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 the bacterial infection, alleviating the inflammatory process.
However, like all medications, 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 a specific and strict prescription of a doctor with an established diagnosis.
- Before prescribing treatment for chronic prostatitis or its recurrence, a comprehensive examination of the patient is necessary - he saysdr. sc.Sergey Tverdokhleb. . . - The etiology of the disease is different, and only with a confirmed diagnosis of "bacterial chronic prostatitis" can antibiotics be prescribed together with other drugs. But this is not enough: there are many groups of antibacterial drugs, and to be sure of the effectiveness of treatment, you must first determine the type of pathogen, as well as check the body's 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 found. In addition to the non-specific flora, the causes of sexually transmitted diseases - gonococci, trichomonas, chlamydia, urea and mycoplasma, etc. can participate in the development of chronic prostatitis.
The infection enters the prostate in the following ways:
- urethrogenic - ascending (through the urethra) and descending (when expelling infected urine from the bladder);
- hematogenous - through the blood;
- lymphogenic - via lymph.
Can I take antibiotics for prostatitis on my own?
Self-medication is a completely wrong approach to one’s own health. Antibiotics are not vitamins, moreover, vitamins can also harm the body if you take the wrong ones, or in the wrong dose.
Inadequate antibiotics for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that it will cause resistance of microorganisms to antibiotic therapy. The pathogenic microbial flora will become more resistant to antibiotics, and it will be much more difficult and long-lasting to treat the inflammatory process caused by it.
First of all, it is necessary to identify the main causes of infection, and then prescribe etiotropic antibiotic therapy that will affect them. This is done after a series of tests: prostate secretions, semen, blood are taken. No person can independently determine 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. Moreover, the cause of prostatitis or its recurrence may not have a bacterial basis, in which case antibiotics are contraindicated.
Which antibiotics are effective for prostatitis?
- fluoroquinolones;
- macrolides;
- tetracyclines;
- a 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 includes: analgesics and antispasmodics; alpha 1-blockers; plant extracts; drugs that affect blood circulation; prostate protectors; enzyme therapy; immunomodulatory therapy; sedatives and antidepressants; vitamins and trace elements, as well as physical methods of exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics don't work for prostatitis?
Causes:
- misdiagnosis or test results;
- improperly prescribed antibacterial drugs or dosage;
- reinfection - re-infection.
Often, completely different pathologies are hidden under the guise of chronic prostatitis, therefore, with insufficient examination, there is a risk of suspecting prostatitis as one of the most common diseases in men. It is possible to misidentify 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 further examined - referred to a proctologist, neurologist and collect a detailed history. It can be a chronic pelvic pain syndrome associated with bowel problems. Or an intervertebral hernia of the lumbar spine with pain that spreads 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 should be completely different.
A woman should also be examined by a gynecologist for infectious diseases of the genitourinary sphere if the man is a couple. Otherwise, if he has undergone antibiotic therapy and his partner has not, reinfection is guaranteed. If a man frequently changes sexual partners without the use of protective equipment, 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 get a bacterial infection from a partner during oral sex and get prostatitis?
Indeed, men are most often infected through sexual intercourse, including oral sex, which is strange. Staphylococci and streptococci, numerous bacteria often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, unpolished oral cavity also do not indicate a healthy microflora. With oral sex, all of this can reach the genitourinary tract. Including gonococci, trichomonas and other sexually transmitted diseases. Many people think that it is impossible to get an infectious disease through oral sex, but that is absolutely not the case. On the contrary, anything is possible: from banal herpes to syphilis. Therefore, 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 mental disorders. The task of the doctor is to transfer the disease to the phase of stable clinical remission, not only antibiotics can be used here. The treatment of chronic prostatitis is a rather long and arduous process that does not depend only on the professionalism of the doctor. The patient is prescribed a complex treatment, it is recommended to adhere to a healthy lifestyle, give up bad habits and proper nutrition. This approach to therapy will allow you to restore your previous quality of life, restore erectile function, normalize urination and, perhaps, the worsening of chronic prostatitis will not happen for many years.
If it gets worse, can I take the same antibiotics for prostatitis as before?
A re-examination is necessary to determine the cause of the exacerbation of the disease and to establish the cause of the infection. If a relapse has occurred, it does not mean that the same factors have affected as before. Maybe it was a misdiagnosed infection and, therefore, a misdiagnosed treatment. Or, if it was a mixed infection and the treatment was not effective enough. Or a thousand more reasons. There is no need to take antibiotics without consulting a doctor!