Antibiotic therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the right drug and the right dose, antibiotics are very effective in fighting bacterial infection, alleviating the inflammatory process.
However, like any medication, prostatitis antibiotics can be harmful to the body and their uncontrolled intake can lead to a number of complications. Whether to take them or not is not a personal matter for everyone, but a specific and strict prescription of a doctor with an established diagnosis.
"A comprehensive examination of the patient is necessary before prescribing treatment for chronic prostatitis or its recurrence, " he said.DoctorSergei Tverdokhlebi. . . - The etiology of the disease is different and only with a confirmed diagnosis of "bacterial chronic prostatitis" can antibiotics be prescribed in combination with other drugs. But this is not enough: there are many groups of antibacterial drugs and to be sure of the effectiveness of treatment, On resistance to that type. 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 are found. Along with the nonspecific flora, the causative agents of STDs - gonococcus, trichomonas, chlamydia, urea - and mycoplasma, etc. can 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 discharging the infected bladder);
- Hematogenous - through the blood;
- Lymphogenic - via lymph.
Can I take antibiotics myself during prostatitis?
Self-medication is a completely wrong approach to your own health. Antibiotics are not vitamins, moreover, vitamins can also harm the body if you take the wrong, or the wrong dose.
Inadequate antibiotics for prostatitis can temporarily alleviate the overall inflammatory process. But the main danger is that they will provoke 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 of all, it is necessary to identify the main causative agents of the infection, and then prescribe etiotropic antibiotic therapy on them. This is done after a series of tests: taken prostate gland secretion, sperm, blood. No one person can independently determine which pathogen caused the inflammatory process. In addition, mixed infection is possible - the presence of more than 3 microorganisms at once and treatment will require several types of antibiotics. Moreover, the cause of prostatitis or its recurrence may not have a bacterial basis, in which case antibiotics are contraindicated.
What antibiotics are effective in prostatitis?
- Fluoroquinolones;
- Macrolides;
- Tetracyclines;
- Bacteriostatic antibiotic used for the prevention and treatment of diseases of the urinary system.
However, treatment for chronic prostatitis should be comprehensive and include more than just antibiotics. In addition to antibiotics, medical therapy for chronic prostatitis also includes: painkillers and antispasmodics; Alpha 1-blockers; Herbal extracts; Medications that affect blood circulation; Prostate protective equipment; Enzyme therapy; Immunomodulatory therapy; Tranquilizers and antidepressants; Vitamins and micronutrients, as well as physical methods of exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics do not work for prostatitis?
ᲛReasons:
- Incorrect diagnosis or test results;
- Incorrectly prescribed antibacterial drugs or dosage;
- Reinfection - 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 misdiagnose the form of prostatitis. In addition to bacterial prostatitis, there is also chronic bacterial 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, he should undergo further examination - consult a proctologist, neurologist and collect a detailed history. It can be a chronic pelvic pain syndrome associated with bowel problems. Or lumbar intervertebral disc herniation with pain radiating to the groin. There are many options. It can also be bacterial prostatitis associated with a sedentary lifestyle, lack of regular sexual intercourse, and blood clots in the pelvis, e. g. წ. Congenital prostatitis (cognitive). In this case the treatment should be completely different.
A woman also needs to be examined by a gynecologist for urinary tract infections if the man is a couple. Otherwise, if he has undergone antibiotic therapy but not a partner, re-infection is guaranteed. If men frequently change sexual partners without the use of protective equipment, 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 catch a bacterial infection from his partner during oral sex and get prostatitis?
Indeed, most often men get strangely ill through sexual intercourse, including oral sex. Staphylococci and streptococci, a number of bacteria often cause inflammation of the upper respiratory tract and nasopharynx, while untreated teeth, caries, untreated oral cavity also do not indicate a healthy microflora. With oral sex it can all get into the genital tract. Including gonococci, trichomonas and other STD pathogens. Many people think that it is impossible to delay infectious disease from oral sex, but this is absolutely not the case. Conversely, 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 recovery from it is completely impossible?
The presence of chronic prostatitis significantly worsens the quality of life. Its relapses and complications can lead not only to physical discomfort but also to sexual and psychological disorders. The task of physicians is to transfer the disease to a stage of stable clinical remission, here it is impossible to use antibiotics alone. Treatment of chronic prostatitis is quite a long and time consuming process, which depends not only on the professionalism of the doctor. The patient is prescribed complex treatment, it is recommended to maintain a healthy lifestyle, abandon bad habits and eat right. This approach to therapy will allow you to restore your previous quality of life, restore erectile function, normalize urination, and may not exacerbate chronic prostatitis for many years.
If an exacerbation occurs, can I take the same antibiotics against prostatitis as before?
Re-examination is necessary to determine the cause of disease exacerbation and to determine the infectious agent. If there was a relapse, it does not mean that the same factors were affected as before. This can be a misdiagnosed infection and therefore incorrect treatment. Or, if it was a mixed infection and the treatment was not effective enough. Or a thousand more reasons. It is not necessary to take antibiotics without consulting your doctor!