Antibiotic therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the right medication and the right dosage, antibiotics are very effective in fighting bacterial infections, relieving the inflammatory process.
However, like any medication, antibiotics for prostatitis can be harmful to the body, and their uncontrolled intake can lead to a number of complications. To accept them or not is not a personal matter for everyone, but a specific and strict prescription of a doctor with a prescribed diagnosis.
- Before prescribing treatment for chronic or recurrent prostatitis, a comprehensive examination of the patient is necessary, - saidPh. 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 drugs. But this is not enough: there are many groups of antibacterial drugs, and to ensure the effectiveness of treatment, you need to first determine the type of pathogen, as well as examine the body for resistance to one or another type. antibiotics.
Often, bacteria such as Escherichia coli, Klebsiella, Proteus, Staphylococcus, Corynebacterium, Enterococcus act as pathogens. In addition to bacterial pathogens, fungi, parasites and viruses can be found. Along with the nonspecific flora, the causative agents of STDs - gonococcus, Trichomonas, chlamydia, urea and mycoplasma, etc. , May participate in the development of chronic prostatitis.
The infection enters the prostate gland in the following ways:
- urethrogenic - ascending (through the urethra) and descending (when removing infected urine from the bladder);
- hematogenous - through the blood;
- lymphogen - through the lymph.
Can I take my own antibiotics for prostatitis?
Self-medication is a completely wrong approach to your own health. Antibiotics are not vitamins, moreover vitamins can also be harmful to the body if taken incorrectly, or incorrectly taken.
Antibiotics that are not suitable for prostatitis can provide temporary relief by reducing the overall inflammatory process. But the main danger is that they will trigger the resistance of microorganisms to antibiotic therapy. The pathogenic microbial flora will become more resistant to antibiotics, and it will be 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 infections, and then prescribe etiotropic antibiotic therapy that will affect them. This is done after a series of tests: prostate gland secretions, sperm, blood are taken. No one can independently determine which pathogen is causing the inflammatory process. In addition, mixed infections are possible - the presence of more than 3 microorganisms at one time, and some type of antibiotic will be needed for treatment. In addition, the cause of prostatitis or its recurrence may not have a bacterial basis, for which antibiotics are contraindicated.
What are effective antibiotics for prostatitis?
- fluoroquinolones;
- macrolide;
- tetracycline;
- bacteriostatic antibiotics 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 blocker 1; plant extracts; drugs that affect blood circulation; prostate protector; enzyme therapy; immunomodulatory therapy; sedatives and antidepressants; vitamins and trace elements, as well as methods of physical exposure (electrophoresis, magnetotherapy, laser therapy, etc. ).
What if antibiotics are not effective for prostatitis?
Cause:
- incorrect diagnosis or test results;
- unspecified drugs or antibacterial doses;
- re -infection - re -infection.
Often, a completely different pathology is hidden under the name of chronic prostatitis, therefore, with inadequate examination, there is a risk of suspecting prostatitis as one of the most common diseases in men. It is possible to confirm the form of prostatitis incorrectly. 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 or she should be examined further - referred to a proctologist, neurologist, and a detailed history should be collected. It may 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 abacterial prostatitis associated with an inactive lifestyle, lack of normal sex and blood congestion in the pelvis, 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 partner. Otherwise, if she has undergone antibiotic therapy, and her partner has not, re -infection is guaranteed. If a man frequently changes sexual partners without resorting to protective means, you can take antibiotics forever. In this case, the spectrum of pathogenic microflora will be constantly changing, the risk of sexually transmitted diseases (STDs) is high.
Popular questions and answers
Can a man get a bacterial infection from a partner during oral sex and get prostatitis?
In fact, often men are infected through sexual intercourse, including oral sex, quite oddly. Staphylococci and streptococci, a number of bacteria often cause inflammation of the upper respiratory tract and nasopharynx, and untreated teeth, caries, untreated oral cavity also do not imply a healthy microflora. With oral sex, all of this can get into the genitourinary tract. Includes gonococci, Trichomonas and other STD pathogens. Many people think that it is impossible to contract an infectious disease from oral sex, but this is not the case at all. On the other hand, everything is possible: from superficial herpes to syphilis. Therefore, the best way to protect yourself is to have a normal 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 affects the quality of life. Relapses and their complications can cause not only physical discomfort, but also lead to sexual and psychological disorders. The physician’s job is to transfer the disease to a stable stage of clinical remission; antibiotics alone should not be used here. The treatment of chronic prostatitis is a relatively long and arduous process that depends not only on the professionalism of the doctor. Patients are prescribed complex treatments, recommended to adhere to a healthy lifestyle, abandon bad habits, and eat properly. This therapeutic approach will allow you to restore a previous quality of life, restore erectile function, normalize urination and, possibly, exacerbation of chronic prostatitis will not occur for many years.
If worsening occurs, can I take the same antibiotics for prostatitis as before?
Re -examination is necessary to identify the cause of the severity of the disease and to establish the infectious agent. In the event of a recurrence, this does not mean that the same factors are affected as before. It may be a misdiagnosed infection and, therefore, a misdiagnosed treatment. Or, if it is a mixed infection and the treatment is not effective enough. Or a thousand more reasons. No need to take antibiotics without consulting a doctor!