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 infections, eliminating the inflammatory process.
However, like any medication, antibiotics for prostatitis can harm the body and their uncontrolled intake can lead to a number of complications. Accepting or not accepting them is not everyone's business, but a special and serious prescription from a doctor with a definite diagnosis.
"Before prescribing treatment for chronic prostatitis or its recurrence, the patient should be thoroughly examined, " he said.Ph. D.Sergey Tverdokhleb. . . - The etiology of the disease is different, and only with a confirmed diagnosis of "bacterial chronic prostatitis" antibiotics can 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, you must first determine the type of pathogen, as well as check the body's resistance to this or that type. antibiotics.
Bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus often act as pathogens. It can be found in addition to bacterial, fungal, parasitic and viral pathogens. In addition to non-specific flora in the development of chronic prostatitis, STI pathogens - gonococci, trichomonas, chlamydia, urea and mycoplasma, etc. can participate.
The infection enters the prostate gland in the following ways:
- urethrogenic - ascending (through the urethra) and descending (when passing infected urine from the bladder);
- hematogen - through the blood;
- lymphogen - through the lymph.
Can I take antibiotics for prostatitis?
Self-medication is a completely wrong approach to your health. Antibiotics are not vitamins, and vitamins can be harmful to the body if taken incorrectly or in the wrong dose.
Antibiotics that are not suitable for prostatitis can provide temporary relief by reducing the overall inflammatory process. However, the main danger is that they will stimulate the resistance of microorganisms to antibiotic therapy. The pathogenic microbial flora will be more resistant to antibiotics, and the inflammatory process it creates will be much more difficult and time consuming to treat.
First of all, it is necessary to identify the main causes of infection, and then prescribe etiotropic antibiotic therapy that will affect them. This is done after a series of tests: prostate gland secretion, sperm, blood. No one can independently determine which pathogen is causing the inflammatory process. In addition, a mixed infection is possible - the presence of more than 3 microorganisms at once, and several types of antibiotics will be needed for treatment. In addition, it may not be the cause of prostatitis or the bacterial basis of its recurrence, in which case antibiotics are contraindicated.
Which antibiotics are effective for prostatitis?
- fluoroquinolones;
- macrolides;
- tetracyclines;
- bacteriostatic antibiotic used for the prevention and treatment of diseases of the urinary system.
However, treatment of chronic prostatitis should be comprehensive and not just antibiotics. In addition to antibiotics, drug treatment for chronic prostatitis includes: analgesics and antispasmodics; alpha 1-blockers; plant extracts; drugs that affect blood circulation; prostate protectors; enzyme therapy; immunomodulatory therapy; tranquilizers and antidepressants; vitamins and trace elements, as well as physical methods of exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What to do if antibiotics do not work in prostatitis?
Reasons:
- incorrect diagnosis or test results;
- incorrectly prescribed antibacterial drugs or dosage;
- recurrent infection - recurrent infection.
Often completely different pathologies are disguised as chronic prostatitis, so there is a risk of suspecting prostatitis as one of the most common diseases in men without adequate examination. It is possible to check the form of prostatitis incorrectly. In addition to bacterial prostatitis, there is 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 be examined more often - consult a proctologist, neurologist and collect a detailed medical history. It can be a chronic pelvic pain syndrome associated with intestinal problems. Or intervertebral hernia of the lumbar vertebrae with pain spreading to the groin area. There are many options. It can also be abacterial prostatitis, which is associated with a sedentary lifestyle, lack of regular sexual intercourse and blood clots in the pelvic region, which is congestive prostatitis (cognitive). In this case, the treatment should be completely different.
If the man is a couple, the woman should also be examined by a gynecologist for infectious diseases of the genitourinary system. Otherwise, re-infection is guaranteed if he has undergone antibiotic therapy and has no partner. If a man often changes his sexual partners without the use of barrier protection, 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 and prostatitis from his partner during oral sex?
Indeed, men are often infected through sexual contact, including oral sex. Staphylococci and streptococci, a number of bacteria, often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, untreated oral cavity do not indicate a healthy microflora. With oral sex, all this can enter the genitourinary system. Including gonococci, Trichomonas and other STD pathogens. Many people think that it is impossible to get an infectious disease from oral sex, but this is not the case. On the contrary, anything is possible: from banal herpes to syphilis. Therefore, the best way to protect yourself is to have regular sex with a reliable partner. Or a condom.
If chronic prostatitis cannot be completely cured, why is it treated?
The presence of chronic prostatitis significantly worsens the quality of life. Its relapses and complications can cause not only physical discomfort, but also sexual and psychological disorders. The task of doctors is to bring the disease to a stage of stable clinical remission, where antibiotics alone should not be used. Treatment of chronic prostatitis is a long and laborious process that does not depend only on the professionalism of the doctor. The patient is prescribed a complex treatment, it is recommended to follow a healthy lifestyle, to give up bad habits, to eat properly. This approach to therapy will restore the previous quality of life, restore erectile function, normalize urinary excretion, and perhaps the 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 re-examination is needed to determine the cause of the exacerbation of the disease and to determine the infectious agent. If you have a relapse, it does not mean that you are affected by the same factors as before. It can be a misdiagnosed infection and therefore a misdiagnosed treatment. Or if there is a mixed infection and the treatment is not effective enough. Or thousands of other reasons. No need to take antibiotics without consulting a doctor!