Antibiotic therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the correct medication and the correct dose, antibiotics are very effective in fighting bacterial infection, alleviating the inflammatory process.
However, like any 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 from a doctor with an established diagnosis.
- Before prescribing a treatment for chronic prostatitis or its recurrence, a complete examination of the patient is necessary, - he saysDoctor.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 establish the type of pathogen, as well as check the body's resistance to one or another type of antibiotic.
Very often, bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus act as pathogens. In addition to bacterial, fungal, parasitic and viral pathogens, they can be found. Along with the nonspecific flora, the causative agents of STDs (gonococcus, Trichomonas, chlamydia, urea) and mycoplasma, etc. , can participate in the development of chronic prostatitis.
The infection enters the prostate gland in the following ways:
- urethrogenic - ascending (through the urethra) and descending (by passing infected urine from the bladder);
- hematogenous - through the blood;
- lymphogen - through the lymph.
Can I take antibiotics myself for prostatitis?
Self-medication is a completely wrong approach to your own health. Antibiotics are not vitamins, in addition, vitamins can also harm the body if the wrong ones or in the wrong dose are taken.
Antibiotics inappropriate for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they will 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 slow 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 the etiotropic antibiotic therapy that will affect them. This is done after a series of tests: secretion from the prostate gland, sperm, blood is removed. Not a single person can independently determine which pathogen caused the inflammatory process. In addition, a mixed infection is possible - the presence of more than 3 microorganisms at a time and several types of antibiotics will be needed for treatment. Also, the cause of prostatitis or its recurrence may not have a bacterial basis, 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, the treatment of chronic prostatitis should be comprehensive and include not only antibiotics. In addition to antibiotics, drug therapy for chronic prostatitis also contains: analgesics and antispasmodics; alpha 1 blockers; plant extracts; medications 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 if antibiotics don't work for prostatitis?
Causes:
- erroneous diagnosis 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 suspecting that prostatitis is 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 further examined, referred to a proctologist, a neurologist, and a detailed history should be collected. It can be a chronic pelvic pain syndrome associated with intestinal problems. Or an intervertebral hernia of the lumbar spine with pain radiating to the groin. There are many options. It can also be a bacterial 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 a couple. Otherwise, if she has undergone antibiotic therapy and her partner has not, reinfection is guaranteed. If a man often changes sexual partners without using barrier protection, he can take antibiotics forever. In this case, the spectrum of the 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 his partner during oral sex and get prostatitis?
In fact, most of the time men become infected through 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, cavities, and a sand-free oral cavity also do not hint at a healthy microflora. With oral sex, all of this can reach the genitourinary tract. 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 at all. On the contrary, everything 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 recover from it?
The presence of chronic prostatitis significantly impairs quality of life. Its relapses and complications can cause not only physical discomfort, but also sexual and psychological disorders. The task of physicians is to transfer the disease to the stage of stable clinical remission; antibiotics cannot be used alone here. Treatment of chronic prostatitis is a rather long and laborious 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, abandon bad habits and eat right. This approach to therapy will allow you to regain 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 for prostatitis as before?
A new examination is necessary to identify the cause of the exacerbation of the disease and establish an infectious agent. If there was a relapse, this does not mean that the same factors affected as before. It may have been a misdiagnosed infection and therefore misdiagnosed treatment. Or, if it was a mixed infection and the treatment was not effective enough. Or a thousand more reasons. No need to take antibiotics without consulting a doctor!