What symptoms are associated with prostatitis?
Symptoms of prostatitis include dull, aching pain in the lower back, lower abdomen, and perineum, painful and frequent urination, and painful and difficult ejaculatory function, which may consist of a small volume of semen or a weak ejaculation.
In chronic prostatitis, symptoms usually develop gradually over weeks and months but may also occur suddenly, go away, and continuously return after a few weeks.
Let’s take a look at the most common signs and symptoms:
- Pain during urination: You may have a burning sensation while urinating, leading you to stop urination halfway and hesitate before continuing the stream. The pain can be mild or severe, often associated with urgency to urinate and other urinary problems.
- Frequent urination: You may feel the need to urinate very often, sometimes multiple times in an hour, and think that you have to go even when you don’t.
- Difficulty urinating: You may have trouble starting urination, which may be painful. This is much more common if you also have benign prostatic hyperplasia.
- Pelvic pain: Pain in the pelvis can be continuous or occur suddenly. It can be caused by swelling of the prostate gland or by an infection in the prostate. Chronic pelvic pain syndrome can also be triggered by a neurologic injury, as mentioned above.
- A low-grade fever: You may develop a low-grade fever of 99° to 102° F, but prostatitis rarely triggers high fever. This symptom is only found in patients with a baseline condition or those with complicated and very severe prostatitis. As mentioned above, it is not the most common symptom.
- Fatigue: You may feel fatigued or feel that you have less energy than normal. This symptom is prevalent in chronic pain syndrome because chronic pain is a continuous metabolic burden and puts your organism under acute stress.
- An increase in pelvic pressure: You may experience increased pressure in the pelvis. In some cases, patients feel pain in the perineal region and can have gastrointestinal symptoms and a sensation of heavyweight, similar to hemorrhoids.
- A decrease in urine flow: You may experience a decrease in urine flow, meaning that the urinary stream is not thick. It becomes weak, and it is sometimes difficult to start the stream.
- Painful ejaculation: You may experience painful or difficult ejaculation. Different ejaculation problems can happen in these patients, including blood in the semen.