Prostatitis and Infertility - Is There A Definite Connection?

Date:2022-06-30 click:0
Now more and more people have prostatitis, and many men are afraid that they will not be able to have children after suffering from prostatitis. There are more and more studies on the relationship between prostatitis and infertility. Prostatitis will not directly affect fertility. Most prostatitis patients can have their babies with their wives, but prostatitis will still indirectly affect male fertility, reducing the probability of wives getting pregnant.

Causes of Prostatitis Affecting Fertility
1. Impotence and Premature Ejaculation
If prostatitis is not cured for a long time, various symptoms and discomforts will aggravate after sexual intercourse or directly affect the feeling and quality of sexual life, causing a malignant stimulus to the patient, making them gradually have a sense of disgust, leading to impotence, premature ejaculation, and other phenomena.
2. Semen Liquefaction Time
Long-term chronic inflammation changes the composition of prostatic fluid and affects the secretory function of the prostate, which in turn affects the liquefaction time of semen, and reduces sperm motility, which can lead to male infertility.
3. Gynecological Inflammation
Prostatitis caused by some special bacterial infection can be transmitted to the wife, and its inflammation can be transmitted through sexual intercourse, such as fungal prostatitis, trichomonas prostatitis, gonorrhea prostatitis, non-gonococcal (chlamydia, mycoplasma) prostatitis, leading to spouse infertility.
4. Sperm Transport Disorder
Prostatitis can easily lead to various other diseases, such as chronic epididymitis, epididymal fibrosis, etc., which are easy to form nodules, causing vas deferens and ejaculatory duct obstruction. These conditions can lead to sperm transport disorders, resulting in partial ejaculation difficulties, and if complete obstructive azoospermia occurs, it will lead to male infertility.
Among the above four reasons, the most common cause of infertility caused by prostatitis is the decreased secretion function of the prostate. It will result in decreased secretion of enzymes (hyaluronidase, trypsin-like enzymes, etc.) related to semen liquefaction, resulting in semen not liquefying or not completely liquefying, thereby affecting fertility. 
But most patients with prostatitis can have normal fertility, and only a few patients with prostatitis will have this condition. Therefore, the best way to assess whether prostatitis affects fertility is to have a routine semen test, which is generally recommended at least twice.
When men have prostatitis, it will cause the quality of men's sperm to decline, the rate of sperm deformity to increase, and the vitality to decline, which can easily cause male infertility or reduce the probability of female conception. However, because this situation does not affect the DNA structure of sperm, it will not cause various congenital diseases in the fetus, so it is entirely possible to keep the baby after pregnancy. 
Especially in patients with prostatitis whose reproductive function declines, which can make it difficult for women to get pregnant, and their babies should be cherished after pregnancy. However, if a woman becomes pregnant while taking the drug, it depends on whether the specific drug is suitable for fertility.
Generally speaking, prostatitis does not directly cause infertility, so patients do not need to worry too much about this problem. But it is also essential to treat prostatitis because untreated prostatitis for a long time will indirectly affect male fertility. For prostatitis, men must choose the proper treatment. Macrolides and quinolones can be used to treat bacterial prostatitis. 
If it is chronic non-bacterial prostatitis, men can choose herbal medicine Diuretic and Anti-inflammatory Pill, with the functions of clearing away heat and detoxification, promoting blood circulation, and removing blood stasis. Men can also use physical treatments, such as a hot sitz bath.
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