianne M. Creasy, Robert E. Chapin, in, 2013
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So How Do I Find My P
The prostate gland swells when its aroused which means that youll have more luck finding it, and more pleasure from it, if you are already turned on when you start looking.;
Whether youre alone or with a partner, do some other things first like rubbing your nipples, stroking your penis, or watching a little porn.
Start by putting some lube on your fingers and massaging the outside of the anus, then gradually slip one or two fingers inside. To find the P-spot the fingers should be pointing up . Try curling them a little bit like youre making the universal signal for come here. Like we said earlier, you might feel the prostate gland as a small bump.;
Many men say that the first thing they notice when someone pushes on their P-spot is feeling like they;have to pee. This makes sense because the prostate is so close to the bladder. Take it as a sign that youre in the right place, and keep applying pressure, or start gently massaging.
What Happens During A Prostate Mri
You will be asked to change into a hospital gown and lie on a table attached to the MRI machine. A small needle will be inserted into a vein in your arm or hand; this will be used to give the following medications:
Some radiology practices use an endorectal coil as part of the scan. An endorectal coil is a latex balloon with a central tube that contains the coils. It helps to provide high-quality images of the prostate and surrounding area. It is inserted into the rectum and inflated before the scan. It stays in during the scan and is removed when the scan is finished.
Some radiology practices also give an enema before the procedure. An enema is a liquid that is squirted into the rectum via the anus and helps to clear the bowel. Again, this is to provide as high-quality images as possible.
What Is A Prostate Biopsy
There are two main types of prostate biopsies transrectal ultrasound guided biopsies and transperineal biopsies. As the former tends to be more common, well focus on this method.
biopsies use ultrasound guidance with a biopsy tool to snip core samples from the prostate gland. An ultrasound probe and biopsy tool are introduced into the rectum where a biopsy needle penetrates the rectal wall and enters the prostate. The procedure is repeated up to 12 times.
Transrectal prostate biopsies are outpatient or in-office procedures that require only numbing medicine. Passing a needle through the rectum and into the prostate places you at risk of infection. To minimize the risk of infection, urologists commonly prescribe antibiotics beforehand.;
Other complications from prostate biopsies include:
- Blood in urine, semen, and stool
Wait Do Men Really Enjoy P
A lot of biological men of all gender identities and sexual orientations do find direct or indirect pressure on their prostate to be;really pleasurable. Some apprehension is understandable because anal penetration remains taboo, especially for many heterosexual men.
Never do anything that you dont want to. But if youre interested in giving it a try, talk to your partner openly and take it slow. Dont go for finding the P-spot on your first anal expedition.;
Instead experiment with having your partner touch your anus from the outside, and, if it feels good, maybe ask them to insert their finger just a little tiny bit. Or, you might want to do all of this experimentation on your own while masturbating, and then share your discoveries with your partner later.
Either way, always do whats best for you and your partner. Sex is supposed to be fun and intimate and beautiful, remember?;
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