Any healthy man can develop prostatitis;no one is immune from it.Even astronauts and athletes with ideal lifestyles are in the "risk zone".Knowing the symptoms will help you detect prostatitis in time and start treatment.
Urinary disorders
The urethra, the urethra, passes through the prostate.One of the functions is to control the flow of urine, opening and closing the exit from the bladder.Therefore, when the prostate is irritated or inflamed, problems with urination often begin.
Increased or decreased urge
Symptomatic of prostatitis is precisely the increased frequency of urges with a decrease in the amount of urine per portion.Only an increase in the frequency of urges with the same portion and volume can be either the norm (I just started drinking more liquids) or a sign of a disease such as diabetes - diabetes mellitus or diabetes without sugar.That is, the total amount of urine per day increases sharply, so the person runs to the toilet more often.This usually happens, for example, when you eat watermelons.Portions of urine are large or huge.
But when the same amount of urine comes out during the day, but is distributed over 10-30 trips to the toilet - the size of each portion, of course, becomes several times smaller.In women, it is observed in cystitis, in men - in prostatitis or urethritis, with any irritation of the urinary tract, including inflammation.This symptom can be fairly constant, or it can fluctuate.If the irritant temporarily weakens the effect, for example when the inflammation subsides.In the case of chronic prostatitis, this does not indicate recovery, but an improvement in the condition.This is important in a diagnostic sense
Weakening of urine
A weak stream of urine is an important symptom that characterizes a prostate problem.It is usually caused by two main diseases.Adenoma (hyperplasia) of the prostate and prostatitis.It is easy to tell them apart.As a rule, adenoma occurs in older people, and prostatitis - more often in young, active men.In any case, this is a symptom that requires examination of the prostate, not other organs.Exceptions are rare (stones, urethral stricture).
There is a specific dependence of the strength of the urine jet on the action on the gland.From ejaculation, sexual intercourse or lack thereof.From walking or sitting for a long time.From breaking the diet or following it.
Unpleasant sensations
Not only the increased frequency of urges, but also unpleasant sensations during urination are very characteristic.When you eat watermelon, for example, you may run to the toilet every 10-15 minutes, but the feeling is quite pleasant and satisfying.But prostatitis will cause you a very unpleasant, "imperative" need to go to the toilet.This brings relief - but for a fairly short time.At night, the urge occurs more often and is often more unpleasant.This can disrupt sleep and is often one of the main complaints.
Urine portion sizes
The size of the portions of urine decreases.This is due to the irritating effect of prostate inflammation and the increased sensitivity of the urinary tract in case of inflammation.Hypersensitivity - gives the feeling that a lot of urine has already accumulated in the bladder, "half a bucket" - but in fact there is literally 30-100 ml.
Portion sizes may vary.With more fluid, urinary tract irritation is reduced as the urine becomes more diluted.It turned out to be a paradox - a person drinks more liquid, but goes to the toilet less often, due to the increase in portions.
Sharp and urgent urges
Imperative (harsh) urges - more common during exacerbation or with age.They can force a person to refuse trips, or to move from toilet to toilet on his own.In advanced cases, this leads to the need to wear a diaper.On the one hand, the urine flows less, and on the other, when you need it, you have to go to the toilet.At any cost.
It is almost impossible to "endure" such an urge
Urine leaks
There is always some urine left after urination."No matter how much you shake your penis, the last one will be in your panties" - is popular wisdom.However, 1-2-3 drops of urine is not enough, no more.Any visible excess of this norm is quite typical of a problem with the urinary tract in men, but it is not always characteristic of prostatitis.
It also includes a completely different symptom - urethral discharge.Sometimes they are difficult to distinguish and require additional analysis.More often, the discharge does not depend on urination, it is thicker than urine, it can be bright, colored, transparent and cloudy... They require a mandatory analysis to determine the cause.It can be a sign of prostatitis and urethritis, or venereal disease.
Pain
Just as a sore throat hurts with a sore throat, so with prostatitis the lower abdomen, perineum, groin, lower back or sacrum hurts.
Where and how exactly does it hurt?
The pain can "radiate" to the scrotum, legs, sometimes to the stomach, up to the level of the navel and even higher.What is important for us is the nature of these pains, their connection with other symptoms and external causes.
When and why they appear
The connection with lifestyle, sedentary work, ejaculation or abstinence allows you to either practically rule out prostatitis, or suspect it with high probability.So, constant pain that does not depend on these causes can more often be a manifestation of a "neurological" cause, such as CPPS, Chronic Pelvic Pain Syndrome.But pain that occurs after ejaculation for several hours or days.or, on the contrary, it disappears after ejaculation for hours and days - it is very likely related to prostatitis.
Duration
Any.The duration may depend on the severity of the exacerbation and other accompanying diseases.For example, depression will cause constant aching pain even with minor prostatitis.A painless form of prostatitis can mask the disease, possibly for many years.
That is, one cannot judge the disease and its severity only by this symptom.
What makes it better or worse?
This is the main thing that worries the doctor.
The location, nature or duration of pain can be very different for the same disease.But the condition's dependence on ejaculation, sitting work or walking, over-irritation, cooling or spicy food - quite precisely helps us to determine the diagnosis itself and the direction of treatment and preventive measures that will enable practical recovery from chronic prostatitis.
Pain in the heart, back and other organs
The prostate is a small organ in the pelvis.But its inflammation can affect the whole body.
The first way of influence is intoxication.As with any serious inflammation, such as the flu, the whole body or most of it can hurt.In the same way, the body can hurt prostatitis, with its worsening.
Another mechanism of pain in remote areas (head, heart, hypochondrium, legs) is neurological.Along the nerves and spine, pain can "radiate" to quite distant parts of the body, and even form "secondary" foci of inflammation.For example, in the lumbosacral region.And from there the pain can "radiate", radiating to the thoracic and cervical spine, legs and almost everywhere.
Erection problems
"Officially" the erection should not be affected by inflammation of the prostate.It has other developmental mechanisms that are not directly related to this "second heart" of a man.However, in practice, the erection is disrupted.At least during an exacerbation.There can be several mechanisms - from the direct effect of inflammation of a nearby organ on the "turning on" of the penis - to an indirect, regulatory mechanism, similar to the weakening, slowing down of erection during long-term abstinence in adult men (of course, not in adolescents).
Fortunately, this erectile dysfunction is very well and reliably treated.Unless a psychological factor is added.A man with mild prostatitis experiences a slight decline in erectile function.He starts to worry, he listens to the penis - and his neurosis completely destroys his erection.This is the third, most serious mechanism of impact of prostatitis on erection.
Ejaculation disorders
Ejaculation (ejaculation) is the release of sperm, ejaculate from the penis at the end of sexual intercourse.It is performed by the pelvic floor and prostate muscles.More often, the symptom is a weakening of this release, a reduction in "range" and a shortening of sexual intercourse.Sometimes, or temporarily - there can be a prolongation of the sexual relationship, the man cannot "ejaculate" at all.
Sperm ejection force
When a muscle weakens, its work and its action weaken.The composition of ejaculate and sperm changes, and the force of ejection also changes.
This is important for three reasons.The first is one of the most accurate signs of prostate damage.Almost all other manifestations and symptoms can also occur in other diseases.But the weakening of discharge is pathognomonic, specific for prostatitis.
Another reason.Reduced output is a factor that worsens the state of the prostate after sex, which causes POIS (post-orgasm weakness syndrome).
During treatment – men with POIS report worsening of their condition after poor, ineffective sperm output.And vice versa - more and more often they say that high-quality ejaculation did not cause POIS symptoms.Not 100%, but very likely.Third, this is probably the main factor that prevents a man with prostatitis from being cured without medical procedures.As soon as the power of sperm release is normalized, the main mechanism for maintaining male health is activated - "self-cleaning" of the prostate.
Blurred feelings
Instead of a vivid orgasm, a man feels something like "pissed into boiling water" or "felt almost nothing".
The strength of the sensation can vary, and it serves as a fairly accurate sign of prostate problems, i.e. a sign that improvement is starting.
Color, quantity and consistency of ejaculate
One of the important objective parameters related to the prostate and prostatitis.Often, sperm analysis is performed only to determine fertility and the chances of conception.However, semen analysis provides a lot of information about the state of the prostate.Therefore, the color of sperm and ejaculate is normally milky white, cloudy.The consistency is medium thick, there must be "stickiness", the elasticity of the sperm drop in the form of threads.The smell is specific, without admixture of the smell of rot, pus, etc.
Any change in these parameters requires urgent examination if there is no diagnosis and treatment yet - for example, when the diagnosis of prostatitis is already available.
The color (bright white, yellowish and greenish) indicates the presence of impurities in the sperm, often of an inflammatory, purulent nature.
Transparency indicates reduced prostate function.And almost certainly there will be few "lecithin grains" in the microscopic analysis, which indicates a decrease in the function of this organ, although not necessarily due to inflammation.
The amount can be different, it can also fluctuate normally, depending on the rhythm of sexual life.A steady decrease or increase in the amount of sperm causes an alarm.It may be a manifestation of "blocking" of part of the prostate tubule or simply a decrease in ejaculate production.
Not 100%, but quite a characteristic symptom of chronic prostatitis.
Hemospermia
Consider in particular hemospermia - the mixture of blood in the sperm.It can be noticed simply by the eye, more often with damage to blood vessels, with caliculitis, with cancer and finally with trauma.The blood can be either bright crimson or old, dark, venous.In any case, it requires immediate analysis of the ejaculate and other tests.
In the ejaculate there is also an admixture of a small amount of blood - microhemospermia.It often occurs during an exacerbation of prostatitis, with an increase in the number of leukocytes.Sometimes this option can be perfectly treated by strengthening the body;many urologists, just in case, give a complex vitamin preparation in a good course, often together with zinc, selenium, etc.
This is analogous to bleeding gums.Loose, inflamed gums bleed very often.And after the inflammation is removed and the gums are strengthened, the admixture of blood naturally disappears.You should not be afraid of this symptom if the reason for the appearance of blood in the semen is known.
Decreased libido
A very important symptom.Officially, it should also not appear in prostatitis.In practice, two mechanisms are usually involved.
The first is intoxication.With any inflammation, from the flu to a sore throat, libido and desire for sex can decrease.The body is directed to other tasks.
Second, maybe the libido is affected by something similar to the phenomena of Tarkhanov and Belov.The symptom is non-specific, it can also appear, for example, with a depressive background, which can appear with any chronic disease, and even without it.But in combination with other manifestations, we consider this decrease as important and significant.Including the impact on recovery prospects.If this problem is not solved and the man remains with reduced libido, it is difficult to talk about curing prostatitis.The reduction will lead to an irregular sex life, stagnation in the pelvis and an increased risk of exacerbations.
Other indirect signs
Weakness, lethargy, sweating
More often than not, these are simply manifestations of intoxication.As with chronic sore throat, bronchitis and so on.Usually, such symptoms do not bother you, but even with a slight aggravation, a worsening of the general condition appears;there is a fairly clear proportionality between the severity of the inflammation and the degree of sweating, weakness and apathy.As the condition improves, such symptoms disappear.The problem is not specific to prostatitis at all.But it helps to assess the severity of an exacerbation, for example.
Headaches and dizziness
Dizziness and migraine can occur either immediately after the act or after a day or two.These are "vegetative" reactions that usually accompany the worsening of prostatitis, more often in people with a tendency to vascular reactions.Of course, a non-specific symptom.Perhaps for dozens, if not hundreds of other diseases.But we will definitely take it into consideration.And of course, we can remove it during the treatment.