Understanding Chronic Prostatitis
Tests for diagnosing prostate cancer are the same for everyone. But this page has information on things to be aware of if you have anal sex or have your prostate stimulated. This is a blood test that measures the amount of a protein called prostate specific antigen PSA in your blood. A raised PSA level may suggest Bad mit Pinien Prostatitis have a problem with your prostate, but not necessarily cancer.
Lots of things can affect your Bad mit Pinien Prostatitis level, including being the receptive partner in anal sex bottom or having your prostate stimulated. Try to avoid this for a week before having a PSA test. Find Bad mit Pinien Prostatitis more about the PSA testincluding what to do if you have trouble getting one.
This is where your GP feels your prostate through the wall of your back passage rectum. If your prostate is hard or lumpy, this could be a sign of prostate cancer.
Read more about having a DRE. This can show whether there is anything unusual in the prostate, or the area around it, that might be cancer. This involves using thin needles to take small pieces of tissue from the prostate. Depending on the type of biopsy you have, the needle will either go through the wall of the back passage, or through the skin between your testicles and back passage perineum. The tissue is then looked at under a microscope to check for cancer. This will be different for everyone and may vary from a small amount to a Bad mit Pinien Prostatitis larger amount.
You may also notice blood in your semen for a couple of months — it might look red or dark brown. If it takes longer than a couple of months to clear up, or gets worse, you should see your doctor. Talk to your doctor or nurse if you need any further advice. Read more about having a prostate biopsyincluding the possible side effects.
There are several ways to treat or monitor prostate cancer. Some treatments aim to get rid of the cancer completely and others aim to control it. Before choosing a treatment, you may find it helpful to get some extra information or support from our Specialist Nurses. You could also talk to your partner, family or friends. There are some support groups specifically for gay and bisexual Bad mit Pinien Prostatitis with prostate cancer where you can discuss treatments and side effects and the impact they Bad mit Pinien Prostatitis have Bad mit Pinien Prostatitis you.
Or you could visit our online communitywhich has a section for gay and bisexual men, and men who have sex with men. All treatments have side effects, and some of these may be particularly relevant to you as a gay or bisexual man. Depending on the treatment you have, side effects can include:. We have some specific Bad mit Pinien Prostatitis on these side effects below, as well as more general information about ways to manage them on our living with prostate cancer pages.
Speak to your doctor or nurse about your treatment options and the possible side effects. Consider telling them about your sexuality and lifestyle so they know how treatment and side effects could affect you.
This might also help them to support you better. Read more about talking to health professionals about your sexuality. We talk about some of these side effects below, as well as in our information on sex and relationships. How sexual side effects affect you could depend on your approach to sex, sensuality and intimacy. I now think about sex in a completely different way — I try to approach relationships from a friendship point of view first.
Dealing with cancer and side effects of treatment may change the way you have or think about sex. It may also affect how you feel about yourself. Many men find changes to their sex life difficult to deal with.
We know from research that gay and bisexual men can find these changes particularly difficult to come to terms with. When you're being the receptive partner in anal sex bottoma lot of the pleasure comes from the penis rubbing against the prostate. This is why the prostate is often referred to as the male g-spot. If you have radiotherapyyour prostate may feel less sensitive afterwards.
Or if you have surgery to remove your prostate radical prostatectomythe prostate will no longer be there to stimulate. You should think about these possible changes when deciding which treatment is best for you. Even though your sex life may not be the same as it was before cancer, you don't have to give up on having pleasure, closeness or fun.
It can help to be realistic but flexible in your approach to sex. It may not be possible to find a quick fix, but you may be able to explore new ways of giving and receiving pleasure. Try to focus on the things you like about yourself. Do activities or hobbies you are good at or try something new. Being physically active can lift your mood, keep your body in shape and may help your sex life. Talk about your worries with someone you feel comfortable with and ask for support if you need it.
Bad mit Pinien Prostatitis men find it helpful to attend a support groupwhere you can share your experiences and get support from others. They know a lot about sexual issues, and may have ideas that can help.
You can also talk to a sex therapist Bad mit Pinien Prostatitis registered counsellor about sexual problems. Find out more about prostate Bad mit Pinien Prostatitis, sex and relationships. My husband and I ended up enjoying all sorts of things we never did before my prostate surgery. Bad mit Pinien Prostatitis you prefer being the penetrative partner during anal sex top you normally need a strong erection. You could try using a constriction ring around the Bad mit Pinien Prostatitis of your penis.
Or some men use a vacuum pump to help with their erection problems. If you decide to try a Bad mit Pinien Prostatitis pump, a health professional will usually show you how to use it properly. They will fit a constriction ring at the same time, to make sure the ring is the right size for you.
A vacuum pump and constriction ring can be used together with another treatment like tabletsto Bad mit Pinien Prostatitis keep your erection hard enough for anal sex. You often have to stick with them for a while or try different treatments to see what works best for you. You could also think about other ways to pleasure yourself and your partner, such as oral sex and masturbation by using your mouth and hands. Some men may also decide to change their roles during sex if they have erection problems.
Talking to a sex therapist or registered counsellor may help you come to terms with these changes and think of ways you can have a fulfilling sex Bad mit Pinien Prostatitis. Some men also ejaculate less semen or stop ejaculating completely after radiotherapy.
It can take some time to adjust to these changes. Treatments for prostate cancer can cause urinary problems such as leaking urine. For many men this improves over time, but it can be a long-term problem. Urinary problems may affect how you feel about your body and about sex, and can make you worry about having oral sex and masturbating.
If you get any urinary problems, tell your doctor, Bad mit Pinien Prostatitis or radiographer. There are treatments to manage them, as well as things you can do to help yourself. Read more about urinary side effects after prostate cancer treatmentor find tips to help manage urinary problems in our interactive online guide. If you prefer to be the receptive partner during anal sex bottomthen bowel problems or sensitivity in the anus after radiotherapy may be an issue.
If you have bowel problems or a sensitive anus after radiotherapy, you may want to wait until these have settled before trying Bad mit Pinien Prostatitis sex again. Although problems in the back passage may settle down after a few months, there can be some permanent changes. Here are a few ideas for when you feel ready to try anal sex again. You could try sitting on your partner and moving up and down on his penis so that you have more control of the penetration, and then moving positions if you want to.
Try using a condom and extra Bad mit Pinien Prostatitis. Or ask your partner to gently insert a small, well-lubricated dildo until anal sex becomes more comfortable. Cleaning yourself before sex can also make you feel more comfortable. Some men prefer to just clean the outside area, rather than cleaning inside. Read more about possible bowel problems after prostate cancer treatment.
Current guidelines say that prostate cancer is not more common in men who have HIV. Studies suggest that treatments for prostate cancer, such as surgery and radiotherapy, do work for men who have HIV. This is because HIV drugs can react with some other medicines, which can cause side effects that may be serious. Some bleeding after treatment is normal and should get better by itself.
Some men find that their doctor, nurse or radiographer assumes they are heterosexual. All hospitals should ask patients about their sexuality.
This helps health professionals to give care Bad mit Pinien Prostatitis support that is right Bad mit Pinien Prostatitis each person.
Information you give will be recorded confidentially and will stay private. Some men might worry that they will be judged or treated differently because of their sexuality, and we know that some men have had bad experiences in the past.