Antibiotic therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the right drug and dosage, antibiotics are very effective in fighting bacterial infections and reducing the inflammatory process.
However, like all drugs, antibiotics for prostatitis can damage the body, and if taken in an uncontrolled manner, they 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 from a doctor with an established diagnosis.
- Before prescribing any treatment for chronic prostatitis or its recurrence, a comprehensive examination of the patient is necessary, - saysPh. D.Sergey Tverdokhleb. . . - The etiology of the disease varies and only with a confirmed diagnosis of "bacterial chronic prostatitis" can antibiotics be prescribed along with other drugs. But that's not enough: there are many groups of antibacterial drugs, and to ensure treatment is effective, you first need to determine the type of pathogen and the body for resistance to one type of antibiotic or another.
The most common pathogens are bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus. In addition to bacterial, fungal, parasitic and viral pathogens can be found. In addition to the unspecific flora, the causative agents of sexually transmitted diseases - gonococci, trichomonas, chlamydia, urea and mycoplasmas, etc. - can be involved in the development of chronic prostatitis.
The infection enters the prostate in the following ways:
- urethrogen - ascending (through the urethra) and descending (when throwing infected urine from the bladder);
- hematogenous - through the blood;
- lymphogenic - through the lymph.
Can I take antibiotics for prostatitis myself?
Self-medication is a completely wrong approach to your own health. Antibiotics are not vitamins, and vitamins can also harm the body if taken incorrectly 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 becomes more resistant to antibiotics, and the treatment of the inflammatory process caused by it becomes much more difficult and time-consuming.
First of all, it is necessary to identify the main culprits of the infection, and then prescribe the etiotropic antibiotic therapy that affects it. This is done after a series of tests: the secretion of the prostate, sperm, blood is taken. Not a single person can independently determine which pathogen caused the inflammatory process. In addition, mixed infection is possible - the presence of more than 3 microorganisms at the same time and several types of antibiotics are needed for treatment. In addition, the cause of prostatitis or its recurrence cannot be bacterial, in which case antibiotics are contraindicated.
What 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, not 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 exposure methods (electrophoresis, magnetic therapy, 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, under the guise of chronic prostatitis, completely different pathologies are hidden, 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 examined further - referred to a proctologist, neurologist, and a detailed medical history taken. It can be chronic pelvic pain syndrome that is associated with bowel problems. Or a herniated disc in the lumbar spine with pain radiating to the groin. There are many opportunities. It can also be an abacterial prostatitis associated with a sedentary lifestyle, a lack of regular sexual intercourse and blood congestion in the pelvis, the so-called congestive prostatitis (cognitive). In this case, the treatment should be completely different.
A woman also needs to be examined by a gynecologist for infectious diseases of the genitourinary area if the man is a couple. Otherwise reinfection is guaranteed if he has undergone antibiotic therapy and his partner has not. If a man changes sexual partners frequently without using barrier agents, you can take antibiotics forever. In this case, the spectrum of pathogenic microflora is 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 while having oral sex and develop prostatitis?
In fact, men most often become infected through sexual intercourse, including oral sex, strangely enough. Staphylococci and streptococci, a number of bacteria, often cause inflammation of the upper respiratory tract and nasopharynx, and even untreated teeth, tooth decay, unpolished oral cavity do not indicate a healthy microflora. During oral sex, all of this can get into the genitourinary tract. Including gonococci, trichomonas and other STD pathogens. Many people think that it is impossible to contract an infectious disease through oral sex, but it is absolutely not. On the contrary, everything is possible: from banal herpes to syphilis. Hence, 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?
The presence of chronic prostatitis significantly affects the quality of life. Its relapses and complications can not only cause physical discomfort, but also lead to sexual and psychological disorders. It is the task of doctors to bring the disease to the stage of stable clinical remission; antibiotics alone cannot be used here. Treatment of chronic prostatitis is quite a long and arduous process that depends not only on the professionalism of the doctor. Complex treatment is prescribed to the patient, it is recommended to adhere to a healthy lifestyle, abandon bad habits and eat right. This approach to therapy allows you to restore the previous quality of life, restore erectile function, normalize urination, and chronic prostatitis may not get worse for many years.
During an exacerbation, can I take the same antibiotics as before for prostatitis?
Re-examination is needed to determine the cause of the exacerbation of the disease and identify an infectious agent. If there has been a relapse, it doesn't mean the same factors were affected as before. It may have been a misdiagnosed infection and therefore a misdiagnosed treatment. Or if the infection was mixed and the treatment was not effective enough. Or a thousand more reasons. Do not take antibiotics without consulting a doctor!