Post Date December, 03 2023
This is a problem often misunderstood by patients. Many patients believe that chronic prostatitis can lead to prostate hyperplasia if it is not cured for a long time. In fact, from the perspective of modern research, there is no inevitable relationship between the two. Prostatic hyperplasia (BPH) is a common disease in elderly men. There are many studies on its pathogenesis, but the etiology has not yet been clarified. However, BPH must meet two conditions, namely, the presence of testicles and aging.
The presence of the testis indicates normal secretion of male hormones. Studies have shown that the synergistic effect of androgens and estrogen plays an important role in the process of prostate hyperplasia, while chronic prostatitis does not affect the secretion function of the testis and the metabolic process of hormones, so this disease does not cause anterior gland hyperplasia.
It is true that some patients with chronic prostatitis have prostate hypertrophy, mainly because chronic prostatitis and prostate hyperplasia are common diseases in andrology. So far, no research has shown that patients with chronic prostatitis are more likely to develop prostate hyperplasia than normal people. Can chronic prostatitis affect fertility? There is no clear understanding as to whether chronic prostatitis can affect fertility. Some patients with severe symptoms of prostatitis can still have fertility; In theory, when inflammation occurs in the prostate, it can affect the amount and composition of semen, leading to infertility.
Therefore, this issue should be viewed dialectically. First of all, we should recognize that when inflammation occurs in the prostate, the secretion of the prostate decreases, which reduces the amount of semen and interferes with the survival and activity of sperm. At the same time, it decreases the enzyme activity in the prostate fluid, increases the viscosity of semen, and prolongs the liquefaction time; Inflammation can also lower the pH value of semen and cause the body to produce anti sperm antibodies, leading to sperm death; Prostate fluid contains a large amount of bacteria and bacterial toxins, which can consume the nutritional components of seminal plasma, thereby affecting the survival of sperm.
From the above discussion, it is not difficult to see that chronic prostatitis does have an impact on fertility, but from the clinical perspective, it can also be seen that most patients with chronic prostatitis have normal fertility. Although a few patients also have infertility, it should also be recognized that there are many causes of infertility, such as overemphasizing chronic prostatitis, which often ignores other causes, thereby delaying treatment opportunities. If no other cause of infertility is found through systematic examination of both spouses, it should not be overly stressful. Chronic prostatitis can still be cured.
