Prostate health science

90% of prostate problems are preventable and controllable. To protect your prostate, you don’t need to buy hundreds of imported health products. Avoiding the three high-frequency triggers of sitting for a long time, holding in your urine, and over-stimulation is more effective than taking any number of supplements.

I just received a 19-year-old boy last month. He came in with his waist bent and he hesitated for a long time. He said that his perineum hurt and he urinated so frequently that he had to go to the toilet every half hour. He thought he had some internal disease. When I asked about it, I found out that I was sitting in the dormitory during the summer vacation, sitting there for 14 hours at a time. My roommates helped me bring meals to the table. I checked the urine routine and prostate fluid, and it turned out that it was aseptic prostatitis caused by acute congestion. After two days of fluids, it was much better. Think about it, the prostate is right at the bottom of the pelvic cavity. It is the size and shape of an unripe walnut. When a person sits, half of the weight of the upper body rests on it. After sitting for a long time, it becomes like a water balloon that has been held in the hand for a long time. The blood circulation is completely blocked, and it will swell and cause temper tantrums.

Many people panic when they are diagnosed with prostatitis. The first thing they think of is whether to abstain from sex. In fact, there are always different views in the industry. Our Western medicine clinical practice generally recommends regular semen ejaculation. Once or twice a week can just bring out the accumulated prostatic fluid, which is conducive to the resolution of inflammation. ； However, some schools of traditional Chinese medicine recommend suspending sexual intercourse during an acute attack to avoid repeated congestion and aggravation of redness and swelling. Both opinions are supported by clinical data. In fact, you can decide based on your own physical feelings. If the pain becomes more severe after sexual intercourse, rest for a few days. If there is no discomfort, there is no need to hold it in. Holding in the prostate fluid will block the prostate fluid more, which will slow down the recovery.

Oh, by the way, there are also people who go to the Internet to search randomly when they have frequent urination and urgent urination, and buy a bunch of prolecon and lycopene to stuff into their stomachs. I met a 35-year-old product manager a while ago. He had been urinating frequently for almost two months, and he took health supplements for more than three months. Finally, it was found that it was not a prostate problem at all, but an overactive bladder caused by staying up late for a long time. He adjusted his schedule and prescribed some medicine to adjust bladder function, and he was cured in half a month. Especially lycopene has been extremely hyped in the past two years. It is said that eating it can prevent prostate cancer. Currently, large-sample clinical studies in multiple centers around the world have not found clear benefits. If you usually like to eat tomato stewed beef brisket or tomato scrambled eggs, it is okay to eat a few more bites. There is really no need to spend hundreds of dollars on purified health products and pay IQ tax.

Many young men think that prostate problems are only suffered by middle-aged and elderly people. In fact, this is not true. Most young people suffer from prostatitis. Men over 50 years old are more likely to suffer from prostate hyperplasia. Just like people grow gray hair as they get older, the prostate will also grow larger with age. As long as there is no obvious difficulty in urinating or thinning of the urine line, there is no need to treat it at all. There is no need to get nervous when hyperplasia is detected. I have seen many men in their 60s who were diagnosed with prostatic hyperplasia during physical examinations but had no symptoms. They were frightened by online advertisements and spent tens of thousands on ablation procedures. In the end, they injured their urethra, and the gain outweighed the gain.

A little habit I tell my patients the most is to stand up and take two steps every 40 minutes to get a glass of water, go to the toilet, and walk back and forth for two or three minutes to loosen the prostate. As for drivers who drive long distances, it’s best to go around the service area every hour and don’t hold in your urine. Last year, there was a truck driver who ran a long distance from Guangzhou to Changsha. He was in a hurry and didn’t go to the toilet for 5 hours. Finally, he couldn’t urinate when he got there. He came to the emergency room in the middle of the night to have a urinary catheter inserted. His head was so painful that he was sweating. He really couldn’t do it.

There are also many people who are embarrassed to ask, will prostatitis affect sexual function and have children? In fact, most chronic aseptic prostatitis will not have any impact at all. Many people feel that their function has declined, which is more due to excessive psychological pressure. Of course, if it is acute bacterial prostatitis, it may temporarily affect sperm motility. It will recover when the inflammation subsides. You don’t have to worry about it all day long. On the contrary, the more anxious you are, the worse the symptoms will be. In clinical practice, we encounter too many patients who get more and more painful the more they think about it. In the end, prescribing some anti-anxiety drugs will make most of the symptoms better.

After all, prostate problems are really not something to be ashamed of. Clinical data shows that almost half of men will get prostatitis once in their lifetime, just like a cold or a fever. If you really feel uncomfortable, just go to the urology department of a regular hospital to register. Don't go to a private men's hospital and get tricked. Don't frighten yourself by searching blindly. Eat well and don't stay up late. Don't sit for too long and don't hold your urine. It's much easier to take care of than you think.