Can chronic prostatitis cause infertility?

Chronic prostatitis usually does not directly cause infertility, but may indirectly reduce fertility by affecting semen quality. Chronic prostatitis may be related to infection, immune abnormalities, pelvic floor muscle dysfunction and other factors. It is recommended that patients seek medical evaluation in a timely manner.

Changes in the composition of prostatic fluid in patients with chronic prostatitis may affect sperm motility and survival time. Reactive oxygen species produced by inflammatory reactions may damage sperm DNA, and the increase in white blood cells in semen will reduce the degree of semen liquefaction. Pain during ejaculation may affect sexual function in some patients, and long-term psychological stress may also indirectly interfere with fertility.

A small number of patients with severe chronic prostatitis may have blockage of the vas deferens due to persistent infection, or may develop complications such as epididymitis. Such conditions may cause obstructive azoospermia, but the clinical incidence is low. The presence of infections with specific pathogens such as mycoplasma and chlamydia may increase the risk of inflammation in the reproductive system spreading.

Patients with chronic prostatitis should avoid triggering factors such as prolonged sitting and spicy diet, and maintain a regular sexual life to help discharge prostatic fluid. It is recommended that men preparing for pregnancy undergo routine semen examination. If semen abnormalities occur, anti-infective treatment or assisted reproductive technology intervention is required under the guidance of a doctor. Daily supplements of zinc, selenium and other trace elements can be appropriate to avoid excessive anxiety.