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Prostatitis – symptoms, causes, treatment

The prostate gland is a small gland the size of a walnut under the bladder. Otherwise it is called a prostate. Prostatitis mostly affects young men aged 18-50. Prostate secretion is part of sperm. This disease can be effectively treated, but sometimes this path can be long and difficult, so the first symptoms should not be underestimated.

Prostatitis: A man in black clothes with prostatitis is lying on the bed

Prostatitis – classification

Prostatitis is divided into 4 types:

  • asymptomatic
  • bacterial, acute
  • chronic
  • chronic pelvic pain syndrome

The disease state can also be inflammatory and non-inflammatory. With inflammation, an increase in white blood cells in the discharge is observed during the examination.

In the acute stage, high fever appears and it is urgent to contact a doctor.

The reasons

Getting pathogenic bacteria and viruses into the secretion of the prostate is the most common cause of prostatitis. The most common bacterium is E. coli (approx. 70%). Other microorganisms causing prostatitis are bacteria of the Chlamydia, Klebsiella, Pseudomonas, Enterobacter families.

Bacteria can enter the prostate during anal or oral sex, and also when your partner has vaginitis.

Prostatitis can also arise due to dysfunction of our structure or neurological changes, for example:

  • enlarged prostate gland
  • trouble removing urine from the bladder
  • large intestine disease
  • constipation
  • bladder disease

Symptoms of prostatitis

Prostatitis has many symptoms depending on the severity of the disease. The most common symptoms include:

  • pain in the lower abdomen
  • fever (acute condition)
  • pain when urinating
  • urine is often passed in small amounts
  • blood in the semen
  • vomiting and nausea

Pain and discomfort can lead to problems during intercourse, which can lead to relationship problems and depression.


The urologist examines the prostate by means of a rectal examination. It is very stressful for men and therefore most of them do not report to a doctor. The test is painless and only takes about 15 seconds. After the examination, the doctor may order further tests:

  • urine – for the presence of bacteria
  • blood – to detect inflammation (increased white blood cell count)
  • semen culture
  • testing the level of the PSA hormone

You may also be referred for an ultrasound of the testicles and prostate.

Prostatitis – treatment

The condition can be cured completely, but the duration of treatment depends on the development of the disease. Accordingly, the earlier a man visits the doctor, the faster he will get rid of the problem.

Treatment is mainly based on taking antibiotics, as well as supportive drugs – muscle relaxants, anti-inflammatory drugs, painkillers.


Before choosing the right antibiotic, it is best to take an antibiotic course to determine which type of antibiotic will work best. Depending on which bacteria is responsible for the condition, a different antibiotic will work.

In prostatitis, antibiotics are used, which include:

  • levoxicin (Levoxa)
  • ciprofloxacin (Cipronex)
  • carbapenems (Tienam)
  • amoxycycline (Duomox)
  • vancomycin (Vancomycin)
  • tetracycline (Deoxycycline)
  • erythromycin

Anti-inflammatory drugs

The pharmacy offers a number of drugs from the group of non-steroidal anti-inflammatory drugs (NSAIDs) that are available over the counter. All, in addition to anti-inflammatory properties, also have antipyretic and analgesic properties.

There are medications with active substances:

  • acetylsalicylic acid (Polopyrin, Apap)
  • ketoprofen (Ketonal)
  • ibuprofen (Ibum)
  • naproxen (Apo-Napro)
  • diclofenac (Olfen)
  • indomethacin (Metindol)
  • meloxicam (Opokan)
  • nimesulide (Nimesil)
  • celoxib (Celebrex)

Muscle relaxants

Drugs that relax tense muscles, i.e. spasmolytic drugs, are also used to treat prostatitis. They are divided into several groups, however, drugs with indirect action are used in this disease. These include alpha blockers and inhibitors of the 5-alpha-eductase enzyme.

The active substances in the drugs used are:

  • tamsoluzyna (Omnic)
  • silodosin (Urorec)
  • Terazosin (Hytrin)

Herbs in the fight against prostatitis

The healing power of herbs works well in many diseases, including this one. In case of prostatitis, it is worth drinking an infusion of the following plants every day:

  • small-flowered willowherb
  • nettle
  • goldenrod
  • saw palmetto

Our kitchen should not lack spices that have an anti-inflammatory effect. Belong to them:

  • Garlic
  • ginger
  • turmeric
  • oregano
  • Cayenne pepper
  • purges

Other treatments

In addition to traditional medicines and herbs, there are many methods that bring good results.


Its beneficial effects are scientifically proven. It is a bee product (made of pollen and putty). It has anti-inflammatory, antibacterial, analgesic and antiviral properties, thanks to which it perfectly alleviates symptoms and speeds up treatment.

Prostate massage

Prostate massage should be performed regularly, because only in this way it will work properly. Massage should be performed through the anus, so ask your partner. It must end with ejaculation.

Massage reduces pain and gets rid of the pathogenic bacteria responsible for inflammation along with the sperm. It also inhibits prostate hypertrophy.

Other tips

Prostatitis often affects our quality of life. Many men withdraw into themselves, ashamed to admit their illness. Pain in the perineum makes it difficult for him to have intercourse, and his partner, unaware of the problem, feels neglected, rejected and, what is worse, suspects his partner of cheating. Many relationships fail because of this, and it is because of a lack of honesty. That is why it is worth talking honestly with your partner.

The disease can also affect our quality of work, so it’s worth getting attention and talking to the boss (it’s easier when it’s a man, but a woman will understand too).

You will need to put your bike aside for a while as the saddle can irritate a sensitive area and this has a bad effect on the healing process.

If your relationships suffer from this, it is also worth discussing it with a psychologist.

It is important that the disease can be successfully treated, but it takes time and patience.

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