Antibiotic therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the right medicine and the right dose, antibiotics are very effective in fighting bacterial infections, reducing inflammation.
However, like any medicine, antibiotics for prostatitis can harm the body and uncontrolled intake can lead to a number of complications. Accepting them or not is not an individual matter of each person, but rather the specific and rigorous appointment of a doctor with a successful diagnosis.
- Before appointing the treatment of chronic prostatitis or its recurrence, it is necessary to comprehensively examine the patient, -Ph. D.Sergey Tverdokhleb. . . - The etiology of the disease is different, and only when the diagnosis is confirmed as "chronic bacterial prostatitis" can antibiotics be prescribed along with other drugs. But this is not enough: there are many classes of antibacterial drugs, and to be sure of the effectiveness of treatment, you need to first determine the type of pathogen, as well as test your body for resistance to one or another. other bacteria. antibiotics.
Normally, bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus act as pathogens. In addition to pathogens caused by bacteria, fungi, parasites and viruses can be found. Together with the nonspecific flora, the causative agents of STDs - gonococcus, Trichomonas, chlamydia, urea and mycoplasma, etc. v. , may be involved in the development of chronic prostatitis.
Infections enter the prostate in the following ways:
- urethra - going up (through the urethra) and going down (when throwing infected urine from the bladder);
- blood - through blood;
- lymphatic - through lymph.
Can I self-medicate with antibiotics to treat prostatitis?
Self-medication is a completely wrong approach to your own health. Antibiotics are not vitamins, moreover, vitamins can also harm the body if you take the wrong dose, at the wrong dose.
Inappropriate antibiotics for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they will stimulate the resistance of microorganisms to antibiotic therapy. The pathogenic microflora will become more resistant to the drug, and the treatment of the inflammation caused by it will be much more difficult and time consuming.
First of all, it is necessary to identify the main causative agents of infection, and then prescribe antibiotic therapy that causes disease that will affect them. This is done after a series of tests: prostate secretions, sperm, blood are taken. No one person can independently determine which pathogen caused the inflammatory process. Also, a mixed infection is possible - the presence of more than 3 microorganisms at a time and will require some type of antibiotic to treat. Moreover, the cause of prostatitis or its recurrence may not have a bacterial basis, in which case antibiotics are contraindicated.
What antibiotics are effective in treating prostatitis?
- fluoroquinolones;
- macrolite;
- tetracyclines;
- a bacteriostatic antibiotic used to prevent and treat diseases of the urinary system.
However, the treatment of chronic prostatitis needs to be comprehensive and not just include antibiotics. In addition to antibiotics, drugs to treat chronic prostatitis include: analgesics, antispasmodics; alpha 1 blocker; Plant extracts; drugs that affect blood circulation; prostatic agent; enzyme therapy; immunomodulatory therapy; tranquilizers and antidepressants; vitamins and trace elements, as well as methods of physical exposure (electrophoresis, magnetic therapy, laser therapy, etc. ).
What if antibiotics don't work for prostatitis?
Reason:
- erroneous diagnostic or test results;
- antibacterial drugs not in accordance with indications or doses;
- reinfection - reinfection.
Often, completely different diseases are hidden under the guise of chronic prostatitis, so without a complete examination there is a risk of suspecting prostatitis as one of the common diseases. in men. It is possible to incorrectly verify the form of prostatitis. Besides bacterial prostatitis, there is also chronic bacterial 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 further examined - referred to a proctologist, a neurologist, and a detailed history should be collected. It could be a chronic pelvic pain syndrome related to intestinal problems. Or herniated disc in the lumbar spine with pain radiating down to the groin. There are many options. It can also be bacterial prostatitis associated with a sedentary lifestyle, lack of regular sex, and blood clots in the pelvis, known as congestive (cognitive) prostatitis. In this case, the treatment must be completely different.
The woman also needs to be examined by a gynecologist for infectious diseases of the genitals if the men are a couple. On the other hand, if he has undergone antibiotic therapy and his sexual partner does not have an infection, then reinfection is guaranteed. If a man frequently changes sexual partners without using protection, you can take antibiotics forever. In this case, the spectrum of the pathogenic microflora will constantly change, the risk of sexually transmitted diseases (STDs) is high.
Common questions and answers
Can a man get the bacteria from his partner during oral sex and get prostatitis?
Indeed, the majority of men are infected through sexual contact, including oral sex, oddly enough. Staphylococci and streptococci, some of the bacteria that commonly cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, cavities, and oral cavity also do not show a healthy microbiome. With oral sex, all of these can enter the genital tract. Includes gonococci, Trichomonas and other STD pathogens. Many people think that it is impossible to transmit an infection through oral sex, but this is not the case. On the contrary, anything is possible: from trivial herpes to syphilis. So the best way to protect yourself is to have a regular sex life with a trusted partner. Or condoms.
Why treat chronic prostatitis if it doesn't go away completely?
The presence of chronic prostatitis reduces the quality of life significantly. Its recurrence and complications can not only cause physical discomfort, but also lead to psychological and sexual disturbances. It is the duty of the physicians to move the disease to a clinically stable stage of remission, where antibiotics alone cannot be used. Treatment of chronic prostatitis is a rather lengthy and laborious process that does not depend solely on the expertise of the doctor. Patients prescribed complex treatment, should adhere to a healthy lifestyle, give up bad habits, and eat right. This therapeutic approach will allow you to return to your former quality of life, restore erectile function, normalize urination and perhaps exacerbations of chronic prostatitis will not occur for many years. year.
If an exacerbation occurs, can I still take antibiotics for prostatitis as before?
Re-examination is necessary to determine the cause of the exacerbation and to identify the infectious agent. If there is a relapse, this does not mean that the factors are affected as before. It could be a misdiagnosed infection and, therefore, misdiagnosed treatment. Or, if it is a mixed infection and the treatment is not effective enough. Or a thousand more reasons. No need to take antibiotics without consulting a doctor!