Will prostatitis cause premature ejaculation?

Prostatitis may cause premature ejaculation. Prostatitis may be related to bacterial infection, inflammatory stimulation and other factors, and usually presents with symptoms such as abnormal urination and perineal discomfort.

1. Inflammation stimulation

When inflammation of the prostate occurs, local tissue congestion and edema may stimulate surrounding nerve endings, leading to a decrease in ejaculation control. For aseptic prostatitis, warm water sitz bath can be used to relieve symptoms ； Bacterial prostatitis needs to be treated with antibiotics such as levofloxacin hydrochloride tablets and azithromycin dispersible tablets as directed by your doctor. Patients should avoid sitting for long periods of time to reduce pressure on the prostate, and can perform appropriate levator ani exercises on a daily basis.

2. Psychological factors

Patients with chronic prostatitis often suffer from anxiety due to long-term discomfort. This psychological pressure may affect the ejaculation threshold through neural reflexes. It is recommended to adjust the misperception of the disease through cognitive behavioral therapy, and if necessary, use anti-anxiety drugs such as paroxetine tablets. Maintaining a regular sexual life can help reduce prostate congestion, but care should be taken to avoid excessive frequency.

3. Pelvic floor muscle disorder

Recurrent episodes of inflammation may lead to dysfunction of the pelvic floor muscles, weakening the control of the muscles involved in ejaculation. Biofeedback therapy can help restore muscle coordination, and the use of tamsulosin hydrochloride extended-release capsules can improve lower urinary tract symptoms. Doing Kegel exercises daily can strengthen your pelvic floor muscles, and you need to keep your breathing steady during exercises.

4. Nerve sensitization

Chronic inflammation may change local nerve conduction sensitivity, causing the ejaculatory reflex arc to be triggered prematurely. Low-frequency pulse electrical stimulation treatment can regulate nerve function, and drugs such as sertraline tablets can delay ejaculation latency. It is recommended to wear loose cotton underwear to reduce friction and irritation to the perineum.

5. Changes in hormone levels

Persistent inflammation may affect the secretion of sex hormones such as testosterone and indirectly interfere with the ejaculation control mechanism. After diagnosis, chorionic gonadotropin can be injected to regulate endocrine, and Prostatin tablets can be taken at the same time to improve prostate microcirculation. You need to ensure your daily intake of zinc and eat oysters, pumpkin seeds and other foods in moderation.

Patients with prostatitis need to clean their perineum with warm water every day and choose clothes with good breathability. Eat a light diet, avoid spicy food, and limit alcohol intake. Proper aerobic exercise such as swimming and jogging can help improve pelvic blood circulation, but exercise that compresses the prostate such as cycling should be avoided. If the symptoms continue to worsen or are accompanied by hematospermia, etc., you should go to the urology department in time.