Prostatitis. Male conversation Frank

Prostatitis today is one of the most common diseases of the male genital organs: in different age groups, this ailment is detected in 20-40% of men. In recent years, doctors have noticed a worsening of the situation, as the incidence of prostatitis has increased dramatically.

Prostatitis is the generic name for a group of inflammatory diseases of the prostate gland (prostate). The chronic form can go unnoticed for years, without severe symptoms, but at the same time negatively impact a man's quality of life. Prostatitis is often the cause of sexual disorders and male infertility.

The disease can develop at almost any age, so it is important to listen to the body's signals and regularly visit a urologist for preventive purposes. Timely detection of the disease is a guarantee of a quick and successful cure.

Symptoms of prostatitis:

  • Pain in the genital area.
  • Disorders of urination (frequent and / or painful, difficulty urinating, slow flow of urine, etc. ).
  • Sexual dysfunction (accelerated ejaculation, dullness of orgasm, disturbance of sexual desire and, consequently, weak erection).
  • Infertility in some cases.

In addition, a group of nonspecific manifestations of the disease is distinguished: fatigue, weakness, lack of appetite, decreased performance.

A little anatomy: the prostate

The prostate gland (or prostate) is located under the bladder floor between the pubic joint and the rectum. The prostatic part of the urethra passes through the prostate tissue. In an adult man, the mass of the prostate gland is 15-28 grams, in children the size of the prostate gland is very small.

Prostate tissue is made up of prostate glands, muscle fibers and elastic fibers. The contraction of the powerful muscle bundles surrounding the glandular lobules during ejaculation leads to the squeezing of secretions from them.

The prostate is closely related to the work of the testicles. The prostate gland constantly produces a secret, but in healthy men it is secreted into the urethra only during ejaculation and partially during urination. The secretion of the prostate gland increases the mass of seminal fluid and neutralizes its slightly acidic environment, as a result of which the spermatozoa inside it become motile. The secret of the prostate in the ejaculate is about 40% of its volume. In addition to the production of secretions, metabolic assimilation and transformation of male sex hormones, the active ingredients - prostaglandins, are carried out in the prostate gland, which is essential for a man's life and sexual activity.

Due to the enormous influence of the prostate on the functioning of the reproductive system and the entire body of a man as a whole, it is often called the second heart of a man.

The reasons for the development of prostatitis

There are two groups of reasons for the development of the disease: infections and congestion.Infectious prostatitisit can be caused by various bacteria, viruses or fungi. The most common causative agents are nonspecific microorganisms: staphylococci, streptococci, E. coli, Proteus, somewhat less often - specific microorganisms: gonococci, Trichomonas, etc. Recently, the number of chlamydia, mycoplasma, etc. Increased. prostatitis.

The reasoncongestive (congestive) prostatitisstagnation of secretions in the prostate gland and / or blood in the veins of this organ, which occurs most often in the following cases:

  • termination of the relationship;
  • artificial adherence of ejaculation during shortened sexual intercourse;
  • lack of regularity of sexual activity and prolonged abstinence;
  • defective ejaculation due to stress or overwork;
  • prolonged stay in a sedentary sitting position (for example, with drivers, employees, etc. );
  • against the background of a number of diseases (constipation, hemorrhoids), hypothermia;
  • with alcohol abuse.

Stagnant prostatitis very quickly turns into bacterial due to infection. It is known that in many cases prostatitis precedes or accompaniesinflammation in the urethra(urethritis).

One of the significant factors contributing to the development of prostatitis is the systematic intake of alcoholic beverages. Alcohol causes fatty degeneration of the tissues of the testicles and liver, which, through a complex system of hormonal metabolism, contributes to a sharp drop in the level of male sex hormones. This creates the prerequisites for the development of the inflammatory process in the prostate gland. Of particular importance in this sense is the "alcoholism of beer", in which the irritating effect is most pronounced. Beer directly causes the entire microflora of the genitourinary tract (from the kidneys to the urethra) to become aggressive.

Arrived: chronic prostatitis

Chronic prostatitisit often develops as a slow inflammatory process. For a long time, sometimes calculated in years, prostatitis does not manifest itself in anything (latent phase). But at some point, any stressful situation for the body leads to the emergence of obvious clinical manifestations.

Patients often go to the urologist for the first time with a complaint about itaching pains, which are localized in the perineum, sacrum, external genitalia. Usually, with pain localized only in the lumbosacral region, patients themselves make the wrong diagnosis ("sciatica" or "osteochondrosis") and are unsuccessfully treated at home. And only a careful medical examination and laboratory tests can reveal the cause of the disease.

Inflammation of the prostate can lead to enlargement, swelling of the tissues of this organ and compression of the prostate part of the urethra. This causes various urinary disorders. Disruption of urine flow through the urethra leads to chronic urinary retention in the bladder, which in turn contributes to the formation of stones, inflammation of the bladder and, subsequently, inflammation of the kidneys with a decrease in their function.

Prostatitis as a cause of sexual dysfunction and male infertility

Numerous nerve endings in the prostate gland, during a man's sexual arousal, transmit impulses to the genital centers located in the spinal cord and brain, which are responsible for erection and ejaculation. In chronic prostatitis, the natural course of processes is disrupted. First, premature ejaculation develops with a normal erection. Then the feeling of lust (orgasm) during ejaculation weakens and diminishes. With a decrease in the production of sex hormones, a weakening of sexual desire develops.

The psychology of men is such that even small violations in the sexual sphere cause a false fear of sexual intercourse, uncertainty in their abilities, and therefore functional disorders of the nervous system. This leads to sexual neurosis and, in turn, impairs sexual function.

Reproductive disorders (infertility) mean the inability to conceive. In chronic prostatitis, profound metabolic disturbances develop in the prostate gland, leading to insufficient production (in quantity and quality) of prostate secretion, which is dramaticruns out of spermsubstances necessary for normal life and sperm motility.

Also, with prolonged inflammation, the patency of the sperm pathways is impaired. And even with normal sperm formation in the testicles, they cannot penetrate the vas deferens and further into the female genital organs.

Disorders of ejaculationin patients with chronic prostatitis, they often proceed according to the type of premature ejaculation (sometimes immediately after the introduction of the penis into the vagina and also during the period of preliminary lovemaking). Another less common complication is difficult ejaculation. This makes the relationship exhausting, not bringing pleasure and satisfaction to the partners.

Chronic inflammatory diseases are a potential threat to long-term sexual partners. With each intercourse without barrier protection, some of the infection is thrown into a woman's genital tract. This is especially dangerous during conception or during pregnancy, as it threatens an abnormal course of pregnancy, miscarriage, artificial termination of pregnancy for medical reasons.

Hence the conclusion: prostatitis should definitely not be ignored, it is necessary to identify this disease in a timely manner and begin treatment.

Premature ejaculation in men with chronic prostatitis

Treatment of prostatitis

Modern medicine has accumulated rich experience in the treatment of chronic prostatitis. First of all, therapy is selected to eliminate the focus of inflammation in the prostate gland. In many cases, this alone can lead to significant improvement. There is also a huge arsenal of modern drugs that allow you to effectively correct sexual disorders and reproductive disorders.

Only by following the golden rules, born from decades of work of hundreds of scientists and doctors, is it possible to be completely healed:

  1. Treatment must be timely.Treatment results are better if the disease is detected at an early stage and complications have not yet occurred.
  2. Treatment should only be performed by a qualified physician.This ensures the development of a rational treatment plan and the selection of effective drugs.
  3. Treatment should be complete.Satisfactory and lasting results can only be achieved with a complex of several well-proven methods. These methods can only be determined and selected by a professional urologist, taking into account the characteristics of the disease in each case.
  4. Treatment of inflammatory diseases of the genital area in men should be carried out in tandem with a sexual partner.This is due to the fact that most inflammatory diseases are mainly transmitted through sexual contact and if only one partner is treated, reinfection is possible.
  5. Treatment directly depends on the patient's responsibility, on how strictly he adheres to all prescriptions and recommendations of the doctor.Therapy, as a rule, is associated with many features, limitations and unpleasant sensations for the patient, which require certain voluntary, psychological and physical efforts on the part of her. When prescribing treatment, the doctor explains and warns them in detail.

Prostatitis is a complex and multifaceted disease. But, like any ailment, it can be easily overcome. You just need to pay attention to the signals of the body, take care of yourself and do not neglect preventive visits to the doctor. A healthy and fulfilling life in all its manifestations and spheres is easy!