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, easing the inflammatory process.
However, like any other 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 firm diagnosis.
"Before prescribing treatment for chronic prostatitis or its recurrence, a comprehensive 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 "chronic bacterial prostatitis" can antibiotics be prescribed along with other medications. 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. antibiotics.
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 nonspecific flora, the causative agents of sexually transmitted diseases - gonococcus, trichomonas, chlamydia, urea - and mycoplasma, etc. may also participate in the development of chronic prostatitis.
The infection enters the prostate gland in the following ways:
- urethrogenic - contagious (through the urethra) and descending (when the infected urine is expelled from the bladder);
- hematogenous - through the blood;
- lymphogenous - through the lymph.
Can I take antibiotics for prostatitis myself?
Self-medication is a completely wrong approach to your health. Antibiotics are not vitamins, moreover, vitamins can also harm the body if you take them wrong, 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 provoke the resistance of microorganisms to antibiotic therapy. Pathogenic microbial flora will become more resistant to antibiotics and 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 that will affect them. This is done after a series of tests: secretion of prostate gland, sperm, blood is obtained. No single person 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 the same time, and several types of antibiotics will be needed for treatment. Furthermore, the cause of prostatitis or its recurrence may have no bacterial basis, in which case antibiotics are contraindicated.
Which antibiotics are effective for prostatitis?
- fluoroquinolones;
- macrolides;
- tetracycline;
- a bacteriostatic antibiotic used to prevent and treat diseases of the urinary system.
However, treatment of chronic prostatitis should be comprehensive and include more than just antibiotics. In addition to antibiotics, drug therapy for chronic prostatitis also includes: analgesics and antispasmodics; alpha 1-blocker; plant extracts; drugs that affect blood circulation; prostate protectors; enzyme therapy; immunomodulatory therapy; sedatives and antidepressants; vitamins and trace elements, as well as physical methods of exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics do not work for prostatitis?
Causes:
- misdiagnosis or test results;
- improperly prescribed antibacterial drugs or doses;
- reinfection - reinfection.
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 mistakenly verify 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, he should be examined further - refer to a proctologist, a neurologist, and a detailed history should be obtained. It can be a chronic pelvic pain syndrome associated with intestinal problems. Or an intervertebral hernia of the lumbar spine with radiating pain in the groin. There are many options. It can also be bacterial prostatitis associated with a sedentary lifestyle, lack of regular sex and congestion of blood 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 a couple. Otherwise, if he has performed antibiotic therapy, and his partner does not, reinfection is guaranteed. If a man frequently changes sexual partners without using contraceptives, 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 catch a bacterial infection from his partner during oral sex and get prostate?
Indeed, more often men are infected through sexual intercourse, including oral sex, strangely. Staphylococci and streptococci, a number of bacteria often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, sandless oral cavity also do not imply a healthy microflora. With oral sex, all of this can enter the genitourinary tract. Including gonococci, Trichomonas and other STD pathogens. Many people think it is impossible to get an infectious disease from oral sex, but this is absolutely not the case. 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 completely impossible to cure 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. The task of physicians is to transfer the disease to the stage of sustained clinical remission; antibiotics alone cannot be used here. Treating chronic prostatitis is a rather long and arduous process that depends not only on the professionalism of the doctor. The patient is prescribed complex treatment, it is recommended to adhere to a healthy lifestyle, give up bad habits and eat properly. This approach to therapy will allow you to restore your previous quality of life, restore erectile function, normalize urination, and, perhaps, exacerbation of chronic prostatitis will not occur for many years.
If a worsening occurs, can I take the same antibiotics for prostatitis as before?
A re-examination is necessary to identify the cause of disease exacerbation and to determine an infectious agent. If there has been a relapse, it does not mean that the same factors have influenced as before. It may have been a misdiagnosed infection and, consequently, a 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!