The disease is most often the outcome of an acute prostate. Chronic prostatitis of non-infectious origin sometimes develops as a result of stagnation of secretions in the follicles of the prostate gland. Prolonged irritation of the follicular mucosa by the decay products of stagnant secretion causes its aseptic inflammation - the so-called congestive prostatitis. The cause of stagnation is the atony (loss of tone) of the follicles of their excretory ducts on the basis of sexual excesses, masturbation, prolonged sexual arousal.

Pathological changes in the gland in chronic forms of inflammation are extremely diverse both in localization and prevalence, and in the histological picture. At the same time, you can find desquamative catarrh (inflammation with detachment of the mucous membrane) of the excretory ducts, small-cell infiltration of their walls.

Subjective complaints in chronic prostatitis are sometimes absent, and only some adhesion of the sponges of the urethra and a small amount of filaments in the urine makes the patient see a doctor. At the same time, patients can consider themselves absolutely healthy, while the already inflammatory modified secretion of the prostate gland, released into the urethra, irritates the nerve endings.

Progressing, the inflammatory process in patients from 14 to 50 years old leads to partial sclerosis of the tissues of the prostate gland and their focal hyperplasia (proliferation), and from 51 to 76 years old - to atrophy (death) of the prostate gland, complicated by various pains (40 - 80%) , the development of secondary lumbosacral radiculitis (in 90% of patients) due to malnutrition and toxic effects on the nerve roots of the spine, urinary disorders (up to 83%), renal dysfunction (68%), sexual dysfunction (74%), hemorrhoids (17%), neurovegetative and mental changes (sweating, fatigue, depression, decreased performance, insomnia, irritability, conflict), observed in 20 - 71% of patients with prostatitis. Often these patients come to see not a urologist, but a surgeon and a neurologist.

All this makes the recognition and effective treatment of chronic prostatitis especially relevant. In chronic prostatitis, to identify the infectious or non-infectious nature of the disease of the prostate gland, its secret is necessary.

To do this, it is necessary to massage the prostate gland, as a result of which its secret is obtained, it is sent for bacterial inoculation for the targeted prescription of antibiotics.

In some cases, patients complain of itching in the urethra, in the anus, in the perineum, dull pain in the sacrum, lower back, in the kidneys, in the testicles, hips, along the sciatic nerve, etc.

Various pathological processes fit into the clinical picture of chronic prostatitis. In less than half of patients, it is possible to identify the causative agent of the disease. In many cases, complaints are based on functional disorders of the nervous system, various changes in the rectum and urethra. Despite the widespread prevalence of prostatitis, it is often difficult to clarify the cause and origin of the disease, and the technical capabilities of doctors are different.

Meanwhile, chronic prostatitis can drag on for a long time, sometimes driving people to complete despair. Violation of urination and pain in various organs, loss of sex drive and the development of impotence can make a man's life simply unbearable.

The symptoms of chronic prostatitis can be roughly divided into three groups: general, local and sexual disorders.

The general symptoms are not specific enough. These are increased irritability, lethargy, fatigue, loss of appetite, anxiety, sleep disturbances, decreased efficiency and creative activity.

It happens that pain in the lower back and sacrum prompts the mistaken idea of ​​sciatica. In inflammatory diseases of the heart and joints, you should always exclude the process in the prostate gland, which is often the focus of infection, like the tonsils and carious teeth. The functions of the prostate gland, as well as the gastrointestinal tract and the cardiovascular system, are regulated by the autonomic nervous system associated with the brain. This can explain the occurrence of functional disorders of various systems in the body. Adopted mental disorders lead to a depressive state, a decrease in labor productivity, rash decisions and actions.

Mental changes, manifested to a greater or lesser extent, are observed in most patients with chronic prostatitis. The vast majority of patients are in complete control of their reactions, and the correct approach to the disease can already lead to some improvement. A positive outcome of treatment largely depends on both the participation of the patient in this process and the support of the partner. It takes a lot of work to achieve the strengthening of mental and physical health. Finding a rational approach is also not easy: both reproaches and overprotectiveness can lead to a deterioration of the mental state. Autogenic training (relaxation method), yoga exercises, and daily exercise can help.

Of the local symptoms, patients most often note urinary disorders and pain syndrome. As a rule, worried about increased urge, pain at the beginning or end of the act of urination, constant aching pains, radiating to the subpubic region, perineum, sacrum, scrotum, glans penis, rectum, groin. In some patients, pain intensifies both after intercourse and with prolonged abstinence. The intensity of pain often does not depend on the severity of the pathological process; in some cases, pain is considered a symptom of other diseases (cystitis, radiculitis, osteochondrosis). Itching, excessive sweating, and a feeling of coldness in the perineum are often noted. Changes in skin color in the pelvic area associated with circulatory disorders may also appear. Other symptoms include discharge from the urethra, especially after a bowel movement or exercise. This is due to the weakening of the tone of the prostate gland.

Psychologically patients are especially painful to tolerate sexual dysfunctions - sexual dysfunctions.

After suffering gonorrheal prostatitis, a number of complications are possible: narrowing of the urethra, inflammation of the seminal tract, sexual dysfunction, infertility. Gonorrhea continues to be a common disease in young people and cannot be underestimated. Frequent partner changes and neglect of hygienic precautions are also essential in the spread of gonorrhea.

The causative agent of the disease - gonococcus - lives on the mucous membrane of the genital organs. The exception is the cornea of ​​the eyes of newborns, which can, as a result, become infected during childbirth and lead the child to blindness. For this reason, immediately after childbirth, a solution of silver nitrate of men is instilled into the child's eyes after infection on the second day (the incubation triode can last up to 9 days!), Yellow-green mucous discharge from the urethra appears, with microscopic examination of which a large number of leukocytes are found (sign inflammation) and gonococcus. The body's defenses are not always able to cope with the infection and remove microorganisms with secretions. Therefore, with insufficient treatment or in its absence, the pathogen from the anterior urethra moves into the following sections of the urethra and into the prostate. In addition, gonococci suppress the usual flora, after successful getting rid of gonorrhea, an additional inflammatory process can develop, caused by other microorganisms, including chlamydia and mycoplasma.

Symptoms of gonorrhea are determined by inflammatory swelling of the mucous membrane of the sensitive urethra: burning, itching pain and significant purulent discharge. Urination at times .; so painful that waiting for it can be unbearable .. More serious complications are possible, for example, inflammation of the epididymis (epididymitis), prostate abscess, as well as inflammation of the glans penis and foreskin (balanitis, balanoposthitis). Perhaps also gonococcal damage to the eyes and joints.

The acute phenomena of gonorrhea disappear after a few days, minor pain and discharge, especially in the morning. This form of the disease is dangerous in that it can remain contagious, while a chronic inflammatory process inevitably leads to a decrease in the ability to fertilize. Unqualified independent treatment can also lead to this: dangerous flora does not die, but is only suppressed, remaining a source of infection and a chronic inflammatory process. Therefore, underestimating this disease leads to its further spread.

Antibacterial treatment of gonorrhea for many years has led to the variability, adaptability of a number of strains of the pathogen, which also changed the course of the disease. Quite often, there is no violent onset after infection, sometimes the symptoms are mild. It is not uncommon for several men to have one partner - the source of infection, and only some of these men fell ill. A mandatory symptom of the disease is discharge. Women often consider them a harmless nuisance and are surprised when a partner (usually after visiting a doctor) invites them to go for an examination. In addition, a disease that is not cured in a timely manner often gives rise to resentment, divorce and other complications in human relationships.

Syphilis is a disease known to mankind since ancient times. They began to effectively treat it only after the appearance of antibiotics, in particular penicillin, which to this day remains the main and effective means of influencing the pathogen (treponema pale).

Infection with syphilis most often occurs during sexual intercourse, when pathogenic bacteria enter the body of a healthy person from the patient's body. There are no symptoms of the disease in the first three weeks after infection, the incubation period is usually 10 to 60 days. Then, on the genitals at the site of the initial introduction of the pathogen, a small ulcer appears with clear contours. This sore - a hard chancre - resembles a small crater with jagged, hard edges. The surface of the ulcer has a characteristic pink color, it can be one or several. A few days after the appearance of a hard chancre, an increase in the inguinal lymph nodes is noted. The primary stage of syphilis lasts from one to five weeks.

If the patient does not pay attention to these ulcers, then self-healing occurs, and within two to ten weeks there may be no symptoms of the disease, and then a small rash appears on the skin, the patient may not remember the previous suffering. Meanwhile, the occurrence of such a rash indicates the onset of the second stage of the disease. If left untreated, the rash may recur and disappear periodically over the next two years.

Further, the disease passes into a latent (latent) stage. It must be remembered that during the first two years the patient continues to be a source of infection for others. It is difficult to predict the subsequent development of the disease. While some of the disease is asymptomatic all their lives, others suffer from damage to many internal organs, including the cardiovascular system, spinal cord and brain, etc. Of course, a number of changes in these organs can often be incompatible with life.

If you find signs of the disease, you should immediately consult a venereologist.

Trichomonas prostatitis. A significant part of non-bacterial prostatitis is inflammatory processes caused by Trichomonas. Unlike viruses and bacteria, they belong to the lowest forms of the animal world - the simplest unicellular microorganisms that tend to settle in colonies. It is important that they are not sensitive to common antibacterial drugs. Identifying trichomoniasis is important because specific drugs are used to treat it. Detection of pathogens in urine is possible only with massive damage to the urethra and bladder. More precisely, a microscopic examination of the secretion of the prostate gland, which is obtained after finger massage of the organ. This is often an unpleasant and painful procedure, but it is necessary for a correct diagnosis. Microscopy of the partner's vaginal discharge complements the examination process. It is known that the most attractive habitat for Trichomonas is a humid environment, most often in public toilets (doorknobs, shared towels, toilet lids), in public baths (at work), and swimming pools. Careful timely treatment of these surfaces is more a dream than a reality, so you should worry about precautions (disposable towels, modern disinfectants). And yet, the main route of infection is sexual contact. In some cases, when the discovery of trichomoniasis is surprising, this leads to serious family quarrels.

Treating trichomoniasis is theoretically simple. According to statistical studies, the vast majority of patients recover after the first course of treatment with a special drug - metronidazole or new generation drugs such as secnidazole. In practice, however, the situation is more complicated.

If the treatment and control is insufficient or there is an intolerance to drugs, the effectiveness is 10%.

Chlamydia occurs in more than half of men who have had gonorrhea.

Prostatopathy is a disease of the prostate gland, the clinical picture of which in many ways resembles chronic prostatitis. The variety of symptoms can explain the many names of this pathology - prostatopathy, prostatodynamia, prostatoneurosis, autonomic urogenital syndrome, congestive prostatitis, nervous dysregulation of the prostate.

In prostatopathy, in contrast to chronic prostatitis, pathogens and inflammatory cells are not found either in the urine or in the secretion of the gland. Cytological studies also show a normal picture. It is known that the autonomic nervous system is responsible for all processes in the body that do not obey the will, for example, for the regulation of digestion, heart, blood vessels, smooth muscles. Dysregulation of the autonomic nervous system can affect almost any internal organ. Therefore, there are often people who complain of dysfunctions, for example, of the heart, rectum, in which organic changes are not found. From external manifestations, some may have frequent reddening of the skin of the face. Violation of the autonomic regulation of the prostate gland can lead to a change in its functional activity and blood circulation of varying severity. A prerequisite for a violation of autonomic regulation is a certain predisposition. Evidence-based signs of the so-called vegetative lability are frequent redness or blanching of the skin, cold, damp hands, palpitations, tremors of the fingers.

The trigger mechanism of the disease is stress and conflict situations in everyday life, especially on sexual grounds. This applies primarily to able-bodied, sexually active young men between the ages of 20 and 40. Later, this disease is less common. Prostatopathy can be caused by increased or decreased (service, long-term illness) sexual activity, excessive passion for masturbation, frequent interrupted sexual intercourse, conflicts based on treason. Concussion of the prostate (car drivers, motorcyclists, tractor drivers, riders) can also contribute to this to a certain extent.

With prostatopathy, the complaints of patients are almost identical to those with prostatitis.

Patients indicate urinary disorders that occur following a stressful situation.

Dull, vague painful sensations in the perineum and anus, a feeling of coldness in the glans penis, testicles, inner thighs and groin are possible. Sexual disorders (weakening of erection and premature ejaculation) have a purely vegetative, that is, mental, cause.

During the examination, patients notice pain even with a light touch of the prostate gland, which is quite natural, since those suffering from autonomic lability are sensitive to any touch. As a rule, it takes a lot of attention and time from the doctor to explain to the patient the true cause of the disease and help him to relieve his fear of excluding the influence of unfavorable factors. For this, the patient often has to take a vacation, tune in positively, use physical measures to strengthen the nervous system and the whole body. Self-training (a method of progressive relaxation) and yoga are helpful. The intervention of a psychotherapist is also possible. In the future, treatment is prescribed, directed; to improve blood circulation in the pelvic organs, reduce prostate edema, and regulate stool. Since there is no inflammatory process, antibiotic therapy is pointless. It is important to adjust your lifestyle, diet (it is recommended to avoid spicy foods and spices, alcohol). Local warmth is helpful (sit and mud baths, microclysters, short wave therapy, woolen clothes on the lower torso).

Neurogenic complications of chronic prostatitis.

Neurogenic complications of chronic prostatitis.

Chronic inflammation of the prostate gland, as an organ extremely abundantly supplied with neuro-receptor elements and having many nerve anastomoses with neighboring organs, cannot but affect the function of these organs to one degree or another. V.P. Ilyinsky (1925) emphasized that the prostate gland has a versatile effect on the functions of the body ("the second heart of a man"), and with its diseases, sometimes various painful conditions of the whole body and individual systems arise.

Therefore, reflexively conditioned functional disorders of urination, sexual function, various paresthesias and pain should not be considered complications in the exact sense of the word. Rather, they relate to the common symptoms of prostatitis (see Chapter 4). Their list should, perhaps, be supplemented with prolonged reflex spasm ("blockade") of the bladder neck. This relatively rare complication of prostatitis sometimes results in an ascending infection (cystopyelitis, pyelonephritis) or congestion with the formation of hydrourethritis and hydronephrosis.

However, neurotic disorders that often develop in patients with chronic prostatitis are among the real complications of a neurogenic (more precisely, psychogenic) nature. They were noticed by many researchers at the dawn of the development of the theory of prostatitis. For example, Fractional in 1907 called his work "Chronic prostatitis as an etiological factor in neurasthenia". B.N. Holtsov (1909) wrote that, alarmed by the duration of the disease and the unsatisfactory results of treatment, patients with chronic prostatitis fix their attention on their ailment, go into illness, exaggerate their disorders. As a result, they develop neurasthenia, which is expressed not only by local (urination disorders, sexual activity disorders, paresthesia and pain), but also by general nervous disorders (depression, deep melancholy). According to M. Junk-Overbeck et al. (1988) and M. Deinhart (1993), noted in such patients pain in the lower extremities against the background of general asthenization was a manifestation of affective depression.

Patients with chronic prostatitis are characterized as emotionally unstable, depressive, aggressive, impulsive individuals, often having problems in relationships with partners, anxious, introversive. In this case, the factor of depression plays a major role.

As L. Keltikangas-Jarvinen et al. (1989), many patients with chronic prostatitis suffered from impotence, told the doctor about the presence of bi- and homosexual contacts, latent homosexuality and other sexual problems that either existed before or appeared during the illness.

Of all the symptoms of chronic prostatitis, the most painful impression on such patients is made by prostatorrhea and spermatorrhea, in which they see direct evidence of loss of sexual ability. Especially often, according to I.F. Yunda et al. (1988), sexual dysfunctions are observed in patients with chronic Trichomonas prostatitis. The course of sexual disorder in such patients was undulating; at the first stages of the development of pathology, an increase in libido and an acceleration of ejaculation were more often noted due to overstimulation of the inflammatory process of the posterior urethra and seminal tubercle. In the future, there was a violation of erection function and libido; long-term inflammatory processes in the gland, as a rule, were accompanied by a decrease in its functional activity, which induced a decrease in the endocrine function of the testes. This proceeded according to the type of correlation hypogonadism with changes in the peripheral and pituitary links of the reproductive system and could be one of the reasons for the decrease in libido and sexual activity. The torpid course of trichomoniasis, frequent relapses, genitalgia determined the patient's attention to the state of the genitals and their functions, general asthenization, provoked the manifestation of accentuated personality traits, complicating the structure of the sexual disorder. Sexual disorders in genitourinary trichomoniasis proceeded within the framework of interoreceptive-psychic, mixed sexual dysfunction.

The developing neurosis often comes to the fore in the clinic of chronic prostatitis, and the own symptoms of inflammation of the prostate gland often no longer attract the attention of such patients. They develop general autonomic disorders common for secondary neurasthenic syndrome: rapid fatigue, decreased performance, cardiovascular disorders, gastrointestinal dyskinesias, etc.

One of the factors in the development of secondary neurasthenic syndrome in chronic prostatitis can be stress.

NS. Miller (1988) considered stress (intense workloads leading to asthenia; anxiety, etc.) as an etiological factor in chronic prostatitis and treated patients with "prostatitis stress" with anti-stress therapy methods.

Despite the recognition by most researchers of the important role of the neurogenic factor in the development of chronic prostatitis, attempts to differentiate chronic bacterial prostatitis from chronic abacterial prostatitis using psychodynamic and psychometric examination methods were unsuccessful. Also, the hypothesis of a greater severity of psychoneurotic disorders in patients with prostatodynia compared with patients with chronic prostatitis was not confirmed. It turned out that patients with chronic prostatitis and prostatodynia have approximately the same high frequency of neurotic and general psychosomatic complaints in comparison with healthy ones. In the same studies, it was shown that taking antibiotics can lead to the disappearance of the clinical signs of chronic prostatitis, but does not guarantee the cessation of psychosomatic complaints. Taking this into account, E. Brahler and W. Weidner (1989) recommend that psychosomatic and somatopsychic drugs be included in the complex of treatment of patients with chronic prostatitis, which should lead to a decrease in anxiety and help the patient cope with the symptoms of the disease, since, according to the hypothesis of M. Junk-Overbeck et al. (1988), emotional depression and persistence of chronic prostatitis symptoms reinforce each other.

In the treatment of chronic prostatitis, the entire arsenal of means should be used to prevent iatrogenic fixation of the patient's attention on individual symptoms of the disease.

In contrast to previous ideas about the infectious nature of chronic prostatitis, the role of pathology of the autonomic and central nervous system in the development of this disease has been established, which is the main impact of external factors. Difficult, nervous work, family environment, trips in crowded transport at rush hour, unsuccessful website promotion, trips to the store - a stress factor in relations with people around you leads to disruption of the activity of the central nervous system, and, as a result, other organs and systems. In almost any case of chronic prostate pathology, therefore, one should look for the root cause arising from aggressive external factors. Of course, not every case of chronic prostatitis is a direct consequence of stress, but an unfavorable stress environment almost always contributes to its further development. In a city, such an environment is constant, therefore, among urban residents, the percentage of chronic prostate pathology is significantly higher than that of residents of rural areas.

Abundant symptomatic innervation of the prostate gland ensures the timely release of secretions into the urethra. An increase in the tone of the prostate, which is a consequence of vegetative-vascular dystonia or constant stress overload of the central nervous system, in turn, disrupts the motor functions of the prostate gland, contributes to the development of its pathology. Neurotransmitters secreted by nerve endings (vasopeptide, somatostatin, enkephalins, etc.) must be in strict interaction with each other, otherwise an imbalance between them can also lead to the development of chronic prostate dysfunction. Further, the emergence and development of a pathological condition in itself can be a strong psychoemotional stress in men, which significantly aggravates the development of the disease. It was found that about 75% of all patients suffer from psychopathological complications, including those with long-term ineffective treatment of the disease. The vicious circle created by fear for the condition of the affected organ, which affects the function of the prostate, which further exacerbates the patient's condition, is characteristic of most patients. And then the slightest unpleasant sensation in the genital area provokes another attack of the disease. Despite the fact that chronic prostatitis is already recognized as a disease with the so-called psychosomatic pathogenesis, the issues of correcting the state of the central and autonomic nervous system remain relevant to this day. Timely correction of the psychopathological state will allow avoiding a vicious circle - psychotherapeutic conversations and physiotherapy procedures, which have a strong psychotropic effect on the patient, belong to the category of corrective measures. Therefore, for a complete cure for an ailment, it is necessary to apply complex therapy, including both medications and psychophysiological measures.

In addition to the physiological factor (predisposition, congestion in the pelvic area, trauma), urologists identify the psychological causes of prostatitis. Practically in 75% of cases, disturbances in the activity of the prostate gland arose against the background of stress, problems in family life, and emotional disturbances.

If the main factor in the development of the disease is not eliminated, it will not be possible to achieve a stable remission. The course of formal therapy includes the help of a psychologist.

What is the psychological cause of prostatitis

Psychosomatics is a science that studies the influence of psychological factors on the work of human internal organs and systems. With regard to disorders of the prostate, the relationship between the emotional background of a man and the development of pathologies is especially obvious.

Urologists identify three main psychosomatic causes of prostate diseases:

• Failures of erectile function - regardless of what caused the "failure" in bed, the man is extremely sensitive to the situation. The goal of the partner is to calm him down. If this does not happen, subconscious anxiety appears, fear of failure, which creates the psychological prerequisites for the onset of inflammation of the prostate gland.
  Constant anxiety leads to unwillingness to have sexual intercourse, psychological impotence. And irregular sex becomes the cause of stagnation and the development of inflammatory processes.
• Family problems - psychosomatics of prostatitis is often associated with quarrels, protracted and unresolved problems with his wife. The nervous system, which regulates sexual function, is a complex mechanism that includes the influence of the subconscious on the emotional background and decision-making.
  Constant quarrels provoke psychological rejection of the sexual partner, unwillingness to have intimacy with him. On psychological grounds, prostatitis or any other disorders leading to a decrease in erectile function may develop.
• The fear of the consequences of the disease - from the point of view of psychosomatics, prostatitis arises from the projection of the symptoms of the disease onto oneself. As a result, prostate inflammation occurs even where there were no prerequisites for this.
  The difficulty is that with the appearance of dysuric disorders or erectile dysfunction, a man rarely seeks professional help. So, emotionally "winding" himself, a man subconsciously catalyzes violations.

It turns out that prostatitis can occur due to psychological and emotional trauma, fear of the appearance of the disease, as well as one-time failures in bed. Mental disorders affect the work of the prostate ambiguously: on the one hand, an increase in sexual desire is possible, on the other, a complete loss of interest in sex.

The negative psychological consequences leading to prostate disease are a compelling reason to avoid stress and fights and have a regular sex life.

How prostatitis affects the psyche

Men are quite vulnerable if the case affects their reproductive function and the penis. Any diseases and disorders associated with this create psychological discomfort, which only aggravates the situation. Emotional disturbances are constantly increasing.

The picture of changes in the psychological personality with prostatitis is as follows:

• Dysfunction of the prostate leads to a decrease in libido and a deterioration in erectile function. Interesting fact! Physiologically, a man is able to have sexual intercourse during the entire period of the disease, with the exception of advanced chronic inflammation. Despite this, urologists often diagnose emotional or psychosomatic impotence. Unwillingness to have sex leads to a worsening of the condition.
• The psychology of men with prostate diseases is often similar to the thinking of a "frightened child". The fear of illness is stronger than the disorder itself. The influence of prostatitis on the mental state of a man has been proven: the appearance of irritability, depression.
  In fact, the patient initially projects onto himself the worst scenario: impotence, loss of family, infertility, although in his case the disease is curable and the listed complications are rare.
• Prolonged prostate disease can cause a man's neuropsychiatric state. At this stage, understanding from loved ones is extremely important.

In fact, prostatitis triggers a psychosomatic loophole. Inflammation of the prostate gland leads to a decrease in erection. The man develops a fear of failure in bed, which leads to a psychological rejection of sex.

Lack of regular sexual intercourse becomes the cause of the development of extensive stagnation. And stagnation leads to an exacerbation of inflammation and its transition to a chronic form.

Psychological symptoms of prostatitis, which urologists pay attention to in differential diagnosis:

• Insomnia.
• Constant irritability.
• Changes in behavior and personality.
• Panic fear of consequences.

To obtain a complete clinical picture, it is recommended that a permanent sexual partner, who is in a civil or legal marriage, was present during the interview. The survey is conducted in a confidential and calm manner.

Psychologically, men treat prostatitis as an almost incurable disease that necessarily leads to impotence. In fact, this is not the case. Modern methods of therapy help to cope with the disease in 80-85% of cases. Mental disorders with inflammation of the prostate significantly complicate therapy, reduce the effectiveness of drugs.

How to psychologically cope with prostatitis

The psychosomatics of prostate diseases at the moment is an indisputable scientific fact, confirmed by many years of clinical research. The mood of a man largely determines the effectiveness of the fight against the disease and even helps to prevent the transition of inflammation to a chronic form.

Psychological treatment begins with a conversation. The specialist discusses with the sexual partners the reasons that caused the violations. During the survey, the reasons for the decreased activity in sexual activity are established. The consequences of the disease are explained to the patient and the possibility of complete healing is indicated. To achieve a stable psychological remission in case of hormonal disruptions in the body, a course of antidepressants is prescribed.

From the point of view of psychology, the prostate in men is a second heart that determines behavior, psycho-emotional stability and a behavioral factor. The recovery of the patient and the achievement of a stable remission of the disease depend on the elimination of emotional factors, catalysts of inflammatory processes.

Traditionally, emotionality is attributed to women - they are unbalanced and take everything to heart. However, as practice shows, some things men also take to heart - for example, sexual dysfunction.

In medicine, there is such a thing as a "vicious circle". For example, a man suffered from prostatitis, the treatment was ineffective, and the disease became chronic. Many people start to get nervous, worry, fear for the future - this increases psycho-emotional stress.

The latter affects the diseased organ due to changes in nervous regulation and deterioration of blood circulation. The functional state of the diseased organ worsens, erectile ability and libido decrease, which causes even greater psycho-emotional stress and concentration on all sensations associated with the organ. The circle is complete. The more you think about the disease, the worse it gets, which makes you think about the disease even more.

It has been noticed that psychopathological complications (anxiety, a tendency to worry and fear for their health) are observed in 75% of patients with chronic prostatitis. In 60.2% of patients, stress precedes sexual disorders, that is, we are talking about the psychological cause of erectile dysfunction.

With chronic prostatitis, in 40% of cases, there is a decrease in libido, in 15% - a decrease in the frequency and strength of spontaneous erections, and in 30% - a weakening of adequate erections. From these facts it follows that it will not be superfluous to include means that improve potency in the recovery program.

Afala - a new approach to the treatment of prostate diseases

The action of Afala is based on reducing inflammation and edema, and normalizing blood flow in the prostate. When taking the drug, unpleasant symptoms are relieved within a few days.

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Impaza is a drug that helps to eliminate the cause of the violation of potency (dysfunction of the vascular endothelium)

Impaza allows you to restore the erectile function of a man within the physiological norm, in contrast to drugs that have only a one-time stimulating effect.