When you get excited, you will have prostate fluid

Many men will find that some fluid will flow out before they ejaculate during sexual intercourse. In fact, this is prostatic fluid. It is a normal phenomenon to have prostatic fluid flow out during sexual impulse. However, if the prostatic fluid is abnormal, it may indicate that the man has acute bacterial prostatitis, chronic bacterial prostatitis, chronic non-bacterial prostatitis, prostatitis and prostatitis!

1. Is it normal to discharge prostatic fluid when you get excited?

It is normal for transparent liquid to flow out during sexual impulse. When the penis is not erect, light yellow liquid (the same color as semen) will flow out. It is abnormal to have abdominal discomfort at the same time. It may be related to prostatitis, etc. It is recommended to check and confirm the diagnosis.

2. Symptoms and Signs

1. Acute bacterial prostatitis: The disease occurs suddenly, with chills and high fever, frequent urination, urgency and pain. Dysuria or acute urinary retention may occur. Clinically, it is often accompanied by acute cystitis. The prostate is swollen, tender, and has a local temperature rise. The surface is smooth, and there is a feeling of fullness or fluctuation when abscesses are formed.

2. Chronic bacterial prostatitis: Frequent urination, urgency, pain during urination, urethral discomfort or burning during urination. White discharge often flows out of the urethra after urination and defecation. Sometimes there may be blood in semen, pain in the perineum, sexual dysfunction, and mental and neurological symptoms. The prostate is full, enlarged, soft, and slightly tender. In patients with a long course of disease, the prostate shrinks, hardens, has an incomplete surface, and has small nodules.

3. Chronic nonbacterial prostatitis and prostatitis The clinical manifestations are similar to those of chronic bacterial prostatitis, but there is no history of recurrent urinary tract infections. The main symptoms are urinary tract irritation and dysuria, especially the manifestations of chronic pelvic pain syndrome. Mycoplasma and chlamydia can be cultured in the prostatic fluid of some patients.

3. Medication

1. Acute bacterial prostatitis

(1) General treatment: bed rest, drink plenty of water or receive intravenous fluids, and strengthen systemic supportive therapy.

(2) Antibiotics: Actively use effective antibiotics. Commonly used quinolones such as ciprofloxacin, ofloxacin, levofloxacin (levofloxacin) 0.2g, intravenous drip, 2-3 times/day; aminoglycosides such as amikacin, netilmicin 0.4g, intravenous drip, once/day. After the acute inflammatory symptoms are controlled, oral administration can be used, and the course of treatment should be maintained for 1 month.

(3) Other treatments: Antipyretic and analgesic drugs can be used, such as Suomiton (pain-relieving tablets), acetaminophen (Sanlitong), acetaminophen (Baifuning), etc. Those with dysuria can use α-receptor blocking drugs, such as Natol 25 mg, terazosin 2 mg or tamsulosin (Halor) 0.2 mg, orally, once a day. For those with acute urinary retention, it is not advisable to place a urinary catheter, but suprapubic bladder puncture and fistula should be performed. When complicated with prostate abscess, incision and drainage should be performed.

2. For chronic prostatitis, comprehensive treatment measures should be taken.

(1) Lifestyle adjustment: avoid riding or sitting for long periods of time, have regular sex, and avoid drinking alcohol and eating spicy food.

(2) Hot water sitz bath and physical therapy: can reduce local inflammation and promote absorption.

(3) Prostate massage: once a week to drain inflammatory secretions.

(4) Herbal preparations: such as Shenitong, Qianliexin Capsules, Zegui Longshuang Capsules, etc.

(5) Application of anticonvulsant and analgesic drugs: ibuprofen 60 mg, orally, 4 times a day; indomethacin (indomethacin) suppository 0.1 g, intrarectally, once a day. For patients with obvious urinary irritation symptoms, tolterodine 2 mg, orally, 2 times a day or flavoxate (urinary anesthetic) 0.2 g, orally, 3 times a day can be used.

(6) Application of α-receptor blockers: They can relieve patients’ dysuria symptoms.