Many men know this disease as prostatitis. Presented disease carries a few forms and refers to the urogenital ailment. Often prostatitis is divided into two main forms – a chronic diseases and acute stage. In this direction, there is no middle ground. If, after careful examination infection was detected, which might cause occurrence of prostatitis, then in this case is just one confirmed diagnosis – an acute manifestation of pain.
What Is Chronic Nonbacterial Prostatitis?
Chronic non-bacterial prostatitis is a disease that is characterized by prolonged pain in the pelvic area, which can last from three to six months. It is also worth noting that an obligatory condition is negative of microbiological tests. The causative agent of the disease, which causes the appearance of chronic pelvic pain syndrome, is absent. Pain can be expressed by a different degree, as well as localization. Depending on its place of occurrence varies painful sensations; they occur in the bladder and urethra, scrotum and testicles, as well as in the sexual organs. Often, the pain can be felt during ejaculation.
The present disease also is accompanied by such problems as sexual dysfunction, which leads to strong sexual disorders. Symptomatology of chronic non-bacterial prostatitis is very diverse, as well as consequences. Non-bacterial prostatitis is the recurrent or persistent pain in the pelvic area, which accompanied by symptoms of a dysfunction in the bowel, the urinary tract, as well as the genitals. There are also obvious pathological processes which indicate the disease. Inflammation or swollen just are not defined, so that o diagnose a disease is hard enough.
In this case, the major causes of chronic pelvic pain are:
- Inflammation of the pelvic ligaments or tendons – is a rheumatic of rheumatic character on the infectious processes of caused type, which are in close proximity (cystitis, inflammatory bowel disease, and prostatitis). As a result of the fact that there is a strong tension in the ligaments of the pelvis, there are painful sensations in the abdomen, anus and groin area.
- Jamming of a nerve in the area of the pelvic floor – is a kind of reaction on inflammation of the ligaments that are in close proximity to the nerves that go in the scrotum, legs, pelvis and abdomen. Increasing in volume, they begin to squeeze nearby nerves, causing painful sensations in the scrotum, penis, legs, tailbone and lower back.
- Increased perception of pain – the reaction can also occur due to the depletion of the nervous system that occurs on a background of pain. The brain uses to flow more headroom for blocking new incoming pain impulses. As a result, the resource is exhausted, and then there are night pains. Also you will notice a subtle effect from the pain medication.
It is worth remembering that to the emergence of represented disease can lead factors such as stress, depression, poor circulation in prostate area, various infections, frequent fatigue and injuries of the spine area.
Causes of Prostatitis
It is impossible to exclude the role of infections, which are transmitted sexually. Particularly it is chlamydia, mycoplasma, trichomonas and gardnerellas, main location of which is the urethra. However, since in 90-95% of cases of prostatitis is not an infectious disease, the proportion of infections, sexually transmitted, in its origin and all insignificant. The role of infection in the development of clinical manifestations of prostatitis is not clear at all, since the severity of the disease does not depend on the severity of the inflammatory process, according to laboratory studies.
Taking into account that more often in bacterial prostatitis is detected colon bacillus, it is assumed that the development of the inflammatory process depends not only on the properties of the microorganism, but also on the state of the pelvic organs, their blood circulation, comorbidity, level of defense mechanisms.
Signs and Symptoms
All the symptoms of non-bacterial prostatitis are systemic in nature, and also appear in the form:
- Long-term pain in the pelvic area of monotone type. It is often associated with impaired sexual performance and urination.
- General weakness, a minimum interest in life, poor physical health, a constant nervous stress and even failures.
- Sharp pain in the abdominal area, perineum, strained genitals, scrotum and pelvis.
Remember that the collection of patient complaints is a key point. That is why you should certainly informatively explain the essence of the situation.
How Is This Condition Diagnosed?
It is worth considering maximally approximated examination of the form to confirm the presence of chronic non-bacterial prostatitis.
The main survey:
- Medical history and the patient’s complaints;
- Digital rectal prostate examination;
- General blood and urine tests, and also microbiological tests;
- Diagnosis of urinary tract inflammation according to the topical type;
- Characteristics of the jet of urine or in other words uroflowmetry;
- Ultrasound study on the subject of emptying the bladder.
All examinations shall be appointed only by the attending physician, and passes in a rapid manner. This is because it is not necessary to delay in cases of suspected disease. Do not forget that history will play a major role, and also all that you tell your doctor.
Which Kind of Treatment Is Needed?
It should be noted that the treatment necessarily requires a comprehensive approach and is based on certain principles. The specialist must help the patient to understand the main factors of pain. At the maximum opportunity concretize the facts and reduce to minimum the number of medicines eliminating all unnecessary. As it is necessary to simplify the entire treatment process, gradually reduce the dosage and effects on the body. This will help to achieve results and most importantly, build on the success. In today’s world medicine has achieved much success. With regard to chronic pelvic pain syndrome, there are several treatments that effectively fight with the disease and prevent its recurrent property.
In the treatment also this has resorted to the use of drugs of the following groups: antibiotics, non-steroidal anti-inflammatory drugs, antispasmodics, muscle relaxants, herbal medicine, antidepressants and anxiolytics. Specific medication is prescribed individually. Everything will depend on your condition, disease progression, accompanying symptoms, and many other factors. Maximally you can achieve the results by acting on your body in a complex!
The phrase “male infertility” sounds pretty threatening. This problem may be defined as a male inability to lead to pregnancy in a female, who is healthy and fertile. It can be a serious issue for a man when there appears a desire to have a baby in the family. Among all the infertile couples the problem is with the man in 20% of the cases.
The most common medical causes of the infertility in men
The problem may be the result of various health problems and even some kinds of medicine. They are the following:
- Ejaculation issues. The major one to mention is retrograde ejaculation that happens when the sperm gets into the bladder instead of getting on the tip of the penis. Surgeries, diabetes and some medications are able to cause such type of ejaculation.
- Hormone disorder. Infertility can be the result of the testicles’ disorders or the problems referred to pituitary, hypothalamus, adrenal glands and thyroid.
- Defects of tubules transporting sperm. Some of such tubules can be simply blocked because of the infections, traumas, surgeries or abnormal development.
- Issues with sexual intercourse. These ones include erectile dysfunction (problems with obtaining erection), pains when having sex, premature ejaculation, psychological/relationship problems.
- Some medications. Steroids, some ulcer drugs, cancer medications may spoil the quality of sperm and lead to infertility.
Causes, related to lifestyle, environment and other
Male fertility isn’t only connected with taking in the medications or man’s physiology. There may exist another reasons, such as:
- Breathing in some chemicals, for instance benzenes, xylene, toluene, pesticides, painting materials.
- Radiation or X-rays. If the dose of radiation is small, the amount of sperm quickly returns to normal.
- Overheating the testicles. Excessive use of hot tubes and saunas may affect the sperm production.
- Drugs and alcohol. The testosterone levels lower and the quality of sperm gets worse.
- Excessive weight. It certainly has obvious connection with hormone imbalance (according to mayoclinic.org).
Are there some obvious symptoms regarding the condition?
Male infertility can go unnoticed until the couple decides to have a baby. But still, there are some indications of the problem. They normally include changes in sexual desire and the way of hair growth, pain in the testicles, issues with ejaculation and changing the size of the testicles to a smaller one.
How is it possible to treat infertility in men?
If the case is a hormonal abnormality, it can be treated by medications or specialized surgery. Surgery can also help when dealing with all sorts of obstructions on the way of transporting sperm.
Nowadays there is a great way to overcome the condition. It is represented by using the assisted reproductive technologies (ARTs). Their mechanism is giving the sperm an artificial boost to fertilize an egg. The sperm is collected and introduced to an egg using the variety of methods. Intrauterine insemination (when the sperm is injected right to the uterus), intracytoplasmic sperm injection (the sperm is injected into the egg and then gets implanted to the uterus) and in-vitro fertilization (mixing the sperm with eggs in a tube and then putting the fertilized ones into the uterus) are the methods introduced by ARTs (webmd.com).
In conclusion, it is vital to say that the preventive measures for male infertility are leading a healthy lifestyle, regular sexual intercourse and excluding such habits as smoking and drinking out of your life.