Antibiotic therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the right medicine and the right dosage, antibiotics are very effective in fighting the bacterial infection, relieving the inflammatory process.
However, like all medicines, antibiotics for prostatitis can harm the body, and their uncontrolled intake can lead to a number of complications. To accept them or not is not a personal matter for everyone, but specifically and a strict prescription of a doctor with an established diagnosis.
- Before prescribing treatment for chronic prostatitis or its recurrence, a thorough examination of the patient is required, - he says.Ph. D.Sergey Tverdokhleb. . . - The etiology of the disease is different and only with a confirmed diagnosis of "bacterial chronic prostatitis" can antibiotics be prescribed along with other medications. But this is not enough: there are many groups of antibacterial drugs and to be sure of the effectiveness of treatment, you must first identify the type of pathogen, as well as check the body for resistance to one or another type of antibiotic.
Bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus most often act as pathogens. In addition to bacterial, fungal, parasitic and viral pathogens can be detected. Along with the non-specific flora, the causes of sexually transmitted diseases - gonococci, trichomonads, chlamydia, urea and mycoplasma, etc. can also participate in the development of chronic prostatitis.
The infection enters the prostate gland in the following ways:
- urethrogen - ascending (through the urethra) and descending (when expelling infected urine from the bladder);
- hematogenous - through the blood;
- lymphogenic - through the lymph.
Can I take antibiotics for prostatitis on my own?
Self-medication is a completely wrong approach to your own health. Antibiotics are not vitamins, and vitamins can also harm the body if you take the wrong or the wrong dosage.
Inadequate antibiotics for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they will provoke the resistance of microorganisms to antibiotic therapy. The pathogenic microbial flora will become more resistant to antibiotics and the treatment of the inflammatory process caused by it will be much more difficult and time consuming.
It is first necessary to identify the main causes of the infection and then prescribe etiotropic antibiotic therapy that will affect them. This is done after a series of tests: the secretion of the prostate gland, semen, blood is taken. No person is able to determine for themselves which pathogen caused the inflammatory process. In addition, a mixed infection is possible - the presence of more than 3 microorganisms at the same time and several types of antibiotics will be needed for treatment. In addition, the cause of prostatitis or its recurrence may not have a bacterial basis, in which case antibiotics are contraindicated.
What antibiotics are effective in prostatitis?
- fluoroquinolones;
- macrolides;
- tetracyclines;
- bacteriostatic antibiotic used to prevent and treat diseases of the urinary system.
However, the treatment of chronic prostatitis should be comprehensive and include more than just antibiotics. In addition to antibiotics, drug therapy for chronic prostatitis also contains: analgesics and antispasmodics; alpha 1-blockers; plant extracts; drugs that affect blood circulation; prostate protectors; enzyme therapy; immunomodulatory therapy; tranquilizers and antidepressants; vitamins and microelements, as well as physical methods of exposure (electrophoresis, magnetic therapy, laser therapy, etc. ).
What if antibiotics don't work for prostatitis?
Reasons:
- misdiagnosis or test results;
- improperly prescribed antibacterial drugs or dosage;
- reinfection - re-infection.
Often, under the guise of chronic prostatitis, completely different pathologies are hidden, due to which, in case of insufficient examination, there is a risk of suspecting prostatitis as one of the most common diseases in men. It is possible to incorrectly check the form of prostatitis. In addition to bacterial prostatitis, there is also chronic abacterial prostatitis or chronic pelvic pain syndrome, with or without an inflammatory component.
If there are no signs of inflammation and the patient continues to complain, he should be examined further - referred to a proctologist, neurologist and a detailed history should be collected. It can be a syndrome of chronic pelvic pain associated with bowel problems. Or an intervertebral hernia of the lumbar spine with pain radiating to the groin. There are many options. It can also be abacterial prostatitis associated with a sedentary lifestyle, lack of regular sex and blood stasis in the pelvis, the so-called congestive prostatitis (cognitive). In this case, the treatment must be completely different.
The woman should also be examined by a gynecologist for infectious diseases of the genitourinary tract if the man is a couple. Otherwise, if he is undergoing antibiotic therapy and his partner is not, re-infection is guaranteed. If a man changes his sexual partners frequently without using barrier protection, you can take antibiotics forever. In this case, the spectrum of pathogenic microflora will be constantly changing, the risk of sexually transmitted diseases (STDs) is high.
Popular questions and answers
Can a man catch a bacterial infection from a partner during oral sex and get prostatitis?
In fact, men are most often infected through sexual intercourse, including oral sex, oddly enough. Staphylococci and streptococci, a number of bacteria often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, unpolished oral cavity also do not hint at a healthy microflora. During oral sex, all this can get into the urogenital tract. Including gonococci, Trichomonas and other pathogens of sexually transmitted diseases. Many people think that it is impossible to get an infectious disease from oral sex, but this is absolutely not the case. On the contrary, anything is possible: from common cold sores to syphilis. That's why the best way to protect yourself is to have a regular sex life with a trusted partner. Or a condom.
Why treat chronic prostatitis if it is completely impossible to recover from it?
The presence of chronic prostatitis significantly impairs the quality of life. Its recurrences and complications can cause not only physical discomfort, but also lead to sexual and psychological disorders. The task of doctors is to transfer the disease to a stage of stable clinical remission, here not only antibiotics can be used. The treatment of chronic prostatitis is quite a long and laborious process, which depends not only on the professionalism of the doctor. The patient is prescribed a comprehensive treatment, it is recommended to adhere to a healthy lifestyle, to give up bad habits and to eat properly. This approach to therapy will allow you to return to your previous quality of life, restore erectile function, normalize urination and, perhaps, exacerbation of chronic prostatitis will not happen for many years.
If an exacerbation occurs, can I take the same antibiotics for prostatitis as before?
A re-examination is needed to determine the cause of the exacerbation of the disease and to identify an infectious agent. If there has been a relapse, this does not mean that the same factors are affected as before. It may have been a misdiagnosed infection and therefore a misdiagnosed treatment. Or if it is a mixed infection and the treatment is not effective enough. Or thousands of other reasons. There is no need to take antibiotics without consulting a doctor!