How often you have sex, the type of sexual activity you engage in, the number of sexual partners you have, and any sexually transmitted diseases STDs you might contract can all play a role in causing CPPS. You might know even know you have an STD, because a number of diseases do not have symptoms in men. We all know that chronic nonbacterial prostatitis is not usually caused by bacteria, but there is an exception when it comes to sexual habits. Bacteria and viruses including HIV human immunodeficiency virus could play an initial role. Read more about sexually transmitted disease and HIV and about other autoimmune disorders and their roles as potential chronic prostatitis causes.
Information for gay and bisexual men
Prostate cancer tests and treatment: A guide for gay and bisexual men | Prostate Cancer UK
Anal sex and prostate problems
Your anus is located on your backside, between your butt checks. Your anus is closed off by two rings of muscle: the internal anal sphincter and the external anal sphincter. Around the anus there are 'corpora cavernosa' or masses of erectile tissue that prevent moisture and air from escaping unintentionally. The anus is the last part of the rectum.
The symptoms may be non-specific, and patients can undergo multiple investigations in an attempt to identify a cause. We have seen several such patients, all of whom had engaged in unprotected heterosexual anal intercourse prior to the onset of their symptoms. Presenting complaints included urethral discomfort, acute epididymitis resistant to standard antibiotics, and sudden onset of overactive bladder symptoms. These patients illustrate the importance of careful history taking. Whilst some questions may be difficult to ask, they may reveal precipitating factors that the patient will be reluctant to volunteer.