Antibacterial therapy is one of the main directions in the treatment of chronic prostatitis. If you choose the right drug and the right dosage, antibiotics are very effective in combating a bacterial infection, removing 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. To accept them or not is not a personal matter for everyone, but a specific and strict prescription of a doctor with a diagnosis.
Before prescribing treatment for chronic prostatitis or its relapse, a comprehensive examination of the patient is necessary. The etiology of the disease can be different, and only with a confirmed diagnosis of “bacterial chronic prostatitis” can antibiotics be prescribed together with other drugs. But this is not enough: there are many groups of antibacterial drugs, and to be sure of the effectiveness of treatment, first you need to establish the type of pathogen, and also check the body for resistance to one or another type of antibiotic.
Most often, such bacteria as Proteus, Staphylococcus aureus, Corynebacterium, Enterococci act as pathogens. In addition to bacterial, fungal, parasitic and viral pathogens can occur. Along with nonspecific flora, the causative agents of STDs can take part in the development of chronic prostatitis – gonococci, trichomonads, chlamydia, urea and mycoplasma, etc.
The infection enters the prostate gland in the following ways:
- urethrogenic – ascending (through the urethra) and descending (when throwing infected urine from the bladder);
- hematogenous – through the blood.
Can I take antibiotics myself with prostatitis
Self-medication is a completely wrong approach to one’s own health. Antibiotics are not vitamins, moreover, vitamins can also harm the body if you take the wrong ones or in the wrong dosage.
Incorrectly selected antibiotics for prostatitis can bring temporary relief, 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, treating the inflammatory process caused by it is much more difficult and longer.
First of all, it is necessary to identify the main causative agents of the infection, and then prescribe that etiotropic antibiotic therapy that will affect them. This is done after a series of tests: the secretion of the prostate gland, sperm, blood is taken. It is not a single person who 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 a time, and several types of antibiotics will be needed for treatment. Moreover, the cause of prostatitis or its relapse may not have a bacterial basis, in which case antibiotics are contraindicated.
What to do if antibiotics do not help with prostatitis?
- erroneous diagnosis or test results;
- improperly prescribed antibacterial drugs or dosage;
- reinfection – reinfection.
Often, completely different pathologies are hidden under the mask of chronic prostatitis, so with insufficient examination there is a risk of suspecting prostatitis as one of the most common diseases in men. You can incorrectly 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 – sent to a proctologist, neurologist, and a detailed history should be collected. Perhaps this is a chronic pelvic pain syndrome associated with problems in the intestines. Or intervertebral hernia of the lumbar spine with pain radiating to the groin. There are many options. It can also be abacterial prostatitis, associated with a sedentary lifestyle, lack of regular sex and stagnation of blood in the pelvis, the so-called congestive prostatitis (cognitive). In this case, the treatment should be completely different.
A woman also needs to be examined by a gynecologist for infectious diseases of the genitourinary sphere, if the man is a couple. Otherwise, if he has undergone antibiotic therapy and his partner is not, reinfection is guaranteed. If a man often changes sexual partners without using any barrier means, antibiotics can be taken forever. In this case, the spectrum of pathogenic microflora will constantly change, the risk of sexually transmitted diseases is high.
Can a man catch a bacterial infection from a partner during oral sex and get prostatitis?
Indeed, most often men become infected through sexual contact, 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, caries, an un sanitized oral cavity also do not hint at a healthy microflora. With oral sex, all this can get into the genitourinary tract. Including gonococci and other causative agents of STDs. Many people think that it is impossible to get an infectious disease from oral sex, but this is absolutely not so. On the contrary, everything is possible: from banal herpes to syphilis. Therefore, the best way to protect yourself is to have regular sex with a trusted partner. Or a condom.
If an exacerbation occurs, can you take the same antibiotics for prostatitis as before?
A second examination is necessary in order to identify the causes of exacerbation of the disease and the establishment of an infectious pathogen. If a relapse occurs, this does not mean that the same factors influenced as before. Perhaps it was an incorrectly diagnosed infection, and therefore an incorrectly prescribed 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!