How much does prostatitis really affect male fertility?

  Prostatitis is a common disease among young and middle-aged men and is mainly characterized by urination and painful symptoms, leading to a reduced quality of life for patients. The most important question for those couples who want to have children after marriage is: Does prostatitis affect fertility?   At present, only a small percentage of male infertility can be identified with a clear cause, while in 60-75% of patients no causative factors related to male infertility can be found (primary infertility). However, to date, there is not enough evidence to prove that prostatitis causes infertility. It is true that many patients with chronic prostatitis who have had recurrent episodes for many years still have children at home.  The majority of people with chronic prostatitis do not have bacterial or other pathogenic infections or inflammation of the seminal tract, so the quality of the semen (sperm density, sperm motility and sperm morphology) is not affected. The chronic prostatitis can be completely controlled after regular and systematic medication. Even if the harmful components in the prostatic fluid (prostatic fluid is an important part of semen, accounting for about 1/3 of the latter) interfere with sperm quality and affect fertility, it is short-lived (weeks or months), mild and recoverable. Moreover, spermatozoa are only in contact with prostatic fluid for a short period of time after ejaculation, and highly mature spermatozoa are also able to withstand the general inflammatory environment and maintain fertilization.  Now, there is no basis to suggest that prostatitis is an infectious disease (urethritis, etc.) and clinical observations have not found that prostatitis in the male partner affects the function of the female reproductive system or fertility.  There is not enough evidence so far to prove that prostatitis causes infertility. There is also a noteworthy problem that some medical doctors will label most unrelated diseases (infertility, sexual dysfunction, etc.) and manifestations (semen not liquefied, little, weak, deformed sperm, etc.) as “prostatitis” and perform   Now clinically urological male doctors determine whether prostatitis has affected fertility, mainly depending on the following two conditions: 1. whether there is prostatitis (symptoms + routine prostate examination leukocytes exceed the standard); 2. whether the leukocytes in semen exceed the standard, if necessary, semen bacterial culture. If you consider that prostatitis may have affected fertility, you can treat prostatitis first and observe the improvement in semen quality and fertility after the inflammation is controlled.  In conclusion, you can’t equate prostatitis with male infertility, and young people with prostatitis don’t have to be overly worried, pessimistic and disappointed, carrying a heavy burden of thought, these people can still get married and have the same chance of having children as normal people!