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 bacterial infections, alleviating the inflammatory process.
However, like any medication, antibiotics for prostatitis can harm the body and their uncontrolled intake can lead to a number of complications. Accepting them or not is not everyone's personal matter, but a specific and strict prescription from a physician with an established diagnosis.
- Before prescribing treatment for chronic prostatitis or its recurrence, a comprehensive examination of the patient is necessary, - he saysPh. D.Sergey Tverdokhleb. . . - The etiology of the disease is different, and only with a confirmed diagnosis of "chronic bacterial prostatitis" antibiotics can 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 the treatment, it is necessary to first establish the type of pathogen, as well as verifying whether the body has resistance to one type of antibiotic or another.
Most of the time, bacteria like Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus act as pathogens. In addition to bacterial, fungal, parasitic and viral pathogens can be found. Along with the non-specific flora, the causative agents of STDs - gonococcus, Trichomonas, chlamydia, urea and mycoplasma, etc. , may participate in the development of chronic prostatitis.
The infection enters the prostate in the following ways:
- urethrogenic - ascending (through the urethra) and descending (when throwing infected urine from the bladder);
- hematogenous - by blood;
- lymphogen - through the lymph.
Can I take antibiotics for prostatitis?
Self-medication is a completely wrong approach to your health. Antibiotics are not vitamins, and vitamins can also harm the body if you take the wrong ones or in the wrong dosage.
Inappropriate antibiotics for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they provoke the resistance of microorganisms to antibiotic therapy. The pathogenic microbial flora will become more resistant to antibiotics and it will be much more difficult and time-consuming to treat the inflammatory process caused by it.
First, it is necessary to identify the main causative agents of the infection and then prescribe the etiotropic antibiotic therapy that will affect them. This is done after a series of tests: the secretion of the prostate, the sperm, the blood is taken. Not a single person is able to independently determine which pathogen caused the inflammatory process. Furthermore, 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. Also, 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, treatment for chronic prostatitis must be comprehensive and not just include 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 trace elements, as well as physical methods of exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics don't work for prostatitis?
Causes:
- wrong diagnosis or test results;
- improperly prescribed antibacterial medications or dosage;
- reinfection - reinfection.
Often completely different pathologies hide 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 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, they should be further examined - referred to a proctologist, neurologist and a detailed history taken. It could be a chronic pelvic pain syndrome associated with intestinal problems. Or an intervertebral hernia of the lumbar spine with pain radiating to the groin. There are many options. It can also be bacterial prostatitis associated with a sedentary lifestyle, lack of regular sex, and blood congestion in the pelvis, called congestive (cognitive) prostatitis. In that case, the treatment must be completely different.
A woman also needs to be examined by a gynecologist for infectious diseases of the genitourinary sphere, if the man is a couple. Otherwise, if he has had antibiotic therapy and his partner has not, reinfection is guaranteed. If a man frequently changes sex partners without using barrier protection means, 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.
Popular Questions and Answers
Can a man get a bacterial infection from a female partner during oral sex and get prostatitis?
In fact, most of the time men are 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, and a sandless oral cavity also do not indicate healthy microflora. With oral sex, all of this can enter the genitourinary tract. Including gonococci, Trichomonas and other STD pathogens. 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 common herpes to syphilis. So 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's completely impossible to recover from it?
The presence of chronic prostatitis significantly impairs quality of life. Its relapses and complications can not only cause physical discomfort, but also lead to sexual and psychological disturbances. The task of physicians is to transfer the disease to the stable clinical remission stage; antibiotics alone cannot be used here. The treatment of chronic prostatitis is a very long and laborious process that does not only depend on the doctor's professionalism. The patient is prescribed a complex treatment, it is recommended to adhere to a healthy lifestyle, abandon bad habits and eat well. 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 identify the cause of the disease flare and to establish an infectious agent. If there was a relapse, it does not mean that the same factors affected as before. It could have been an incorrectly diagnosed infection and therefore an incorrectly diagnosed treatment. Or if it was a mixed infection and the treatment wasn't effective enough. Or another thousand reasons. No need to take antibiotics without consulting a doctor!