Question:

Does masturbating, but not going as far as orgasm, prevent aggravating the prostrate or is it only ejaculation that raises the PSA? Does ejaculation raise the PSA temporarily or permanently? Trying to get my PSA down, no cancer to cause it to be elevated, searching for answers. Thanks for your help!

Answer:

That's a very good question. As I explain below, frequent ejaculation can certainly cause or aggravate prostate problems. But masturbation, fantasy, and excessive sexual activity, even without ejaculation, can induce a state of inflammation that causes prostate problems. Other causes include poor diet, drug and medication use, or any other activities that induce a state of inflammation in the body.

Prostate specific antigen (PSA) is a protein produced in small quantities by the cells of a healthy prostate gland but is often elevated in the presence of prostate cancer and in other prostate disorders. Frequent ejaculation abrades your prostate, bulbourethral glands and urethra and induces extra production of prostaglandin-E2 for swelling and burning. A swelling prostate and urethral duct causes you to experience urination difficulty after ejaculation. This is why some men experience post-ejaculation pelvic or prostate pains and precum/semen leakage in the post-ejaculation state. Middle-aged men, seniors, and sexually exhausted men will experience a longer recovery (refraction) time. If your recovery time is longer than 48 hours and you ejaculate every 48 hours you will keep your PSA and prostaglandin E-2 level high all the time.

Excessive sexual activity, over-masturbation and prolonged sexual fantasy lead to overproduction of androgen hormones, causing adrenal and sex organ fatigue, and excess release of dopamine to maintain prolonged sexual arousal. Since dopamine is the precursor to the stress hormone epinephrine (adrenaline), excess dopamine results in the adrenal glands overproducing epinephrine and putting the body in a prolonged state of fight-or-flight stress. At the same time, norepinephrine is synthesized from dopamine and released from the adrenal medulla into the blood as a hormone, along with the stress hormone cortisol. Epinephrine, norepinephrine and cortisol fuel the fight-or-flight response, directly increasing heart rate, triggering the release of glucose from energy stores, and increasing blood flow to skeletal muscle. All of this has a severely taxing effect on the body.

The hormone prostaglandin E-2, which serves an important function in sexual arousal, is also overproduced and has an inflammatory effect on the body, damaging tissues, nerves and joints, weakening immunity, causing muscular and nervous pain, and promoting infection, inflammation, and even cancer. Chronic elevation of epinephrine and prostaglandin E2 results in severe damage to brain cells and parasympathetic nerves in the liver, lungs, adrenal glands, heart, blood vessels, digestive system, pancreas, gallbladder, ovaries, uterus, cervix, testicles and prostate. As a result, you can experience a variety of symptoms, including depression, anxiety, bodily pains, vision problems, persistent sexual arousal and sexual dysfunction such as impotence and premature ejaculation in men and a lack of sexual stimulation in women.

All of this over-activity and stress causes the pituitary gland and testicles to become disabled for a few days or even months, leading to a long refraction time or a long-term sexual exhaustion and inflammation. An extremely exhausted adrenal function can cause an extreme low level of DHEA and cortisol, resulting in fatigue and pains throughout the body, including the back. The pain becomes severe at about 2-4 hours after ejaculating due to the sudden drop of DHEA, testosterone and DHT. You may experience pains for a couple of days until your prolactin and cortisol levels are returned to their normal ranges.

If you suffer from elevated levels of PSA as a result of over-ejaculation, stop sexual activity for a few weeks. Let your body rest and replenish. Then you can come back to it with a lower frequency.

Herbal therapy can help heal your prostate. Saw Palmetto is the most researched, effective herb for prostate health in its purest, solvent-free supercritical extract form. Green Tea offers 51 anti-inflammatory phytonutrients, with critical anti-aging and prostate-specific health benefits. Urtica dioica extracts provide the fullest spectrum of anti-inflammatory prostate-specific phytonutrients, with demonstrated clinical benefit in conjunction with saw palmetto. Ginger is nature's richest herbal source of 5-LO inhibitors (24 phytonutrient inhibitors), according to the USDA and major university phytochemical databases. Selenium is a probiotic trace nutrient critical to tissue detoxification and long term prostate health. Rosemary contains numerous anti-aging constituents and significant 5-LO inhibitors. Stinging nettle root contains chemicals that may prevent or delay the growth of prostate cancer cells by interfering with an enzyme involved in hormone conversion. Pygeum extract taken with saw palmetto improves urine flow and prostate health. Beta Sitosterol inhibits the action of the enzyme 5-alpha-reductase, which converts testosterone into DHT -- one of the main contributing factors to prostate problems. Pomegranate has been shown in university studies to slow the growth of prostate cancer. Lycopene may be able to inhibit the growth of prostate tumours, according to a study by Dutch and German researchers. Pumpkin seed extract interrupts the triggering of prostate cell multiplication by testosterone and DHT. Bioperine complex is obtained from the fruit of the black pepper plant and has been clinically shown to significantly enhance the bio-availability of various supplemented nutrients that heal the prostate. Isoflavone intake, as red clover extract, is associated with a decreased risk of localized prostate cancer.

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