Why People Do It
The prostate is one of the male erogenous zones. An erogenous zone is a highly sensitive area of the body that may generate a sexual response when stimulated.
Prostate milking may be very pleasurable. Because the prostate plays a role in producing semen, stimulating it may produce a more intense orgasm during ejaculation.
Some people practice prostate milking because of its purported health benefits, rather than for sexual stimulation.
The primary benefit of prostate milking is that it feels good. It may make sex more pleasurable and enhance closeness between partners.
There is also limited evidence that prostate massage may improve prostate health. A 2009 preliminary trial of a home prostate massage device found that men with chronic prostatitis or benign prostatic hyperplasia experienced a reduction in symptoms following home prostate massage.
Prostate milking is not usually dangerous. However, a very aggressive technique could, in theory, cause minor injury to the skin or rectum.
Also, prostate massage, especially when it is intense or forceful, could be painful.
Prostate massage also presents a small risk of prostate infection. If a person massages the prostate with dirty hands, this could introduce bacteria into the area. Similarly, bacteria from the rectum can travel elsewhere if a person does not wash their hands thoroughly after a prostate massage.
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.
How To Check Your Prostate
This article was co-authored by Robert Dhir, MD. Dr. Robert Dhir is a board certified Urologist, Urological Surgeon, and the Founder of HTX Urology in Houston, Texas. With over 10 years of experience, Dr. Dhirs expertise includes minimally-invasive treatments for enlarged prostate , kidney stone disease, surgical management of urological cancers, and mens health . His practice has been named a Center of Excellence for the UroLift procedure, and is a pioneer in non-surgical procedures for ED using his patented Wave Therapy. He earned his undergraduate and medical degrees from Georgetown University and was awarded honors in pre-medical studies, urology, orthopedics, and ophthalmology. Dr. Dhir served as chief resident during his urological surgical residency at University of Texas at Houston / MD Anderson Cancer Center in addition to completing his internship in general surgery. Dr. Dhir was voted Top Doctor in Urology for 2018 to 2019, one of the top three Best Rated Urologists in 2019 & 2020 for Houston Texas, and Texas Monthly has named him to the 2019 & 2020 Texas Super Doctors Rising Stars list.wikiHow marks an article as reader-approved once it receives enough positive feedback. This article has 11 testimonials from our readers, earning it our reader-approved status. This article has been viewed 1,025,150 times.
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How Do You Prepare To Give A Prostate Massage
When it comes to sex, there are two kinds of safety: physical and psychological. Psychological safety starts with permission, Hong explains. Prostate stimulation is not something you surprise withit takes some preparing, Lexx Brown-James, Ph.D., L.M.F.T., tells SELF. That means bringing it up verbally before getting down to business. A simple You know, theres something Ive been really excited about trying… can help start the conversation, Brown-James says.
If you and your partner both agree to try it, youll also need to account for physical safetywhich boils down to avoiding anal trauma. So it might be helpful to learn a few best practices before you talk to your partner, TBH. This way you can discuss any concerns they or you might have.
The first step in safe prostate play is washing your hands with good old soap and water. You can use these handy instructions from the Centers for Disease Control and Prevention . As you probably know from the new coronavirus pandemic, keeping your hands clean is one way to avoid spreading germs on your hands to the eyes, nose, or mouth. Its also a good time to mention that you dont need any special antibacterial soap for this. As SELF has previously reported, tried-and-true hand soap will do the trick.
How The Giver Should Prepare
If youre the one planning to do the fingering, there are some things youll need to do in preparation. The simple, but most important ones are to make sure your nails are trimmed and youre not wearing any jewellery, like rings. This is not just for your benefit but for theirs too.
The anus needs a little more care than fingering a vagina. This is because, although its perfectly safe to explore anal play, the lining of the anus is more delicate and susceptible to injury. Trimming nails and removing jewellery reduces the risk of internal scratches.
Also, check your fingers over to make sure you dont have any scratches or cuts, yourself. Even with proper prep, all sex involves a transfer of bacteria, and this is even more likely with anal play. Trust me, you really dont want to get anything nasty in an open wound.
Some people also like to create a barrier between their finger and their partners anus by using a condom or a small latex sheath called a finger cot. It is by no means necessary to do this, but it can be beneficial for a few reasons.
Firstly, if the giver does have a cut on their hand, this is a great way of protecting it from any nasties. Secondly, youre going to need a long-lasting lube for this sort of play as the anus doesnt self-lubricate like a vagina. The best lubricant to use is a thick water-based anal lube, but this can begin to absorb into your skin as you play, which leads to needing to stop to apply more lube.
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Where Is The Prostate Located
The prostate is in the middle of the pelvis just about two inches in and toward the belly. It is about two to three inches in the male rectum. The prostate gland size is similar to that of the walnut and chestnut. Its weight is between 20 grams to 30 grams.
Image 1: The male reproductive system with emphasis of the prostate gland.Picture Source: img.webmd.com
Picture 2: A comparison image between a normal/healthy prostate and prostate cancer.Photo Source: www.mvpchiro.com
Image 4: A comparison image of a healthy and inflamed prostate.Picture Source: www.sweet-cures.com
What Was Your First Prostate
Fred: I didnt expect it, so it was a very new sensation. It was like feeling someone lighting a fire in my feet and feeling it slowly spread all the way up my body. Slowly moving through my torso and making me shiver. I was in shock!
Alan: My first prostate-induced orgasm felt like an out of body explosion. My head was dizzy for like a minute afterward, and I had this absolutely incredible rush of nothing but pleasure. Needless to say, I was hooked and wanted to keep going.
Evan: My first prostate induced orgasm was because of a prostate toy I bought a few years ago. I never had one before using it. It was pretty hot because the toy got me really close to ejaculating without touching my dick. Then all it took was a little stroke, and I shot everywhere.
Drew: I remember the first time pretty vividly. I was having sex with a fuckbuddy and they repositioned me on my back with my legs up on their shoulders. They started pounding away at my hole and must’ve found just the right angle or something because a whole new wave of pleasure and sensation came over me. I’ve never looked back since.
It was heaven. I almost didn’t understand what was happening. That there could be so much sensation, throughout every inch of my body, was brand new to me.
Ryan: The first time I realized I liked it up the butt and really hit my prostate myself was when I was 16. I got my first vibrator and really went to town on my own ass.
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How Does The Doctor Know I Have Prostate Cancer
Prostate cancer tends to grow slowly over many years. Most men with early prostate cancer dont have changes that they notice. Signs of prostate cancer most often show up later, as the cancer grows.
Some signs of prostate cancer are trouble peeing, blood in the pee , trouble getting an erection, and pain in the back, hips, ribs, or other bones.
If signs are pointing to prostate cancer, tests will be done. Most men will not need all of them, but here are some of the tests you may need:
PSA blood test:;PSA is a protein thats made by the prostate gland and can be found in the blood. Prostate cancer can make PSA levels go up. Blood tests will be done to see what your PSA level is and how it changes over time.
Transrectal ultrasound :;For this test, a small wand is put into your rectum. It gives off sound waves and picks up the echoes as they bounce off the prostate gland. The echoes are made into a picture on a computer screen.
MRI:;This test uses radio waves and strong magnets to make detailed pictures of the body. MRI scans can be used to look at the prostate and can show if the cancer has spread outside the prostate to nearby organs.
Prostate biopsy:;For a prostate biopsy, the doctor uses a long, hollow needle to take out small pieces of the prostate where the cancer might be. This is often done while using TRUS or MRI to look at the prostate. The prostate pieces are then checked for cancer cells. Ask the doctor what kind of biopsy you need and how its done.
What Is Advanced Prostate Cancer
When prostate cancer spreads beyond the prostate or returns after treatment, it is often called advanced prostate cancer.
Prostate cancer is often grouped into four stages.
- Stages I & II: The tumor has not spread beyond the prostate. This is often called early stage or localized prostate cancer.
- Stage III: Cancer has spread outside the prostate, but only to nearby tissues. This is often called locally advanced prostate cancer.
- Stage IV: Cancer has spread outside the prostate to other parts such as the lymph nodes, bones, liver or lungs. This stage is often called advanced prostate cancer.
When an early stage prostate cancer is found, it may be treated or placed on surveillance . If prostate cancer spreads beyond the prostate or returns after treatment, it is often called advanced prostate cancer. Stage IV prostate cancer is not curable, but there are many ways to control it. Treatment can stop advanced prostate cancer from growing and causing symptoms.
There are several types of advanced prostate cancer, including:
If your Prostate Specific Antigen level has risen after the first treatment but you have no other signs of cancer, you have “biochemical recurrence.”
Castration-Resistant Prostate Cancer
Non-Metastatic Castration-Resistant Prostate Cancer
Metastatic Prostate Cancer
- Lymph nodes outside the pelvis
- Other organs
Metastatic Hormone-Sensitive Prostate Cancer
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Any Final Tips To Remember Or Things To Avoid
Lets do a quick recap, shall we?
Stimulating the prostatea walnut-size gland inside the male pelviscan feel really, really good thanks to the many nerve endings in the anus and surrounding area.
Because the anal lining and anus are very sensitive, prostate massages do come with risks like pain and tearing. Its essential to prepare beforehand, first by communicating what you and your partner are and arent comfortable with.
You also need to prepare physically by doing things like washing your hands, slipping on latex gloves if you want, taking deep breaths, and engaging in some foreplay.
If youre using your fingers to give a prostate massage, you can try applying firm yet gentle area to the perineum, that bit of skin between the testicles and anus, and experiment from there.
Lube is a must before any anal penetration occursbut leave the numbing agents out of it.
Only use sex toys that have a flared base for anal play.
Treatment Choices For Prostate Cancer That Has Spread
If your prostate cancer has spread to other parts of your body, it cannot be cured. But it can be controlled by lowering the level of testosterone in your body with;hormone therapy. You can have hormone therapy as
- Tablets you take each day
- Injections each month or every 3 months or 6 months.
- Tablets for a few months, then a break, followed by more tablets, and so on
Another way of reducing testosterone levels is removing the testicles. This is called surgical castration or orchidectomy. It quickly lowers the testosterone levels and can control the cancer very well.
Orchidectomy or hormone therapy can control the cancer for a few years in many men. When the cancer starts to develop again, your doctors may suggest treatment with;chemotherapy;or;steroids. These can control or shrink the cancer for some time. Chemotherapy can work well at controlling advanced prostate cancer in some men.
If your cancer has spread to your bones and is causing you pain, your specialist may suggest radiotherapy to the affected areas of bone.;Radiotherapy for bone pain;can work very well to strengthen the bone and relieve pain. The damaged bone begins to repair itself after radiotherapy treatment.;Bisphosphonate treatment;can also reduce bone pain and help to reduce the risk of bone fracture.
For more information on Thrombosis which may occur during / after chemo click here
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Clinical Relevance Prostatic Carcinoma
Prostatic carcinoma represents the most commonly diagnosed cancer in men, especially in countries with high sociodemographic index. The malignant cells commonly originate from the peripheral zone, although carcinomas may arise from the central and transition zones too. It is still debatable that the latter tumors may present with lower malignant potential.
However the proximity of the peripheral zone to the neurovascular bundle that surrounds the prostate may facilitate spread along perineural and lymphatic pathways, thus increasing the metastatic potential of these tumors. Malignant cells may invade adjacent structures and/ or lymphatic and blood vessel routes to give distant metastases. Prostate carcinoma also commonly spreads via the Batson venous plexus to the vertebral bodies and cause skeletal metastases.
A DRE may reveal a hard, irregular prostate gland. In most cases the serum PSA values will be increased. However, due to the peripherally-advancing tumor, symptoms may be minimal, as obstruction occurs usually at late stages. One should also keep in mind that the high incidence of prostate carcinoma is found in elderly men, who may already have symptoms due to BPH.
Fig 4 Prostate cancer has the potential to invade nearby structures.
Tests Used To Check The Prostate
This first step lets your doctor hear and understand the “story” of your prostate concerns. You’ll be asked whether you have symptoms, how long you’ve had them, and how much they affect your lifestyle. Your personal medical history also includes any risk factors, pain, fever, or trouble passing urine. You may be asked to give a urine sample for testing.
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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.
Questions You May Want To Consider Asking Your Doctor Include:
- What type of prostate problem do I have?
- Is more testing needed and what will it tell me?
- If I decide on watchful waiting, what changes in my symptoms should I look for and how often should I be tested?
- What type of treatment do you recommend for my prostate problem?
- For men like me, has this treatment worked?
- How soon would I need to start treatment and how long would it last?
- Do I need medicine and how long would I need to take it before seeing improvement in my symptoms?
- What are the side effects of the medicine?
- Are there other medicines that could interfere with this medication?
- If I need surgery, what are the benefits and risks?
- Would I have any side effects from surgery that could affect my quality of life?
- Are these side effects temporary or permanent?
- How long is recovery time after surgery?
- Will I be able to fully return to normal?
- How will this affect my sex life?
- How often should I visit the doctor to monitor my condition?
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