What to do about sexual dysfunction caused by prostatitis

Sexual dysfunction caused by prostatitis can be treated through drug therapy, physical therapy, psychological counseling, lifestyle adjustment, and traditional Chinese medicine conditioning. Prostatitis may be caused by bacterial infection, long-term sitting, immune abnormalities, psychological stress, bad living habits and other reasons. It usually presents with symptoms such as frequent urination and urgency, perineal swelling and pain, loss of sexual desire, erectile dysfunction, premature ejaculation and other symptoms.

1. Drug treatment

For bacterial prostatitis, antibiotics such as levofloxacin hydrochloride tablets, azithromycin dispersible tablets, and cefixime capsules can be used as directed by the doctor to control the infection. For non-bacterial prostatitis, celecoxib capsules can be used to relieve the inflammatory reaction, or tamsulosin hydrochloride sustained-release capsules can be used to improve urinary symptoms. People with sexual dysfunction can use tadalafil tablets to assist erectile function in the short term. Drug use must strictly follow the principle of individualization and avoid adjusting the dosage on your own.

2. Physical therapy

Warm water sitz bath can reduce prostate congestion by promoting pelvic blood circulation, 1-2 times a day, and the water temperature is maintained at around 40°C. Transperineal microwave therapy of the prostate can help eliminate tissue edema, and magnetic resonance thermal therapy can reduce nerve excitability. Digital anal massage should be performed by a professional physician, no more than twice a week, as it can promote the discharge of inflammatory secretions.

3. Psychological counseling

Long-term anxiety and depression will aggravate the tension of the pelvic floor muscles. It is recommended to correct misunderstandings about sexual function through cognitive behavioral therapy. Participating in treatment with partners can help relieve psychological stress. If necessary, it can be combined with anti-anxiety drugs such as paroxetine tablets. Psychosexual counseling should last for 3-6 months, and the effect will be better when combined with progressive muscle relaxation training.

4. Lifestyle adjustment

Keep your daily water intake above 2,000 ml, avoid cycling or sitting for long periods of time, and get up and move around for 5 minutes every hour. Limit the intake of alcohol and spicy food, and maintain a regular schedule to ensure 7-8 hours of sleep. Kegel exercises can strengthen the pelvic floor muscles. Perform 3 sets of contraction exercises every day, each set 15-20 times.

5. Traditional Chinese Medicine Conditioning

For kidney yang deficiency type, you can take Yougui Pills to warm and replenish kidney yang, while for damp-heat type, Bazheng Powder can be used to clear away heat and diuresis. Acupuncture at acupuncture points such as Guanyuan and Sanyinjiao, combined with moxibustion three times a week, will have a more significant effect. Traditional Chinese medicine retention enema uses Jinhuang powder and other preparations, which can directly act on the prostate through the rectal mucosa.

Patients with prostatitis should establish a regular sexual rhythm, neither long-term abstinence nor excessive frequency. Pay attention to supplementing zinc and lycopene in your diet, and eat pumpkin seeds, oysters and other foods in moderation. To prevent the perineum from getting cold, choose breathable cotton underwear. Prostatic fluid should be reviewed every 3 months after treatment. Recovery of sexual function requires continuous intervention for 3-6 months. If symptoms recur, the plan should be reviewed in a timely manner.