Is it possible to have sex with prostatitis?
When prostatitis is caused by a sexually transmitted infection, it is undesirable to have sex, since there is a risk of infecting the partner.
With chronic prostatitis, in most cases, sex is not only acceptable, but also useful, because it helps to reduce congestion in the small pelvis. At the same time, with chronic inflammation in the prostate, men often have problems with sexual function, premature ejaculation and erectile dysfunction. Therefore, doctors give recommendations to women: if your husband has prostatitis, it is very important to support him as much as possible and to understand the difficulties that arise, because depression associated with" male failure " will only exacerbate problems in sexual and personal relationships.
Principles of effective treatment
Based on the above, the main principles of effective treatment of prostatitis can be formulated as follows:
1. "Kill" the infection by taking the right antibiotics;
2. Locally increase the lymph flow, in order to remove excess dead and damaged cells from the prostate and urethra. This will deprive the infection of nutrition, and by itself, cleaning the tissues from "slags" creates conditions for tissue regeneration and restoration of organ function;
3. Improve the lymph flow in the pelvic organs to eliminate the stagnation of lymph in the future;
4. Increase the tone of the venous vessels, increase the venous outflow from the pelvic organs.
Let's consider the existing methods of treatment, based on the principles formulated above.
Drug therapy
Drug therapy is most effective in the treatment of acute prostatitis and, as a rule, includes:
1. Antibiotics and other medicines to fight infection. Since tests to determine the type of microbes that caused acute inflammation take more than a week, and the acute condition of the patient does not allow long to wait, treatment is often started "blindly". Initially, broad-spectrum antibiotics are prescribed, and already according to the results of a bacteriological study, the treatment can be adjusted.
2. Antipyretics and painkillers to relieve the patient's condition.
3. Alpha-blockers and similar drugs. They reduce muscle tone, forcibly relieve swelling in the prostate gland, and thus facilitate the process of urination.
4. Taking a large amount of fluids (saline solution) to cleanse the body of toxins that poison the entire body.
The antibiotic purposefully destroys the infection, the reproduction of which causes an acute reaction of the body, and the patient's condition improves. However, in the absence of sufficient lymph flow, tissue purification from dead cells and toxins in the pelvic organs does not occur, and therefore there is a risk of developing chronic prostatitis later.
Drug therapy for chronic prostatitis includes:
1. Also antibiotics and other medications, despite the fact that in most cases the infection is not detected. There is always a risk that the tests simply did not allow to diagnose the infection, so it is necessary to take measures that will prevent the spread of this unrecognized infection. According to studies, up to 40% of patients with chronic prostatitis who did not have a bacterial infection were improved as a result of the use of antibiotics.
2. Non-steroidal anti-inflammatory drugs that "block" the inflammatory response of the body. Long-term use of them negatively affects the mucous membrane of the gastrointestinal tract and, in general, the entire body.
3. Alpha-blockers to improve urination. The effect of the treatment is achieved with prolonged use (at least 6-8 months).
The effectiveness of drug therapy in the treatment of prostatitis may be reduced due to the hemato-prostatic barrier. This is a special protective wall that prevents the penetration of unwanted substances from the blood into the prostate tissue. Not all medicines are able to filter through this barrier. In the acute phase of prostatitis, when almost the entire prostate is already affected, this barrier, as a rule, is also damaged and drugs freely penetrate. However, in the initial stages of acute prostatitis and with sluggish chronic inflammation, the hemato-prostatic barrier serves as an obstacle.
To overcome it, they select special drugs, and also use physical therapy (for example, phonation).
At the moment, it is quite difficult with the help of drugs to directly affect the venous outflow and lymph flow, restore your own vascular and muscle tone, so to combat stagnant processes in the pelvis, it is also necessary to take additional measures (changing the habits of a sedentary lifestyle, exercise therapy, physiotherapy).
Prostate massage
Massage of the prostate gland is performed from the inside - through the rectum with the help of a finger. There are cases when people try to carry out massage at home on their own (sympathetic relatives). However, an effective massage is not just massaging this area, but affecting different parts of the prostate in a strict sequence and in a certain direction. In this regard, a competent and effective massage can only be performed by a specialist urologist.
Massaging of the prostate gland can not be carried out in acute prostatitis (as it is possible to spread the infection even more), in the presence of an abscess( abscess), tumors of unknown nature in the rectum or prostate, urinary retention, diseases of the genitourinary system at the acute stage.
Prostate massage is recommended only for chronic prostatitis. It allows you to "disperse" the stagnant secret and clear the "excretory ducts", and accordingly improve the condition of the prostate gland. However, in cases where chronic prostatitis is supported not only by the stagnation of the secret, but also by a weak venous and lymphatic current, manual massage will not fundamentally improve the situation, regardless of the frequency and diligence of the massage.
An alternative to finger massage of the prostate can serve as a vibroacoustic effect on the problem area (phonation) with the help of special medical devices used at home. The sound micro-vibrations created by the devices have an impact on the cellular level.

The undoubted advantages of phonation are:
* the ability to effectively affect the prostate without rectal penetration (sound microvibrations penetrate to a depth of 10 cm);
* performing procedures independently at home, which is especially important in quarantine conditions;
* impact not only on the prostate area, but also on the entire pelvic area, including the network of lymphatic and venous vessels (manual massage of which is not possible). Regular procedures allow you to gradually overcome venous and lymphatic congestion;
* increase the absorption of drugs and their delivery to the target area.
Complications develop:
* sclerosis (fibrosis) of the prostate: the prostate gland shrinks, compresses, squeezes the urethra and disrupts urination.
* cysts - when cavities form in the prostate, which often become a habitat for microbes. At the same time, dense walls make it difficult for the drug to penetrate into the cavity;
* stones (calculous prostatitis). The stones further squeeze the ducts, exacerbating congestion and inflammation.
In the worst case, the protein components of the dead cells are used as the "building material"for tumor cells - prostate adenoma and prostate adenocarcinoma (cancer).
The main cause of stagnation is hypodynamia (sedentary, sedentary lifestyle). No wonder the disease is more common in those who spend a lot of time driving a car, in office workers, in those who, due to health problems, can not lead an active lifestyle. To date, there is a deeper understanding of why a sedentary lifestyle is so detrimental to human health, contributing to the development of not only prostatitis, but also constipation, prostate adenoma, cystitis, etc.
During physical activity, skeletal muscles tense up and generate biological micro-vibration energy* by alternately contracting muscle fibers.
Biological microvibration is a vital condition for many transport and metabolic processes in the body, in particular for (a) lymph flow and (b) venous outflow, as well as for the normal functioning of the kidneys and liver (c).
(a) Unlike the circulatory system, the lymphatic system does not have a pump (heart), and most vessels are not provided with a muscular "wall" that would compress the vessels and push the lymph forward. The movement of the lymph is provided by the work of the muscle tissues located next to the vessels (skeletal muscles or the muscular "shell" of other organs). In the prostate area, the lymph flow is provided by the microvibration of the pelvic floor muscles, the bladder, and the peristalsis (wave-like contraction) of the rectum. That is why the" inactivity " of the pelvic muscles and constipation (which indicates weak peristalsis) lead to stagnation, accumulation of dead cells, and, as a result, to prostatitis.
(b) Most venous vessels have their own muscle walls. However, their contractile activity is similarly "encouraged" by the work of skeletal muscles, because the power of pushing should be sufficient for venous blood to overcome gravity, returning to the heart. Otherwise, the tone of the muscle walls of the venous bed decreases, and in the presence of additional damaging factors, venous disorders develop, including venous congestion.