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 infection, relieving the inflammatory process.
However, like all medicines, antibiotics for prostatitis can damage the body and their uncontrolled intake can lead to many complications. To accept or not is not a personal matter for everyone, but a specific and rigorous prescription for a doctor with a definite diagnosis.
- In case of chronic prostate inflammation or recurrence, a comprehensive examination of the patient is required before prescribing treatment.Ph. D.Sergei Tverdokhleb. . . - The etiology of the disease is different and antibiotics should only be prescribed in combination with other drugs in the case of a confirmed diagnosis of "bacterial chronic prostatitis". But this is not enough: there are many classes of antibacterial drugs, and to make sure the treatment is effective, you must first determine the type of pathogen and check the body’s resistance to one type or another of the drug. antibiotic.
Bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus are the most common pathogens. They are found alongside bacterial, fungal, parasitic and viral pathogens. In addition to non-specific flora, pathogens of STDs include gonococcus, Trichomonas, chlamydia, urea and mycoplasma, and so on. - may be involved in the development of chronic prostatitis.
The infection enters the prostate gland in the following ways:
- uretrogen - rising (through the urethra) and descending (when infected urine is thrown out of the bladder);
- hematogenous - through the blood;
- lymphogen - through the lymph.
Can I take antibiotics for prostatitis?
Self-healing is a completely wrong approach to your own health. Antibiotics are not vitamins, in fact, vitamins can harm the body if taken inappropriately or in inappropriate doses.
Antibiotics unsuitable for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they trigger the resistance of microorganisms to antibiotic therapy. The pathogenic microbial flora will become more resistant to antibiotics, making it much more difficult and time-consuming to treat the inflammatory process it causes.
First, the major pathogens of the infection should be identified and then etiotropic antibiotic therapy should be prescribed. This is done after a series of tests: the secretions of the prostate gland, the sperm, the blood are taken. No human being is able to determine for himself 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 is not necessarily bacterial, in which case antibiotics are contraindicated.
What antibiotics are effective in prostatitis?
- fluoroquinolones;
- macrolides;
- tetracyclines;
- a bacteriostatic antibiotic used to prevent and treat urinary tract diseases.
However, the treatment of chronic prostatitis should be comprehensive and not just include antibiotics. In addition to antibiotics, pharmacological therapy for chronic prostatitis 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 and methods of physical exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics have no effect on prostatitis?
Cause:
- erroneous diagnosis or test results;
- incorrectly prescribed antibacterial drugs or dosage;
- re - infection - re - infection.
Often, completely different pathologies are hidden under the guise of chronic prostatitis, so in case of insufficient examination, there is a risk that prostatitis is suspected as one of the most common diseases in men. Improper control of the form of prostatitis is possible. In addition to bacterial prostatitis, there is also chronic abdominal prostatitis or chronic pelvic pain syndrome, with or without an inflammatory component.
If there are no signs of inflammation, the patient continues to complain and should be examined further - refer to a proctologist, neurologist, and a detailed medical history. It can be a chronic pelvic pain syndrome with bowel problems. Or intervertebral injury of the lumbar spine with pain radiating to the groin. There are many options. It can also be an bacterial prostatitis associated with a sedentary lifestyle, a lack of regular sex, and pelvic congestion, called congestive prostatitis (cognitive). In this case, the treatment must be completely different.
A woman should also be examined by a gynecologist for infectious diseases of the urogenital sphere if the man is a couple. Otherwise, if he has been given antibiotics and his partner has not, re-infection is guaranteed. If a man changes his sexual partner frequently without using protective equipment, you can take antibiotics forever. In this case, the spectrum of the pathogenic microflora is constantly changing, and the risk of sexually transmitted diseases (STDs) is high.
Popular questions and answers
Can a man catch a bacterial infection from his partner during oral sex and get prostatitis?
In fact, men are most often infected through sexual contact, including oral sex, in a strange way. Staphylococci and streptococci, a number of bacteria, often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, and unpolished oral cavity do not indicate the development of a healthy microflora. During oral sex, all of this can get into the urinary system. Including gonococci, Trichomonas and other STDs. Many people believe that it is impossible to catch an infectious disease from oral sex, but this is not the case at all. 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 when it is 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 can also lead to sexual and mental disorders. Physicians are responsible for transferring the disease to a stage of stable clinical remission, and antibiotics alone cannot be used here. Treating chronic prostatitis is a rather long and laborious process that depends not only on the professionalism of the doctor. The patient is prescribed complex treatment, it is recommended to follow a healthy lifestyle, give up bad habits and eat right. This approach to therapy will allow the former quality of life to be restored, erectile function to be restored, urination to be normalized, and perhaps an exacerbation of chronic prostatitis will not occur for many years to come.
If it gets worse, can I take the same antibiotic for prostatitis as before?
A re-examination is necessary to identify the cause of the exacerbation of the disease and to determine the infectious agent. If there was a downturn, it does not mean that it was affected by the same factors as before. It may be a misdiagnosed infection and therefore a misdiagnosed treatment. Or if it is a mixed infection and the treatment was not effective enough. Or a thousand more reasons. You do not need to take antibiotics without a medical consultation!