Small A just graduated from college this year, in order to do a good job, small A sitting in the office every day overtime, early morning and late at night, go out to socialize is a common occurrence. One day, Xiao A found that after drinking alcohol, urine dripping, just after the toilet, not long to run to go, fidgety at work, colleagues joked that he is “prostate hypertrophy”, which makes Xiao A embarrassed. What’s worse, A realized that he had recently “surrendered” his prostate early in front of his girlfriend. When his girlfriend accompanied him to the hospital for a checkup, the doctor said he had Type III prostatitis. The prostate is the accessory sex gland of men, and a large part of male semen comes from the prostate fluid secreted by the prostate, making it the first “gland” of men. More than 50% of men are likely to develop prostatitis in their lifetime, which is normal and nothing to worry about. The traditional classification of prostatitis is acute bacterial prostatitis, chronic bacterial prostatitis, chronic non-bacterial prostatitis and prostate pain. In order to better target and personalize treatment for patients with different conditions, the current recommended classification method is to classify prostatitis into type I, II, III and IV. Type Ⅰ is equivalent to acute bacterial prostatitis; Type Ⅱ is equivalent to chronic bacterial prostatitis; Type Ⅲ is equivalent to chronic prostatitis/chronic pelvic pain syndrome, which is equivalent to the traditional classification of chronic non-bacterial prostatitis and prostate pain. Type III prostatitis is the most common type of prostatitis, accounting for more than 90% of chronic prostatitis; Type IV: asymptomatic prostatitis. Recognizing the “culprits” 1. Infection by pathogens Since the urethra passes through the middle of the prostate, the prostate is connected to the outside world through the urethra. When the human body is cold, overly fatigued, or has unclean sexual intercourse, a lot of pathogens, such as bacteria, mycoplasma, and chlamydia, can enter the prostate, causing infection and inflammation of the prostate. Some of the prostatitis can’t find a specific infectious factor, considering that it may be related to poor lifestyle habits. 2. Unhealthy lifestyle habits Smoking, drinking, and eating spicy and stimulating food habits may also induce excessive congestion of the prostate gland and cause swelling of the prostate gland. Sitting for a long time, long-term pelvic floor muscle compression (such as riding a bicycle and driving for a long time) and holding urine and other bad habits may also cause the posterior urethra, the prostate gland is compressed, resulting in urinary reflux, poor blood circulation and pelvic floor muscle tension or spasm, resulting in the occurrence of prostatitis. 3, inappropriate sexual life such as intercourse too often, hold back ejaculation, frequent masturbation or sexual fantasy, when sexual excitement, the prostate and seminal vesicles will be highly congested, frequent prostate congestion, swelling, easy to cause inflammation reaction. The opposite is true, long-term abstinence, repression of sexual impulses is also unfavorable. The reason is that young adults have more prostate fluid secretion, such as not timely excretion, can cause a large amount of prostate fluid “hoarding”, but is not conducive to the inflammation of the subsidence. So, regular sex life is favorable for chronic prostatitis patients. Is your urination still normal? Symptoms of prostatitis vary according to the duration and severity of the disease. Type Ⅰ: manifested as sudden onset, chills, fever, accompanied by obvious urinary frequency, urinary urgency, urinary pain, and even hematuria. Type II: manifested by recurrent symptoms of urinary frequency, urgency and pain. Type III: Chronic pain in the pelvic region, with or without urinary frequency, urgency and pain. Type IV: No symptoms. Prostatitis can cause frequent urination, urinary urgency, dysuria, sexual dysfunction, etc. Especially chronic prostatitis, accompanied by chronic pain and discomfort, may seriously affect the patient’s quality of life. Studies have shown that half of the patients may have psychosomatic changes, such as anxiety, depression, insomnia, pain sensitivity, memory loss, etc., as a result of prolonged treatment of chronic prostatitis. Do I have to take medication? 1, the pre-treatment examination program Because the symptoms of prostatitis are not the same, so the diagnosis of prostatitis examination program may not be exactly the same, but the main are: urine routine, blood routine, prostate fluid, bacterial culture and drug sensitivity test and B ultrasound examination. For example, patients with initial diagnosis may need to undergo urinalysis, prostate fluid and ultrasound, while patients with follow-up diagnosis only need to undergo prostate fluid, bacterial culture and drug sensitivity test. Prostate Massage Prostate massage is a routine test to obtain prostate fluids, which is both diagnostic and therapeutic. It is best not to have sex the day before the test to avoid difficulty in obtaining prostate fluid. At the same time, do not be nervous when undergoing the examination. Excessive tension will cause the anal sphincter to contract, which will aggravate the discomfort. If it is difficult to bear, you can signal the doctor to abort the examination. In addition, it is best to urinate and empty the bladder before the examination. 3. The treatment of prostatitis should be under the guidance of a doctor. The main reason why prostatitis is not cured is because of intermittent irregular treatment and misuse of antibiotics. The most important thing is that you should not stop or change the medication, especially the antibiotics, at your own discretion. 4, General treatment Secondly, during the period of treatment, we must develop good living habits, bad living habits, the treatment effect is greatly reduced. 5, careful choice of other treatments Be careful to choose some of the “bragging” exaggerated means of treatment, such as through the urethra, rectum and perineum and other ways to apply microwave, radiofrequency, laser and other physical means of heat therapy. Not only is there a risk of unknown complications, the exact efficacy of these treatments has not been proven, and there is a lack of long-term follow-up data, so they are not recommended for unmarried or infertile patients. As for treatments such as prostate injection therapy and surgery, there is a lack of valid evidence on their efficacy and safety, so we hope that patients can consider them carefully. Summary Some people get downhearted and preoccupied when they hear about prostatitis, worrying about male function and fertility, but in fact there is no need to worry about this. Is prostatitis prone to recurrence? In fact, this question is very simple. We can compare prostatitis to a cold in the prostate gland. It is easy to cure, but there is a possibility that it may come back, just as a person can catch a cold easily when he is weak or has poor resistance. After removing the mystery of prostatitis, you will realize that prostatitis is not a big deal.