Role of ejaculation in the treatment of chronic non‐bacterial prostatitis

Abstract

Background: Chronic non-bacterial prostatitis (NBP) is the most common prostatitis syndrome. Prevention and cure are not possible because the cause of NBP is unknown. However, patients may benefit from supportive measures. The impact of the frequency of ejaculation alone on the course of NBP was evaluated in the present study. Methods: Thirty-four single male patients who avoided masturbation and extramarital sexual intercourse for personal and/or religious beliefs and who did not respond to a clinical trial of doxycycline hydrochloride therapy (200 mg daily for 4 weeks) directed against mycoplasmas, chlamydiae and ureaplasmas were enrolled in the study. They were encouraged to masturbate regularly at least twice a week and were re-evaluated at the end of a 6 month period, including a complete inquiry regarding their sexual function during this time.Response was assessed by a symptom severity index.Results: Clinical and laboratory re-evaluation could be performed in 28 patients. Of 18 patients who adhered to the recommendations, two (11%) experienced complete relief of symptoms, whereas six (33%) had marked improvement, six had moderate improvement and four (22%) did not benefit. In contrast, three of seven patients who masturbated less frequently reported partial improvement. Three patients who did not ejaculate other than during wet dreams had a worse prognosis. Conclusions:Young men who are single and suffering from NBP must be informed about their illness in detail and, if they are not doing so, they should be encouraged to ejaculate regularly, for example by masturbation in the absence of a sexual relationship with a partner. We believe that normal sexual activity decreases the incidence of NBP in some cases.

Not Only the Lonely—How Men Explicitly and Implicitly Evaluate the Attractiveness of Sex Robots in Comparison to the Attractiveness of Women, and Personal Characteristics Influencing This Evaluation

“…Although the concept of sex is often associated with long-lasting romantic relationships, sexual experiences can manifest themselves in different ways. Studies have demonstrated that, for men, there are different positive psychological and physiological effects of sexual experiences, caused, for instance, by masturbation (e.g., [12]) or by sexual intercourse in short-term relationships (e.g., [13]). Despite the lack of consensus regarding whether sex drive is based on psychological or physiological processes or an integrated process, every human experiences sexual tension [14][15][16].…”

Sex in Australia: Autoerotic, esoteric and other sexual practices engaged in by a representative sample of adults

“…10,11 Sex advice books for lay readers now generally regard masturbation not just neutrally but positively. 12,13 Few of the national sex surveys in other countries collected data about masturbation.…”

New therapies in chronic prostatitis

“…Efficacy has not been established in clinical trials. Although many men have exacerbation of symptoms with ejaculation [15], others have a reduction in symptoms with regular ejaculation [16]. Ullrich et al [17•] conducted a study to examine whether perceived stress was associated longitudinally with pain intensity and pain-related disability in a sample of men (n = 224) with nonbacterial prostatitis/ pelvic pain.…”