Prostate massage is part of the digital rectal examination (DRE) routinely given to men by urologists in order to look for nodules of prostate cancer and to obtain expressed prostatic secretions (EPS) for examination under microscope. A few doctors, for a short period in the late 1990s, tried prostate massage in conjunction with antibiotics for the treatment of chronic bacterial prostatitis and benign prostatic hyperplasia (BPH). However, in more recent trials, prostate massage was not shown to improve outcomes compared to antibiotics alone. Therefore, prostate massage is not used to treat any medical condition today.

The prostate is the man's other sexual organ, and there is a lot of pleasure, a lot of ecstasy, to be had with the prostate, and possibly more improved health. The man already associates pleasure with his penis, and now we're teaching--there's a learning that anal pleasure can be associated with sexual pleasure, and that prostate sensations can be associated with sexual pleasure. Prostate milking is commonly practised by/upon participants of a sexual fetish known as erotic sexual denial that involves abstention from orgasm and ejaculation for considerable periods of time (often many weeks or months). If the prostate is full and stimulated sexually in some cases it may consciously and voluntarily be contracted, thereby emptying itself in the same way as during ejaculation but with none of the surrounding organs stimulated, without actually squeezing it digitally. Today, we're talking about male prostate massage, as a fun and sexy path to pleasure.

Prostate health is essential for lifelong sexual pleasure and function. Prostate massage brings a new dimension in sex because of the psychological or mental high that a man is able to achieve. In the Far East prostate massage has been used for centuries as a way of maintaining the health of the gland and also to improve sexual health in general. In North American society however, the prostate is quickly becoming know as a sexual gland also. Many people find a prostate massage as an erotic type of sexual interaction. It is often recommended as an alternative form of sexual interaction when a person's partner is unavailable or he simply doesn't want to participate in other sexual intercourse activities.

Regular sexual activity is also good for the prostate. It is his feeling center for not only his sexual desires, but also his disappointments, hates, hostilities, stresses, and feelings of inadequacy. Prostate massage is a sacred tantric ritual used to awaken this sexual-spiritual focus point in your body. In some situations, the practice is used to reduce sex drive and sexual activity without the typical urges that normally occur after extended abstinence.

You should always keep in mind that enjoying anal stimulation does not indicate your sexual orientation. It does not mean that you are a homosexual if you enjoy the feeling when your prostate is being stimulated. Men often find that they experience new kinds of sexual pleasure previously unknown to them when the prostate and penis are stimulated simultaneously. To further prevent the association of sexual pleasure of any kind with the massage, some practitioners apply crushed ice or ice packs around the penis and testicles for some minutes before, and during, the massage.

The intimacy of prostate milking, the level of pleasure men experience and the new sexual twist all combine to make this a favorite activity of many women. They find that it brings them closer to their men, and that introducing this new activity adds new electricity to their sex life. Another woman told that it was by far her favorite sexual activity: “When we do prostate milking, my boyfriend gets so hot and I love watching him receive. As more men and women discover the pleasures of prostate milking, it will become a more regular part of the sexual experience that couples can share.

The term "prostate milking" appears to carry a more specialized erotic meaning as compared to the general term of "prostate massage", since it specifically invokes a fetishism of the male seminal fluids. Done internally either by lubricated finger(s), a prostate massager or other medical instrument, prostate massage may result in ejaculation without any genital stimulation. A prostate massager is an instrument used anally, designed to massage the prostate gland. The shape of a prostate massager is similar to a finger, since prostate massages are traditionally given digitally. They usually have a slightly curved head to effectively massage the prostate. A prostate massager should be used with care because of the sensitivity of the prostate.