Antibiotics for male prostatitis

Antibiotic selection for prostatitis

Antibiotic therapy is one of the main directions for the treatment of chronic prostatitis. If you choose the right medicine and the right dosage, antibiotics are very effective in fighting bacterial infections and alleviating the inflammatory process.

However, like any medicine, antibiotics for prostatitis can harm the body, and uncontrolled intake can cause many complications. Acceptance is not a personal problem for everyone, but a specific and strict prescription from a doctor with a clear diagnosis.

-Before treating chronic prostatitis or its recurrence, it is necessary to conduct a comprehensive examination of the patient, -saysPhDSergei Tverdochlob. . . -The etiology of the disease is different. Only when it is diagnosed as "bacterial chronic prostatitis" can antibiotics be prescribed together with other drugs. But this is not enough: there are many types of antibacterial drugs. In order to determine the effect of treatment, you first need to determine the type of pathogen and check the body's resistance to one type or another. antibiotic.

In most cases, bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, and Enterococcus are pathogens. In addition to bacteria, fungi, parasites and viral pathogens can also be found. Together with non-specific flora, the pathogens of sexually transmitted diseases-gonococcus, trichomoniasis, chlamydia, urea and mycoplasma, etc. , can participate in the development of chronic prostatitis.

Infection enters the prostate in the following ways:

  • Urethral origin-ascending (through the urethra) and descending (when the infected urine is drained from the bladder);
  • Hematogenous-through blood;
  • Lymph-through lymph.

Can I take antibiotics to treat prostatitis by myself?

Self-medication is a completely wrong method of health. Antibiotics are not vitamins, and if they are taken in the wrong way or in the wrong dose, vitamins can cause harm to the body.

Inappropriate antibiotics for prostatitis can be temporarily relieved by reducing the overall inflammatory process. But the main danger is that they will stimulate the resistance of microorganisms to antibiotic treatment. The resistance of pathogenic microorganisms to antibiotics will be enhanced, and it will be more difficult and time-consuming to treat the inflammatory process caused by them.

First, it is necessary to identify the main pathogens of the infection and then prescribe symptomatic antibiotic treatments that will affect them. This is done after a series of tests: collecting prostate secretions, sperm, and blood. No one can independently determine the pathogen that causes the inflammatory process. In addition, mixed infections are possible-more than 3 microorganisms are present at a time, and multiple types of antibiotics are required for treatment. In addition, the cause of prostatitis or its recurrence may not have a 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 urinary system diseases.

However, the treatment of chronic prostatitis should be comprehensive and not only include antibiotics. In addition to antibiotics, the drug treatment of chronic prostatitis also includes: analgesics and antispasmodics; α 1 receptor blockers; plant extracts; drugs that affect blood circulation; prostate protectants; enzyme therapy; immunomodulatory therapy; sedatives andAntidepressants; vitamins and trace elements, and physical exposure methods (electrophoresis, magnetic therapy, laser therapy, etc. ).

What if antibiotics do not work for prostatitis?


  • Wrong diagnosis or test results;
  • Improper prescription or dosage of antibacterial drugs;
  • Re-infection-re-infection.

Chronic prostatitis often hides completely different pathologies under the guise of chronic prostatitis. Therefore, if the examination is not adequate, it may be suspected that prostatitis is one of the most common diseases in men. It is possible to erroneously verify the form of prostatitis. In addition to bacterial prostatitis, there are chronic bacterial prostatitis or chronic pelvic pain syndrome, with or without inflammatory components.

If there are no signs of inflammation, and the patient continues to complain, further examinations should be done-referral to a proctologist, neurologist, and a detailed medical history. This may be a chronic pelvic pain syndrome related to bowel problems. Or lumbar intervertebral hernia, the pain radiates to the groin. There are many options. It may also be bacterial prostatitis related to a sedentary lifestyle, lack of regular sex life, and pelvic congestion, the so-called congestive prostatitis (cognitive). In this case, the treatment method should be completely different.

If the male is a husband and wife, the female also needs to be examined by a gynecologist for infectious diseases of the genitourinary system. Otherwise, if he receives antibiotic treatment and his partner does not, he will definitely get infected again. If a man frequently changes sexual partners without using barrier protection, you can take antibiotics forever. In this case, the lineage of the pathogenic flora will continue to change, and the risk of sexually transmitted diseases (STD) is high.

Popular Q&A

Can a man infect his partner’s bacteria and develop prostatitis during oral sex?

In fact, it is strange that in most cases, men are infected through sexual intercourse, including oral sex. Staphylococcus and streptococcus. Many bacteria often cause inflammation of the upper respiratory tract and nasopharynx. Untreated teeth, dental caries, and unpolished mouth do not suggest a healthy microbial community. Through oral sex, all of these can enter the genitourinary tract. Including gonococcus, trichomoniasis and other venereal pathogens. Many people think that oral sex is unlikely to be infected with infectious diseases, but this is not the case. On the contrary, everything is possible: from common herpes to syphilis. Therefore, the best way to protect yourself is to have regular sex with a trusted partner. Or condoms.

If chronic prostatitis is completely impossible to recover, why is it treated?

The presence of chronic prostatitis significantly affects the quality of life. Its recurrence and complications will not only cause physical discomfort, but also cause sexual and psychological disorders. The task of the doctor is to transfer the disease to the clinical stable remission stage, and antibiotics cannot be used alone. The treatment of chronic prostatitis is a very long and laborious process, not only depends on the professional level of the doctor. Prescribe a complex treatment plan for the patient, and it is recommended to stick to a healthy lifestyle, get rid of bad habits, and eat a reasonable diet. This treatment will restore your previous quality of life, restore erectile function, and normalize urination. Perhaps chronic prostatitis will not worsen for many years.

If it worsens, can I take the same antibiotics as before for prostatitis?

In order to determine the cause of the worsening of the disease and determine the source of infection, re-examination must be carried out. If there is a recurrence, this does not mean that the same factors as before are affected. This may be a misdiagnosed infection and therefore misdiagnosed treatment. Or, if it is a mixed infection, the treatment effect is not good enough. Or there are a thousand reasons. No need to consult a doctor, no need to take antibiotics!