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, relieving the inflammatory process.
However, like any medicine, antibiotics for prostatitis can harm the body, and their uncontrolled consumption can lead to a number of complications. Accepting them or not is not a personal matter for everyone, but a precise and strict prescription from a doctor with an established diagnosis.
- Before prescribing treatment for chronic prostatitis or its recurrence, a complete examination of the patient is necessary, - saysdoctorateSergei Tverdokhleb. . . - The etiology of the disease is different and it is only with a confirmed diagnosis of "chronic bacterial prostatitis" that antibiotics can be prescribed 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 establish the type of pathogen, as well as check the body's resistance to oneor the other 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. Besides the non-specific flora, the agents responsible for STDs - gonococci, Trichomonas, chlamydia, urea- and mycoplasmas, 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 (throwing out infected urine from the bladder);
- hematogenous - through blood;
- lymphogenous - by lymph.
Can I take antibiotics for prostatitis myself?
Self-medication is a totally wrong approach to your own health. Antibiotics are not vitamins, and vitamins can also harm the body if you take the wrong or the wrong dosage.
Inappropriate antibiotics for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they 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 time-consuming to treat the inflammatory process that it causes.
First of all, it is necessary to identify the main causative agents of the infection, and then prescribe etiotropic antibiotic therapy that will affect them. This is done after a series of tests: the secretion of the prostate, semen, blood is taken. Not a single person is able to independently determine which pathogen caused the inflammatory process. In addition, mixed infection is possible - the presence of more than 3 microorganisms at a time and several types of antibiotics will be required for treatment. In addition, 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 should be comprehensive and include not just antibiotics. In addition to antibiotics, drug treatment for chronic prostatitis also contains: analgesics and antispasmodics; alpha 1-blockers; plant extracts; drugs that affect blood circulation; protectors of the prostate; 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:
- incorrect diagnosis or test results;
- improperly prescribed antibacterial drugs or dosage;
- reinfection - reinfection.
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 incorrectly check the form of prostatitis. Besides 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 can be a chronic pelvic pain syndrome associated with bowel problems. Or an intervertebral hernia of the lumbar spine with pain radiating to the groin. There are many options. It can also be abacterial prostatitis associated with a sedentary lifestyle, lack of regular sex and blood congestion in the pelvis, the so-called congestive (cognitive) prostatitis. 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 in a relationship. Otherwise, if he has undergone antibiotic therapy, and his partner is not, reinfection is guaranteed. If a man often changes sexual partners without using a protective barrier, you can take antibiotics forever. In this case, the spectrum of 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 partner during oral sex and have prostatitis?
Indeed, most often, men are infected during 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, unpeeled oral cavity also do not indicate healthy microflora. With oral sex, all of this can enter the genitourinary tract. Including gonococci, trichomonads and other pathogens of STDs. Many people think that it is impossible to get an infectious disease from oral sex, but it is absolutely not. 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 totally impossible to recover from it?
The presence of chronic prostatitis considerably impairs the quality of life. Its relapses and complications can not only cause physical discomfort, but also lead to sexual and psychological disorders. The task of doctors is to bring the disease to a stage of stable clinical remission; antibiotics alone cannot be used here. Treatment of chronic prostatitis is quite a long and laborious process, which does not depend only on the professionalism of the doctor. The patient is prescribed a complex treatment, it is recommended to adopt a healthy lifestyle, give up bad habits and eat well. This therapeutic approach will allow you to return to the previous quality of life, restore erectile function, normalize urination, and, perhaps, exacerbation of chronic prostatitis will not occur for many years.
If an exacerbation occurs, can I take the same antibiotics as before for prostatitis?
Re-examination is necessary in order to identify the cause of the exacerbation of the disease and to establish an infectious agent. If there has been a relapse, it does not mean that the same factors affected as before. It can be a misdiagnosed infection and therefore misdiagnosed treatment. Or, if it was a mixed infection and the treatment was not effective enough. Or a thousand other reasons. No need to take antibiotics without consulting a doctor!