What Causes Chronic Prostatitis/chronic Pelvic Pain Syndrome
Chronic prostatitis/CPPS is a persistent discomfort or pain that you feel in your lower pelvic region – mainly at the base of your penis and around your anus. It is usually diagnosed if you have had pain for at least three months within the previous six months. The cause of this type of chronic prostatitis is not fully understood.
Who Is At Risk For Prostatitis
Although any man can develop prostatitis at any age, there are some conditions that put a man at greater risk for developing this condition, including the following:
Recent bladder, urinary tract, or other infection elsewhere in the body
Injury or trauma to the perineum
Abnormal urinary tract anatomy
Recent procedure involving the insertion of a urinary catheter or cystoscope
Help With Your Symptoms
Nonsteroidal anti-inflammatory drugs , such as ibuprofen or naproxen, may help with pain or discomfort. Ask your doctor if you can take these.
Warm baths may relieve some of your perineal and lower back pain.
Avoid substances that irritate the bladder, such as alcohol, caffeinated beverages, citrus juices, and acidic or spicy foods.
Drink plenty of fluids, 64 or more ounces per day, if your doctor says this is OK. This helps flush bacteria from the bladder. It can also help prevent constipation.
To reduce discomfort with bowel movements, you may also:
- Get some exercise every day. Start slowly and build up at least 30 minutes a day.
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What Is The Length Of Prostatitis Flare Ups
Our urinary system is a remarkable system. It filters our blood for toxins. It maintains the electrolytes sodium and potassium in our body and excretes waist. This important system consists of bladder, kidneys, ureters and urethra.
In men this would also include the prostate, since urine runs through it. Its this small organ that causes men to have so many urinary difficulties like prostatitis, benign prostate hyperplasia and prostate cancer.
So what are the different types of prostatitis? What causes them to occur? What treatment options are available and how long does it take? You will find answers to all these questions in the paragraphs below.
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Can Prostatitis Come Back
Men who have had prostatitis once are more likely to get it again. Antibiotics may not get into the prostate gland well. Small amounts of bacteria might hide in the prostate and not be killed by the antibiotic. Once you stop taking the antibiotic, the infection can get bad again. If this happens, you might have to take antibiotics for a long time to prevent another infection. Prostatitis that is not caused by infection is often chronic. If you have this kind of prostatitis, you might have to take medicine for a long time.
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How Long Can Prostatitis Last Untreated
An inflammation or infection of the prostate gland is called asprostatitis, this is a common disease influences men in range age area from 20s to 50s, this disease can be divided into three forms, each form has different signs and causes. Prostatitis cannot be cued naturally and may arise many complications involve male’s urology and reproductive system.
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Who Is More Likely To Develop Prostatitis
The factors that affect a mans chances of developing prostatitis differ depending on the type.
Chronic prostatitis/chronic pelvic pain syndrome. Men with nerve damage in the lower urinary tract due to surgery or trauma may be more likely to develop chronic prostatitis/chronic pelvic pain syndrome. Psychological stress may also increase a mans chances of developing the condition.
Acute and chronic bacterial prostatitis. Men with lower UTIs may be more likely to develop bacterial prostatitis. UTIs that recur or are difficult to treat may lead to chronic bacterial prostatitis.
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How Long Does It Take For Antibiotics To Work For Prostatitis
Antibiotics are prescribed in most cases of prostatitis. If you have prostatitis symptoms and recently started antibiotic therapy, you probably wonder when you are getting better.
The answer to what happens after being diagnosed and treated depends on the type of prostatitis. Thus, lets consider each one separately :
How Will Your Doctor Diagnose A Prostate Infection
A prostate infection diagnosis is based on your medical history, a physical exam, and medical tests. Your doctor can also rule out other serious conditions such as prostate cancer during the exam. During a physical exam, your doctor will conduct a digital rectal exam to test your prostate and will look for:
- enlarged or tender lymph nodes in the groin
- swollen or tender scrotum
Your doctor may also ask about your symptoms, recent UTIs, and medications or supplements youre taking. Other medical tests that can help your diagnosis and treatment plan include:
- urinalysis or semen analysis, to look for infections
- a prostate biopsy or a blood test for prostate-specific antigen
- urodynamic tests, to see how your bladder and urethra store urine
- cystoscopy, to look inside the urethra and bladder for blockage
Your doctor may also order an ultrasound to get a closer look. The cause will help determine the correct course of treatment.
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Is It Hard To Achieve A Prostate Orgasm
As Lehmiller notes, there is limited research on prostate orgasms, so personal experimentation is important.
That trial and error process can be time-consuming. Some prostate owners achieve the big O on the first go-around, while others have to have a bit of practice before finding what works, Saynt says. It also doesnt help that some prostate owners feel ashamed or less manly when partaking prostate play: The internalized shame and feelings of inadequacy could cause mental blocks which prevent the free release of the natural sex drugs our brains release when we are at our most heightened sense of pleasure,” he says. “This fear is a trauma which many men will never get past, making enjoyable and healthy practices like prostate orgasm impossible.
Thus, its important for partnersespecially vulva-ownersto be supportive. If you’re helping your partner achieve a prostate orgasm for the first time, take it slow dont use toys or fingers until your partner is ready, and have frequent conversations with your partner about what they do and do not like. You can even ask them to demonstrate how they masturbate with their prostate.
How Is Acute Prostatitis Diagnosed
Your doctor will likely start by asking questions about your medical history. Theyll also conduct a physical examination.
Theyll probably conduct a digital rectal examination . During this procedure, theyll gently insert a gloved and lubricated finger into your rectum. Your prostate is located in front of your rectum, where your doctor can easily feel it. If you have acute bacterial prostatitis, it will likely be swollen and tender.
During a DRE, your doctor may also massage your prostate to squeeze a small amount of fluid into your urethra. They can collect a sample of this fluid for testing. Laboratory technicians can check it for signs of infection
Your doctor may also feel the lymph nodes in your groin, which may be enlarged and tender.
They may also conduct or order additional tests, such as:
- a blood culture to rule out bacteria in your blood
- a urinalysis or a urine culture to test your urine for blood, white cells, or bacteria
- a urethral swab to test for gonorrhea or chlamydia
- urodynamic tests to learn if you have problems emptying your bladder
- a cystoscopy to examine the inside of your urethra and bladder for signs of infection
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Chronic Pelvic Pain Syndrome
CPPS is the most common type of prostatitis around 19 out of every 20 men with prostatitis have it. You might also hear it called chronic non-bacterial prostatitis, chronic abacterial prostatitis or prostate pain syndrome. Chronic means long-lasting.
Men with CPPS usually have symptoms for three months or longer. Even after treatment, you may still have prostatitis for a long time. It might come and go, causing occasional episodes of severe pain, sometimes known as flare-ups.
What causes it?
Nobody knows for certain what causes CPPS. Unlike other types of prostatitis it isnt usually caused by a bacterial infection. There could be a number of causes, which makes it difficult to diagnose and treat.
There are also a number of things that might trigger it, including:
- urine getting into the prostate
- previous infections in or around the prostate
- an infection that doesnt show up in tests
- problems with nerves, so that they send pain signals to the brain even when theres nothing physically wrong
- stress, anxiety or depression
- problems with the pelvic floor muscles .
Some research shows a link between stress, anxiety and depression and CPPS. But this doesnt mean that CPPS is all in your head. If youre feeling stressed or depressed, this may cause physical symptoms that trigger CPPS, or make symptoms worse.
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What Triggers Prostatitis
Prostatitis can be caused by bacteria that leak into the prostate gland from the urinary tract and from direct extension or lymphatic spread from the rectum. It can also result from various sexually transmitted organisms such as Neisseria gonorrhoeae, Chlamydia trachomatis, or HIV.
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Eating Diet And Nutrition
Researchers have not found that eating, diet, and nutrition play a role in causing or preventing prostatitis. During treatment of bacterial prostatitis, urologists may recommend increasing intake of liquids and avoiding or reducing intake of substances that irritate the bladder. Men should talk with a health care provider or dietitian about what diet is right for them.
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What Are The Complications Of Prostatitis
Men with acute bacterial prostatitis may develop . This widespread inflammation can be life-threatening. It requires immediate medical treatment.
Antibiotics can cause an upset stomach. Men with chronic bacterial prostatitis may need lots of antibiotics to treat recurring infections. Some people develop antibiotic resistance, making treatment ineffective.
Asymptomatic inflammatory prostatitis can lower sperm count, affecting fertility.
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How Long Does It Usually Take To Treat Prostatitis
Treatment cycle of acute prostatitis is shorter than that of chronic prostatitis. As we know, chronic prostatitis is a chronic inflammation which is caused by specific and non-specific infection in prostate. Systematic symptoms occur usually. Time to treat chronic prostatitis can be affected by three aspects mainly:
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There Are Four Types Of Prostatitis
Chronic prostatitis/chronic pelvic pain syndrome is the most common type of prostatitis, but isnt caused by an infection. Instead, it is caused by inflammation in the prostate and irritation of the surrounding nerves. Symptoms include difficulty urinating, painful ejaculation, and pain in the bladder, testicles and penis.
Chronic bacterial prostatitis is a relatively uncommon form of prostatitis that can last for a long period of time. Diagnosis requires a culture of urine and prostate fluid. Symptoms include a burning sensation during urination, painful ejaculation, and pain in the bladder, testicles and penis.
Acute bacterial prostatitis requires a urine test to determine if bacteria is responsible for the sudden onset of fever, chills, painful burning during urination and difficulty draining the bladder.
Asymptomatic inflammatory prostatitis is not caused by an infection and does not have any symptoms. It is caused by inflammation in the prostate, and may be found during a health check for another issue.
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What Does A Prostate Orgasm Feel Like
Sex should not be painful, and that goes for working toward a prostate orgasm. With lots of lube and patience, the most you should feel is a little discomfort until your body familiarizes itself with the sensation of prostate stimulation, Play says.
Once you get to the climax, the feeling of a prostate orgasm can be other-worldly. “It feels more like a full-body orgasm, and is very different from the kind youve had from penile stimulation,” Play says. Pretty powerful, eh?
Unlike penile orgasms, prostate orgasms don’t come with a refractory period, making them ideal for penis-owners who want to experience multiple orgasms. “To my surprise, what Ive found is that after I have a prostate orgasm, my penis stays hard and is still responsive to sexual stimulation,” Play says. “If you continue to masturbate by touching your penis, you can immediately have another orgasm. Eventually, you can have more and more orgasms. So, all in all, I think that prostate orgasms have the most potential for accessible multiple orgasms.”
Is Prostatitis A Sexually Transmitted Disease
Interestingly, Trichomonas vaginalis, a parasite and STD, has been found in prostate biopsies of men with prostatitis, and although it seems that E. Coli is a much more regular culprit, the prostates susceptibility to Trichomonas vaginalis colonization has been linked to zinc levels. The prostate is the number one home for zinc in a mans body, and when levels get low, studies have shown these types of pathogens can take a greater foothold.
Mineral deficiencies are common in the U.S., which means supplementing with small amounts of zinc to see whether conditions improve could be worthwhile. As far as food is concerned, pumpkin seeds and oysters are both high in zinc.
As an added benefit, zinc supplementation has also shown some promise in maintaining the cell lining of the gut, which can prevent or help to heal leaky gut, a condition that often accompanies prostatitis, and that is marked by a breakdown of the epithelial wall of the gut lining, which allows pathogens and undigested food particles to enter the blood stream. 89 I will touch more on leaky gut later in this post.
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When To Seek Medical Care
A person may have urinary symptoms unrelated to prostatitis that are caused by bladder problems, UTIs, or benign prostatic hyperplasia. Symptoms of prostatitis also can signal more serious conditions, including prostate cancer.
Men with symptoms of prostatitis should see a health care provider.
Men with the following symptoms should seek immediate medical care:
- complete inability to urinate
- great discomfort or pain in the lower abdomen and urinary tract
What Natural Or Home Remedies Relieve Pain Symptoms And Treat Prostatitis
In addition to medical treatment, natural home remedies for prostatitis include:
- Warm sitz baths
- Avoid alcohol, caffeine, and spicy foods.
- Prostate massage: In a few studies, prostate massage has been shown to decrease symptoms in some patients with chronic nonbacterial prostatitis.
- Lifestyle changes: If you cycle or ride horses, it is recommended to suspend this activity until you improve.
- Although there are many herbal preparations available, there is no current evidence that herbal remedies are definitely helpful with prostatitis.
- Acupuncture has shown a decrease in symptoms for some people who suffer from prostatitis.
What Is The Prognosis For Prostatitis Does It Increase The Risk Of Developing Prostate Cancer
Prostatitis caused by bacterial illness often can be treated with antibiotics, or the condition can be chronic that recurs and requires long-term medical attention.
- Acute bacterial prostatitis can often be treated very successfully and has a very good prognosis.
- Chronic prostatitis, and especially chronic nonbacterial prostatitis, can often lead to long-term symptoms and discomfort if treatment is unsuccessful. It is important to have close follow-up and continued care by either your primary care doctor or a urologist.
- Prostatitis does not increase your risk of developing prostate cancer.
How Is Acute Prostatitis Treated
Your doctor will likely prescribe antibiotics for four to six weeks to treat acute bacterial prostatitis. Your treatment may last longer if you have recurrent episodes. The specific type of antibiotic will depend on the bacteria causing your condition.
Your doctor may also prescribe alpha-blockers to help relieve symptoms. These drugs relax your bladder muscles. They can help decrease urinary discomfort. Examples include doxazosin, terazosin, and tamsulosin. Your doctor may also recommend over-the-counter pain relievers, such as acetaminophen and ibuprofen.
Your doctor may advise you to adjust your daily habits to help relieve symptoms. For example, they may encourage you to:
- avoid bicycling or wear padded shorts to decrease pressure on your prostate
- avoid alcohol, caffeine, and foods that are spicy and acidic
- sit on a pillow or donut cushion
- take warm baths
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Acute Prostatitis: Causes Symptoms And Diagnosis
What is acute prostatitis?
Acute prostatitis happens when your prostate gland becomes suddenly inflamed. The prostate gland is a small, walnut-shaped organ located at the base of the bladder in men. It secretes fluid that nourishes your sperm. When you ejaculate, your prostate gland squeezes this fluid into your urethra. It makes up a large portion of your semen.
Acute prostatitis is usually caused by the same bacteria that cause urinary tract infections or sexually transmitted diseases . Bacteria can travel to your prostate from your blood. It can enter your prostate during or after a medical procedure, such as a biopsy. It can also be caused by infections in other parts of your genitourinary tract.
If you have acute prostatitis, you may develop:
- pain above your pubic bone
- pain in your genitals, testicles, or rectum
Any bacteria that causes UTIs can cause prostatitis. Bacteria that commonly cause UTIs and prostatitis include:
- Proteus species
- Klebsiella species
- Escherichia coli
Some bacteria that cause STDs, such as chlamydia and gonorrhea, can also cause acute bacterial prostatitis. Other conditions that can lead to acute bacterial prostatitis include:
Factors that increase your risk of UTIs, STDs, and urethritis also increase your risk of acute prostatitis. For example, these risk factors include:
- not drinking enough fluids
- having unprotected vaginal or anal intercourse
Other risk factors include:
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