Antibiotic treatment 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, relieving the inflammatory process.
However, like any medicine, antibiotics for prostatitis can harm the body and their uncontrolled intake can lead to a number of complications. Accepting them or not is not a personal matter for everyone, but a specific and strict prescription of a doctor with a substantiated diagnosis.
"Before prescribing treatment for chronic prostatitis or its recurrence, a thorough examination of the patient is necessary, " 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 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 for resistance to one or another type of antibiotic.
Most often, bacteria such as 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, hair follicle, chlamydia, urea - and mycoplasma, etc. , may be involved in the development of chronic prostatitis.
Infection enters the prostate gland in the following ways:
- urethrogenic - ascending (through the urethra) and descending (when you shed 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, in addition, vitamins can also harm the body if you take it in the wrong way 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 they will cause 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 deal with the inflammatory process caused by it.
First of all, it is necessary to identify the main causative agents of the infection and then to prescribe the etiotropic antibiotic treatment that will affect them. This is done after a series of tests: the secretion of the prostate, sperm, blood is obtained. No individual is able to independently determine which pathogen caused the inflammatory process. In addition, a mixed infection is possible - the presence of more than 3 microorganisms at a 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 base, so antibiotics are contraindicated.
Which antibiotics are effective for prostatitis?
- fluoroquinolones;
- macrolides?
- tetracyclines;
- a bacteriostatic antibiotic used to prevent and treat diseases of the urinary tract.
However, the treatment of chronic prostatitis must be comprehensive and include not only antibiotics. In addition to antibiotics, medication for chronic prostatitis also contains: analgesics and anticonvulsants. alpha 1-inhibitors; plant extracts; drugs that affect blood circulation. prostate prostate; enzyme therapy? immunomodulatory therapy? sedatives and antidepressants; vitamins and trace elements, as well as natural methods of exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics do not work for prostatitis?
Causes:
- misdiagnosis or test results;
- inappropriately prescribed antibacterial drugs or dosage.
- re-infection - re-infection.
Often, completely different pathologies are hidden under the guise of chronic prostatitis, therefore, with insufficient examination, there is a risk of suspected prostatitis as one of the most common diseases in men. It is possible to incorrectly verify the form of prostatitis. In addition to bacterial prostatitis, there is also chronic bacterial prostatitis or chronic pelvic pain syndrome, with or without inflammatory component.
If there are no signs of inflammation and the patient continues to complain, it should be further examined - referred to a proctologist, neurologist and a detailed history collected. It can be a chronic pelvic pain syndrome associated with bowel problems. Ή 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 sedentary lifestyle, lack of regular sex and congestion of blood 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 urogenital sphere if the man is a couple. Otherwise, if he has been treated with antibiotics and his partner does not, re-infection is guaranteed. If a man frequently changes sexual partners without using 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 catch a bacterial infection from a partner during oral sex and get prostatitis?
Indeed, most of the time men are infected through sexual intercourse, including oral sex, paradoxically. Staphylococci and streptococci, some bacteria often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, and a non-rubbing oral cavity also do not indicate a healthy microflora. With oral sex, all of this can enter the urogenital system. Including gonococci, hair follicles and other STD pathogens. Many people think that it is impossible to catch an infectious disease from oral sex, but this is not entirely true. On the contrary, everything is possible: from herpes simplex 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. Relapses and its complications can cause not only physical discomfort, but also lead to sexual and psychological disorders. It is the duty of physicians to transport the disease to the stage of stable clinical remission; antibiotics alone cannot be used here. The treatment of chronic prostatitis is a rather long and painful process that depends not only on the professionalism of the doctor. The patient has been prescribed complex therapy, it is recommended to follow a healthy lifestyle, to give up bad habits and to eat properly. This approach to treatment will allow you to return to your previous quality of life, restore erectile function, normalize urination, and perhaps an exacerbation of chronic prostatitis will not occur for many years.
If an exacerbation occurs, can I take the same antibiotics for prostatitis as before?
A review is needed to determine the cause of the disease outbreak and to identify an infectious agent. If there was a relapse, it does not mean that they were affected by the same factors as before. It may have been a misdiagnosis of infection and, therefore, a misdiagnosis of treatment. Or, if it was a mixed infection and the treatment was not effective enough. Or a thousand other reasons. You do not need to take antibiotics without consulting a doctor!