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SafeSexGuide

PROSTATITIS
PROSTATITIS

How Do You Get It (Exposure):

When bacteria from your urethra enter the prostate through a duct that connects the two, you can develop prostatitis. Putting unsterile toys or other objects into your urethra, or neglecting a urinary tract infection or urethritis (a sexually transmitted infection in your urethra) increases your chances of prostate infection.

Warning Signs (Symptoms):

Chronic prostatitis causes a dull pressure or pain in your rectum or pelvis, or a burning sensation when you urinate or cum. Acute prostatitis is much less subtle. What begins as a dull pressure quickly becomes severe pain, chills, high fever and an enlarged prostate that can block your urine from coming out. If you have these symptoms, see your doctor immediately.

Getting Checked Out (diagnosis) /Treatment:

Acute prostatitis is most often diagnosed from your symptoms and a rectal exam, which reveals your very tender and swollen prostate. Often doctors will identify the cause of your infection through culturing your urine to see which bacteria washes out. Chronic prostatitis is more difficult to diagnose. Many times, your prostate is not swollen and the tenderness is minimal, and urine cultures rarely help identify the offending bacteria. Most doctors treat you based on your history and symptoms.

If acute prostatitis is caught early enough, your doctor can prescribe up to a month-long regimen of common antibiotics to fight off the infection. If your infection has progressed too far, you may be admitted to a hospital and placed on intravenous antibiotics, which generally are stronger and work more effectively. If your prostatitis is extremely painful, talk to you doctor about painkillers to help you along until the antibiotics take effect.

Chronic prostatitis is treated with the same antibiotics used for the acute condition, only the treatment lasts much longer -- usually three months. Unfortunately, only 40 to 70 percent of men are cured, and perhaps not even permanently; the others relapse. To help with the pain, your doctor may give you a non-steroidal anti-inflammatory medication to take with your antibiotics.

If Left Untreated:

You can develop chronic prostatitis from an acute infection that was not completely cured, or from a mild infection that you probably never knew existed. This infection can become life-threatening in its acute form. And its chronic form can be, well, a pain in the butt to cure.

Prevention:

The best prevention for prostatitis –- chronic or acute -– is to keep bacteria from getting into your urethra and causing infection in the first place. Use a condom for oral and anal sex, don’t put unsterile objects, including sex toys, into your urethra, and if you have urethritis or a urinary tract infection, see your doctor for treatment before it develops into something worse.

Some doctors believe that fluids from your prostate can build-up and become an excellent place for bacteria to grow. Since these fluids are part of your semen, a good way to prevent this build-up is to ejaculate at least every other day.

Prevalence:

Several population-based cross-sectional surveys and series of clinical data from outpatient visits have shown that the prevalence of prostatitis symptoms is up to 25% (Moon 1997, Roberts et al. 1997, Pavone et al. 2000), whereas the prevalence based only on questionnaires and physicians’ diagnoses is reported to be between 4% and 11% (Moon et al. 1997, McNaughton-Collins et al. 1998b, Roberts et al. 1998, Nickel et al. 2001)


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