Dear Dr. Motoloa,
Can anal intercourse harm an enlarged prostate ?
The physical act of anal intercourse should not theoretically have any harm on the prostate. The act of anal intercourse can cause some minor trauma to the prostate that could result in hematospermia ( blood in the semen ). However this is usually self limited and should be of no concern.
Diagnosis A doctor makes a diagnosis of BPH based on description of symptoms, medical history, physical examination, and various blood and urine tests. The doctor may recommend that the patient sees a urologist for complex test procedures. Some diagnostic tests are used to rule out cancers of the prostate or bladder as the cause of symptoms. In some cases, symptoms of prostate cancer can be similar to those of BPH. Tests may also be performed to see if BPH has caused any kidney damage. Medical History The doctor will ask about the patients personal and family medical history, including past and present medical conditions. The doctor will also ask about any medications the patient may be taking that could cause urinary problems Physical Examination Digital Rectal Exam. The digital rectal exam is used to detect an enlarged prostate. The doctor inserts a gloved and lubricated finger into the patient's rectum and feels the prostate to estimate its size and to detect nodules or tenderness. The e...
Risk Factors Age Age is the major risk factor for BPH. Over half of men develop BPH by age 60 and about 85% of men have BPH by age 85. It is uncommon for BPH to cause symptoms before age 40. Family History A family history of BPH appears to increase a man's chance of developing the condition. Heart Disease Risk Factors and BPH Some evidence indicates that the same risk factors associated with heart disease may increase the risk of developing BPH. These risk factors include obesity, high blood pressure, low levels of HDL (good) cholesterol, diabetes, and peripheral artery disease (PAD). Lifestyle factors that are unhealthy for the heart (lack of physical activity, cigarette smoking, poor diet) may also possibly increase BPH risk or worsen its symptoms.
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