Causes of Aches in the Prostate
The prostate is a male reproductive gland responsible for manufacturing all the components of semen, with the exception of sperm cells. The prostate is situated inferior to the bladder and posterior to the urethra, which is approximately in the middle of the pelvis. Achy prostate pain in this region can be caused by a variety of factors, most of which are not cause for serious concern.
If you are experiencing serious medical symptoms, seek emergency treatment immediately.
Dietary Causes
Common causes of prostate ache and discomfort, although not widely recognized, are dietary factors, according to Dr. Peter Scardino. Stimulants, such as caffeine and alcohol, commonly cause glandular symptoms. In the prostate, long-term consumption of coffee, tea, chocolate, beer or wine can cause:
- achy pain
- as well as stabbing pain
- spasms
- twitching sensations
Avoiding caffeine and alcohol for about two weeks should eliminate the ache in the prostate if that is the cause.
Sexual Activity Levels
Causes of Prostate Pain When Sitting
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Because the prostate is responsible for producing ejaculate, under-working it or overworking it can produce pain, as noted by WrongDiagnosis.com 2. Even with a healthy prostate, ejaculating more than once daily can create discomfort. Conversely, not ejaculating for weeks at a time can cause a build-up of pressure or stagnation in the prostate that can lead to achy pain, which is why doctors often recommend an increase in sexual activity to men experiencing prostate symptoms.
- Because the prostate is responsible for producing ejaculate, under-working it or overworking it can produce pain, as noted by WrongDiagnosis.com 2.
- Conversely, not ejaculating for weeks at a time can cause a build-up of pressure or stagnation in the prostate that can lead to achy pain, which is why doctors often recommend an increase in sexual activity to men experiencing prostate symptoms.
Enlarged Prostate
An enlarged prostate, also called benign prostatic hypertrophy, is very common in men, especially in men older than 40 years of age. However, MayoClinic.com reminds us that only about 50 percent of U.S. men with enlarged prostates experience noticeable symptoms. Achy pain is unlikely to be felt until the latter stages of hypertrophy and may not be felt at all.
Prostate Infections
What Are the Causes of Painful Ejaculation?
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A prostate infection, or prostatitis, is the most likely pathological condition to cause pain in the prostate. As “Professional Guide to Diseases” notes, a prostate infection can cause:
- deep
- achy pain within the pelvis
- making sitting
- urinating
- ejaculating very uncomfortable 4
The pain of the infection is usually accompanied by pus or blood in the urine.
Prostate Cancer
The National Cancer Institute reports that about 16 percent of U.S. men are diagnosed with prostate cancer during their lifetimes 5. Although prostate cancer is slow growing, pain becomes more likely to be felt as the cancer progresses. Pain can occur in the prostate itself, ranging from burning to achy in nature, typically with urination or ejaculation 2. Achy pain can also refer from the cancerous prostate to the low back and hips.
Related Articles
References
- "Dr. Peter Scardino's Prostate Book, Revised Edition: The Complete Guide to Overcoming Prostate Cancer, Prostatitis, and BPH"; Peter Scardino, M.D. and Judith Kelman; 2010
- WrongDiagnosis.com: Prostate Pain from Ejaculation
- MayoClinic.com: Prostate Gland Enlargement
- “Professional Guide to Diseases”; Springhouse; 2008
- National Cancer Institute: Prostate Cancer Incidence
- National Cancer Institute. Prostate-specific antigen (PSA) test. Updated October 4, 2017.
- National Institute on Aging. Prostate problems. National Institutes of Health. Updated July 01, 2016.
- Teerlink CC, Thibodeau SN, McDonnell SK, et al. Association analysis of 9,560 prostate cancer cases from the International Consortium of Prostate Cancer Genetics confirms the role of reported prostate cancer associated SNPs for familial disease. Hum Genet. 2014;133:347-356. doi:10.1007/s00439-013-1384-2
- US Preventive Services Task Force, Grossman DC, Curry SJ, et al. Screening for Prostate Cancer: US Preventive Services Task Force Recommendation Statement JAMA. 2018;319:1901-1913. doi:10.1001/jama.2018.3710
- Informed Health. How does the prostate work? Institute for Quality and Efficiency in Health Care (IQWiG). Updated August 23, 2016.
- National Cancer Institute. Prostate-specific antigen (PSA) test. Updated October 4, 2017.
- National Institute on Aging. Prostate problems. National Institutes of Health. Updated July 01, 2016.
- Elkahwaji JE. The role of inflammatory mediators in the development of prostatic hyperplasia and prostate cancer. Res Rep Urol. 2012;5:1-10. Published 2012 Dec 31. doi:10.2147/RRU.S23386
- Burns JA, Weiner AB, Catalona WJ, et al. Inflammatory bowel disease and the risk of prostate cancer. Eur Urol. 2019;75:846-852. doi:10.1016/j.eururo.2018.11.039
- Ge Y, Shi Q, Yao W, Cheng Y, Ma G. The association between inflammatory bowel disease and prostate cancer risk: a meta-analysis. Prostate Cancer Prostatic Dis. 2020;23:53-58. doi:10.1038/s41391-019-0177-7
- Teerlink CC, Thibodeau SN, McDonnell SK, et al. Association analysis of 9,560 prostate cancer cases from the International Consortium of Prostate Cancer Genetics confirms the role of reported prostate cancer associated SNPs for familial disease. Hum Genet. 2014;133:347-356. doi:10.1007/s00439-013-1384-2
- Kani HT, Shen B. Male issues of the ileal pouch. Inflamm Bowel Dis. 2015;21(3):716-722. doi:10.1097/MIB.0000000000000226
- Jung YS, Han M, Park S, Kim WH, Cheon JH. Cancer risk in the early stages of inflammatory bowel disease in Korean patients: A nationwide population-based study. J Crohns Colitis. 2017;11:954-962. doi:10.1093/ecco-jcc/jjx040
Writer Bio
Aironius French has been writing professionally since 1999, when he became a clinical chiropractic physician. His health-related articles have appeared in the newspapers "Calgary Sun," "Calgary Herald," "Ajo Corridor Times" and "Rocky Point Times" and in "Penasco" magazine. French holds a Bachelor of Science in physical anthropology and human development from the University of Calgary and a doctorate from the Canadian Memorial Chiropractic College.