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Prostate problems and sexual function
Prostate problems can have a significant impact on sexual function.
Below is a summary of the most common prostate conditions and how they affect sexual function:
Prostatitis: prostatitis or prostatitis often causes pain or discomfort in the intimate areas, which can interfere with sexual activity. Men with prostatitis often report difficulty ejaculating or that their erections are not as strong as they used to be.
Prostatic enlargement: enlargement of the prostate, also known as hypertrophy or benign prostatic hyperplasia (BPH), can also affect sexual function. An enlarged prostate can cause the urethra to be squeezed, making it difficult to pass urine and affecting erections.
Prostate cancer: treatment for prostate cancer (e.g. surgery, radiotherapy) can also affect sexual function. After surgical removal of prostate cancer, affected men often experience erectile dysfunction, difficulty ejaculating and reduced sexual desire.
Chronic prostatitis: Chronic prostatitis can also cause erectile dysfunction, reduced libido and ejaculation difficulties.
Prostatic cyst: A prostate cyst is a fluid-filled cavity in the prostate. The cyst often causes no symptoms, but can sometimes grow and put pressure on the urethra or bladder, making it difficult to urinate and affecting erections.
Prostatic abscess: a prostatic abscess is a pus infection in the prostate. Symptoms include pain and difficulty urinating and erectile dysfunction.
Prostatic fibrosis: Prostatic fibrosis is scarring in the prostate. It is usually the result of prostatitis, prostate enlargement or treatment for prostate cancer. Prostatic fibrosis can cause erectile dysfunction and reduced sexual desire.
Prostatic calcification: prostatic calcification is a hard deposit of calcium in the prostate. Calcifications do not usually cause symptoms, but can sometimes put pressure on the urethra or bladder, making it difficult to urinate and can affect erections.
Some drugs used to treat prostate problems (such as alpha-blockers) or hormone treatments can also affect sexual function.
If you suspect you have any prostate problems or sexual dysfunction, it is important to talk to your doctor. Your doctor can help diagnose the problem and recommend appropriate treatment.
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Lifestyle and prevention of prostate-related diseases
Certain lifestyle factors may play a role in the development of prostate disease, particularly prostate cancer and prostate enlargement.
Such factors include:
Nutrition: a healthy diet plays an important role in maintaining prostate health. A diet high in fat and cholesterol can increase the risk of prostate cancer and prostate enlargement. In contrast, a diet high in fibre, vitamins and minerals can help prevent prostate disease.
Exercise: inactive lifestyles and being overweight can increase the risk of prostate enlargement. However, regular exercise can reduce the risk of prostate cancer and prostate enlargement and help maintain prostate health.
Smoking: Smoking has been associated with an increased risk of prostate cancer.
Drinking alcohol: Drinking large amounts of alcohol can increase the risk of prostate cancer and prostate enlargement.
Stress: Chronic stress can have adverse effects on health, including prostate health. Stress management, such as meditation and yoga, can help relieve stress and improve overall health.
It is important to emphasise that lifestyle is only one of the risk factors for prostate disease and does not guarantee that lifestyle changes will prevent prostate disease.
Regular medical check-ups are important to detect prostate disease at an early stage, when the chances of successful treatment are best.
Unfortunately, prostate disease cannot be completely prevented, but there are many ways to reduce the risk of developing it.
Some tips to prevent prostate disease:
Healthy eating: eat foods that are high in fibre, vitamins and minerals, such as fruit, vegetables, whole grains and lean meats. Reduce your intake of animal fats, sugars and processed foods.
Regular exercise: at least 150 minutes of moderate-intensity aerobic and anaerobic exercise per week is recommended, such as walking, running, swimming, cycling or strength training.
Healthy weight: keep your weight within a healthy range and avoid obesity. Obesity increases the risk of prostate enlargement and prostate cancer.
Avoid smoking: smoking is bad for your health and increases your risk of prostate cancer.
Limiting alcohol consumption: Moderately limiting alcohol consumption can improve overall health and reduce the risk of prostate enlargement and prostate cancer.
Regular medical check-ups: early detection and treatment of prostate disease increases the chances of a successful recovery. Men aged 45 and over should visit their doctor at least once a year to have their prostate checked and, if necessary, have further tests.
Managing stress: chronic stress can have a detrimental effect on your health, including your prostate health. Active stress management techniques such as meditation and yoga can help relieve stress and improve overall health.
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Prostate cancer and risk factors
Prostate cancer is a malignant cancer that starts in the glandular cells of the prostate.
The prostate is part of the male sex organ and is located around the urethra.
Prostate cancer is the most common cancer in men and occurs mainly in older age. Prostate cancer usually develops slowly and initially has no symptoms.
However, later, when the tumour grows and starts to spread, you may experience the following symptoms:
frequent, difficult urination
weak or intermittent urine stream
a burning sensation when urinating
bloody urine or semen
pain in the back, hips or legs
Prostate cancer is usually diagnosed using a PSA (prostate-specific antigen) test and a digital rectal examination by a urologist. Treatment options include surgery, radiotherapy, hormone therapy and surveillance.
It is important to remember that prostate cancer can be asymptomatic for many years, so it is important that men of the right age have their prostate checked regularly by a healthcare professional, even if they have no symptoms.
The exact cause of prostate cancer is not known, but there are a number of risk factors and associations with the development of the disease.
Below are some of the most important risk factors:
Age: The risk of prostate cancer increases with age. The disease usually occurs in men aged 50 or older.
Family history: men who have a father, brothers or other male family members with a history of prostate cancer are more likely to develop the disease. If a first-degree relative (father, brother) has been previously diagnosed with prostate cancer, their own risk will be about double.
Genetic factors: changes in certain genes can also contribute to the development of prostate cancer.
Ethnicity: prostate cancer is more common in black men than in other ethnic groups. Asian and Latin American men are less likely to develop the disease.
Lifestyle: Unhealthy lifestyle, like many diseases, can contribute to prostate cancer. Obesity, an unhealthy diet, smoking and a sedentary lifestyle increase the risk of the disease.
