Don’t think any of these prostate issues should have much effect on your fertility. You could have poor sexual function & prostate issues & still have viable sperm. Conversely, guys w/ great sexual function & no prostate prblms could have very low fertility...
Wow - well, sounds like a lot going on there. I’ve never had a medical prostate massage, other than one time - I had some discomfort in the perineal area which turned out to be prostatitis. The Dr massaged the prostate just long enough to express some prostatic fluid (maybe about a min or less), which was collected & then examined for possible bacterial infection. It was rather unpleasant, since he had to press fairly hard, definitely was not a pleasant experience !! After examination I was prescribed some antibiotics.
But then there’s the so-called ‘therapeutic prostate massage’, which has been thought to be helpful for some guys with non-bacterial prostatitis. This is when no infection was found, yet prostate symptoms are there. From what I’ve read, these treatments do last longer, maybe several minutes or more. I believe this type of treatment is much less common now & has kind of fallen out of favor, but some still swear by it as a way to get rid of ptostatic fluids that are kind of ‘clogging’ the system. One caution: There is some risk that if there IS any infection, vigorous massage could spread it into other areas, so this may be one reason this type of treatment is not used as much now...
It sounds like maybe your Dr is not really familiar with this type of treatment (or perhaps not comfortable doing it) & may just be doing it per your request - unless he suggested it himself - ?? Anyway, good luck with this & your other issues, hopefully you get some resolution..,
I Also was Recently diagnosed With Prostitis and was on Antibiotics for a period of time too fyi