Patients with healthy prostate ejaculate once every five days

For patients with chronic prostatitis or mild prostatic hyperplasia who have no acute attacks and no contraindications to ejaculation, regular ejaculation about once every 5 days is a frequency that is generally recognized clinically and is beneficial to prostate care. However, this value is only the median value of the reference interval and is by no means an iron rule that everyone must strictly abide by.

Last week I met a young man who works as an Internet operator. He is 28 years old. He has suffered from chronic aseptic prostatitis for almost two years. I heard online that "we must strengthen the essence and nourish the prostate" and I couldn't ejaculate for almost 20 days. As a result, when I came to see a doctor, I couldn't sit still. I said my perineum was hurting all night. He woke up seven or eight times during the night and found out that there was a lot of inflammatory secretions in his prostate fluid. I told him not to hold it in and try to have a bowel movement about once every five days without forcing it. As a result, he went back and tried for more than a month. When he came back for a follow-up checkup, most of his symptoms were gone. He said that he no longer had to look for the toilet every time he had a meeting.

In fact, this frequency does not come out of thin air. The secretion and metabolism cycle of the prostate is about 3-5 days. In a healthy state, the gland will continue to produce prostatic fluid. As an important component of semen, regular discharge can avoid long-term accumulation of secretions in the gland ducts, just like at home. The sewer pipes need to be drained regularly to avoid blockage. Especially for people who sit in the office every day, love to hold back their urine, and seldom exercise. The local blood circulation of the prostate itself is poor, and the accumulated inflammatory secretions cannot be discharged, which will only aggravate problems such as swelling, pain, and frequent urination.

However, in clinical practice, controversy over this frequency has always existed. For example, many doctors who focus on elderly prostate diseases will be more conservative. For patients over 60 years old, who have prostate calcification and obvious symptoms of urinary obstruction, they will recommend extending the frequency to 7-10 days. After all, the prostate of this group of people is already enlarged, and the congestion during ejaculation may aggravate the difficulty of urination. If it is hard to stay for 5 days, it will be uncomfortable. There are also doctors who do urological rehabilitation who have a more flexible view. They believe that for patients with chronic aseptic prostatitis who are under 30 years old and have a fast metabolism, as long as there is no discomfort after urination, once every 3-4 days is completely fine. The core is "routine" rather than being stuck on a specific day.

Of course, not everyone is suitable for this frequency. If you are experiencing an acute bacterial prostatitis attack and have fever, tingling pain during urination, or even hematuria, do not touch it at this time. Ejaculation will aggravate prostate congestion and may also lead to the spread of infection. You have to wait for antibiotics to control the inflammation before slowly returning to regular semen discharge. There are also some people who will have perineal swelling and increased frequency of urination for several hours after ejaculation, which cannot be relieved. There is no need to force the excitement for 5 days. Just postpone it for two or three days and find a rhythm that is comfortable for your body.

When I usually discuss this issue with patients, what I fear most is that they insist on numbers. An uncle used to expel semen on the 5th day because he was stuck. He was so exhausted that day that he had no interest in having an argument with his wife, so he forced himself to do it. As a result, he felt uncomfortable for three days afterwards, which was completely outweighed by the gain. It’s really not necessary. It’s just like eating. When it’s time to eat, you have no appetite, and forcing it will hurt your stomach. You can’t make it comfortable no matter how comfortable it is. The difference of only one or two days really doesn’t have much impact on the prostate. On the contrary, the anxiety of staring at the calendar every day and counting the days is the culprit of prostate damage.

To put it bluntly, prostate care is a very personalized thing. The number of 5 days is more like a reference coordinate for novices. You can start from this frequency and try it. If you are comfortable, maintain it, and adjust if it is uncomfortable. You don’t need to be anxious after hearing what the Internet says “you must do it once every few days to be healthy.” Your body’s feelings are always more reliable than cold numbers.