Obstruction of Ejaculatory Duct and Prostatitis Pain
Obstruction of ejaculatory duct is a rare cause of chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS). Such an obstruction can also cause urethritis, infertility, and post-ejaculatory pain.
An obstruction of the ejaculatory duct can be congenital or acquired, and it involves the obstruction of either one or both of the ejaculatory ducts. This prevents semen, or most of the semen, from being ejaculated. The resulting low semen volume and low to no sperm count make this a cause of male infertility. It has been suggested that bacterial prostatitis may even be a cause of ejaculatory duct obstruction. Whether the chicken or the egg came first is not necessarily important. Prostatitis and a duct obstruction can be related, and it may take a multimodal approach to treating both conditions to get symptom relief.
If you have chronic prostatitis symptoms such as pain associated with ejaculation, your doctor should consider ejaculatory duct obstruction when diagnosing prostatitis. Even though it is rare, this cause of prostatitis is correctable so it is worth considering.
Symptoms of an obstruction of the ejaculatory duct may be vague. Men may complain of discomfort in the area between the scrotum and anus. Men may notice that their ejaculate has a decrease in its projectile nature or has low volume. Men might learn that they have this when they get tested for infertility. It is usually corrected by surgery.
For treating the prostatitis end of this combination, there are several different treatment approaches. If bacterial prostatitis is involved, your doctor will prescribe antibiotics. For nonbacterial prostatitis (CP/CPPS), there are several different therapies. Natural prostatitis treatments include supplements to support prostate health and reduce inflammation. There are dietary changes and foods to avoid that also can help reduce inflammation and optimize prostate health.
Alternative prostatitis treatments can help with prostatitis symptoms and rehabilitate the pelvic floor. For pain, you can try sitz baths and acupuncture. Some men find that stress management techniques are helpful or exercises such as yoga and tai chi to relax their pelvic muscles. Make sure you talk to your doctor about the right treatment for your condition, especially since you may also be recovering from surgery for the ejaculatory duct obstruction. Be patient because it may take time to heal and let the inflammation die down.