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CECA Dr Sameen Ahmed says men must ejaculate at keast 22 times a month. 可以吗?

**Eidence from multiple large studies suggests that regular ejaculation is associated with improved prostate health, specifically a modestly lower risk of prostate cancer.**

### Key Findings from Research
The strongest support comes from long-term studies, including the Health Professionals Follow-Up Study (a major Harvard-led cohort):

- Men who ejaculated **21 or more times per month** had about a **20-31% lower risk** of prostate cancer compared to those ejaculating 4–7 times per month.
- This held across age groups (e.g., 20s and 40s) and after adjusting for factors like PSA screening, lifestyle, and other variables.
- Benefits appeared for overall incidence, particularly low-risk disease, though protection against aggressive or advanced prostate cancer is less clear or weaker in some analyses.

Other studies and reviews echo this inverse association. For example:
- Frequent ejaculation (around 4+ to 21+ times/month depending on the study) correlates with reduced risk.
- Some research also links it to lower risk of benign prostatic hyperplasia (BPH) and lower urinary tract symptoms.

A 2018 study found biological plausibility: higher ejaculation frequency altered gene expression and processes in prostate tissue (e.g., related to citrate production), potentially lowering cancer risk.

### Possible Mechanisms
- **"Flushing" effect**: Ejaculation may clear potentially harmful substances, carcinogens, or inflammatory agents from prostatic fluid.
- Reduced stagnation or inflammation in the prostate.
- Effects on cell proliferation, hormones, or sympathetic nervous system activity.

### Important Caveats
- **Association, not proven causation**: These are mostly observational studies relying on self-reported data. Reverse causation or confounding factors (e.g., healthier men having more sex) can't be fully ruled out, though adjustments strengthen the findings.
- Results are more consistent for overall/low-risk prostate cancer than for lethal forms.
- A few studies show mixed or conflicting results on exact frequency or advanced disease.
- No major medical organizations (e.g., AUA) issue formal recommendations to "ejaculate X times for prostate health," as it's not a guaranteed preventive strategy. Prostate cancer risk involves genetics, age, family history, race, obesity, smoking, etc.
- Overdoing it isn't advised if it causes discomfort, and safe practices matter (e.g., STI prevention).

**Overall**, aiming for several ejaculations per week (e.g., toward the higher end studied) appears linked to modest prostate benefits for most men, alongside other proven steps like a healthy diet, exercise, not smoking, and regular check-ups (PSA screening discussions with a doctor). Consult a urologist for personalized advice, especially if you have symptoms or risk factors.
 
**Diet plays a meaningful role in prostate health**, particularly in influencing the risk of prostate cancer, its progression, and possibly benign prostatic hyperplasia (BPH). While no single food guarantees prevention or cure, overall dietary patterns show consistent associations in observational studies, meta-analyses, and some trials.

### Beneficial Dietary Patterns
- **Plant-based and "prudent" diets**: Emphasizing fruits, vegetables, whole grains, legumes, fish, and healthy fats (e.g., olive oil) are linked to lower prostate cancer risk, slower progression, and reduced mortality. Men with higher plant-based intake had up to 56% lower risk of progression/recurrence in one study of men with prostate cancer.
- **Mediterranean-style diet**: Rich in plants, fish, nuts, and olive oil; it often shows benefits for slowing progression in men on active surveillance and may reduce aggressive disease risk. Results vary somewhat across studies, but it consistently supports better outcomes.
- These patterns likely work through reduced inflammation, better hormone regulation, antioxidant effects, and maintaining a healthy weight.

**Key supportive foods**:
- **Tomatoes and lycopene**: Cooked or processed tomatoes (sauce, soup, paste) provide bioavailable lycopene, an antioxidant associated with lower prostate cancer risk (e.g., ~1% risk reduction per additional 2 mg/day in meta-analyses). Benefits may be stronger for lethal forms and with long-term intake.
- Other fruits/vegetables, cruciferous veggies, and sources of flavonoids/stilbenes.
- Fish (omega-3s) and whole grains.

### Foods That May Increase Risk
- **Western-style diet**: High in processed/red meats, high-fat dairy, refined grains, and sugars — linked to higher risk of prostate cancer death (e.g., over 2x in highest vs. lowest adherents in one study) and worse outcomes post-diagnosis.
- **Dairy (milk, cheese, etc.)**: Associated with modestly higher prostate cancer risk in many studies, possibly via IGF-1, calcium, or other factors. High intake (e.g., 3+ servings/day) linked to substantially higher mortality risk in some data.
- **Red and processed meats**: Mixed evidence overall; some meta-analyses show weak or no link to total risk, but others associate higher processed meat with increased total/advanced risk. Post-diagnosis intake may worsen progression.
- **High calcium** (from supplements or excessive dairy): Possible increased risk in some studies, though average dietary levels are generally fine.

### Other Considerations
- **Weight management**: Maintaining a healthy weight through diet (and exercise) helps lower risk of aggressive/advanced prostate cancer.
- **Supplements**: Evidence is mixed or insufficient for things like lycopene pills, green tea, soy, or vitamin E. Whole foods are generally preferred over supplements.
- **For BPH/prostatitis**: Anti-inflammatory diets (e.g., with lycopene) may help symptoms, but evidence is less robust than for cancer.
- Limitations: Much evidence is observational (correlation, not always causation). Genetics, age, screening, and lifestyle interact with diet.

**Practical recommendations**: Adopt a mostly plant-based, Mediterranean-style eating pattern with plenty of cooked tomatoes, limit processed meats/high-fat dairy, and focus on overall calorie balance for healthy weight. These changes benefit heart health and more, too. Discuss with a doctor or dietitian, especially if you have prostate issues, for personalized advice alongside screening and other preventive steps.
 
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