Sedentary lifestyle, constant stress and hypothermia, irregular sexual intercourse, bacteria entering the urethra - all this is responsible for the development of the prostatitis process.
Prostatitis is the most common disease in men.However, its treatment is a laborious and long process.
To treat the disease as effectively as possible, urologists prescribe comprehensive measures, including the use of herbal medicines and visits to physiotherapy courses.But medicine plays an important role in treatment.
Only a specialist decides which drugs to prescribe for the treatment of prostatitis in men, but there is a list that includes the most effective drugs.
Manifestations of the development of prostatitis
Prostatitis can be cured quickly only at the initial stages of development, so you need to contact a specialist as soon as the first signs of the disease appear.
Any of the following symptoms may indicate the development of the disease:
- Perineum pain;
- Discomfort appears when defecating;
- Constant feeling of full bladder;
- There is a feeling of pain and a thin, intermittent stream of water when urinating;
- There is white or mucus discharge and blood in the urine;
- Slow, uncontrollable erection;
- Rapid ejaculation;
- Loss of sexual desire;
- Excessive and unreasonable fatigue;
With bacterial disease, signs may include an increase in temperature to 37-38 degrees, but in some cases up to 40 degrees.
The specialist, after examining and studying the necessary test results, will determine the form and cause of development of the disease.
The disease can appear due to the activity of harmful bacteria, as well as due to stagnant processes occurring in the pelvis.Depending on the nature and cause of the disease, the urologist will prescribe the most effective medication.
Prescription forms of medication
After diagnosis, the urologist will tell you how to treat prostatitis in men and will also explain what forms of medication are used to treat prostatitis.
Types of medication to treat prostatitis include:
- rectal suppositories.Treatment is by direct action on the affected organ;
- injection.Injection is the fastest way to deliver prostatitis medicine into the patient's body;
- Drip solution.This form of medication involves injecting the drug into the male urethra;
- solution for microenemas.With the help of microenemas, it is possible to carry out both drug treatment of prostatitis and treatment with folk remedies;
- tablet.This medication usually contains antibiotics used to treat prostate problems.
Group of drugs prescribed to treat glandular inflammation
In the treatment of prostatitis in men, several groups of drugs are used.For the bacterial form of the disease, antibiotics are the main treatment.Most often, antibacterial tablets are prescribed for acute or chronic inflammation of the male gland;they need to be taken for about a month.
If complications occur, the disease is treated with antibiotics in the form of an injectable solution.If experts have not identified a specific group of pathogens, combination antibacterial therapy will be used.
Antibiotics belonging to the group that have a negative impact on prostatitis:
- Tetracycline.
- Fluoroquinol.
- Penicillin.
- Macrolides.
- Cephalosporins.
If the disease is painful, prescribe painkillers.
For prostatitis, these medications should only be used as prescribed by your doctor;Uncontrolled use of painkillers will cause many side effects and complications.
It is believed that among pain relievers, drugs with the active ingredient ibuprofen are the most effective for inflammation of the male prostate organ.
For chronic bacterial prostatitis, alpha blockers are prescribed.These medications relax the muscles and neck of the bladder.This effect helps reduce pain that occurs when urinating.
If signs such as pain in the perineum are observed during the inflammatory process, drugs belonging to the group of muscle relaxants will be prescribed to reduce muscle tone in the groin area.
In addition, substances containing the hormone testosterone are used to treat the disease.In diseases of the male genital organs, the concentration of this substance in the body decreases.The result of hormonal imbalance is the growth of prostate tissue.Hormonal medications help reduce inflammation and stabilize hormone levels.
Nonsteroidal anti-inflammatory drugs are often used to reduce swelling, fever, and pain.The most effective medications are in the form of rectal suppositories.
If the disease is viral, antiviral drugs are used.
Adjuvant therapy is provided with drugs that improve blood flow and agents that enhance immune defenses.Drugs that promote tissue regeneration are also prescribed.
The most effective treatment for prostatitis
It is impossible to answer unequivocally how to treat prostatitis in men with medications and other therapeutic procedures.After all, even the best antibiotics will not be effective in treating viral illnesses.
Drugs to treat chronic prostatitis
Prostatitis is an inflammation of the prostate gland in men.In the absence of treatment in the early stages (acute phase), the process becomes chronic in 80% of cases.At the same time, the course of the disease becomes uneven: long-term relief of symptoms is replaced by exacerbations.In the case of chronic prostatitis, treatment is a much more complicated process than in the treatment of acute prostatitis and requires an integrated approach, based on drugs of several types and groups.
What should the medicine fight against?
Before choosing a set of drugs to help cope with the chronic form of prostatitis, it is necessary to remember what this disease is and what processes occur in the gland.
The inflammatory process in 70% of cases is due to the presence of pathogenic microflora in prostate tissue.These can be genital tract infections (gonorrhea, syphilis and others) or other bacteria and viruses.The remaining 30% is due to gland blockage in men.Lack of oxygen and nutrition, as well as saturation of tissues with toxins and waste (products of the vital activity of prostate cells) can cause pathology.
The inflammatory process is accompanied by swelling of the gland.As a rule, this is due to the fact that the prostate cannot fully supply the body with hormones and other active substances necessary for normal functioning (compensation phase).In addition, with a chronic disease, pus can form in them, blocking the ducts, as a result of which the production of testosterone and secretions decrease even more.
Based on the degree of progression of the disease, the changes that have occurred in the prostate and their depth, the doctor will choose a set of drugs, the list of which includes:
- Antibacterial drugs or simply antibiotics - it is necessary to prescribe the drug in case the inflammation is of bacterial origin;
- antiviral drugs, interferon and gamma globulin - are prescribed for viral origin of prostatitis;
- antifungal drugs (antifungal drugs) - necessary in cases where prostatitis occurs due to the spread of fungal infection to the gland, as well as when prostatitis is of a bacterial nature, requiring long-term use of antibiotics;
- alpha blockers - prescribed to reduce spasms and pain;
- muscle relaxant - relaxes the muscular structures of the prostate and pelvic organs, helps promote better nutrition of glandular tissue;
- anti-inflammatory drugs - fight manifestations of the disease, reduce swelling;
- Hormone drugs - used to restore hormonal levels in men.
The exact list of medications presented above will be different for each patient.The doctor decides which drugs to use and which drugs not to use based on laboratory tests of smears from the urethra, prostate secretions, urine, and blood taken from men at the stage of diagnosis.
Antibiotics treat chronic prostatitis
Antibiotics for chronic prostatitis are prescribed in most cases, even if bacterial culture does not detect the presence of microorganisms in secretions and in smears from the urethra.
Before prescribing a specific medication, the doctor must determine whether the pathogen is sensitive to a particular antibiotic.Otherwise, there is a risk of wasting time using a drug that is ineffective in a particular case.
Antibacterial drugs of the fluoroquinolones group are considered the most effective in the treatment of chronic prostatitis.
Drugs of this type are distinguished by their ability to penetrate deeply and in sufficient concentration into prostate tissue.To achieve effectiveness, their use must last 4 weeks or more (depending on the severity of the disease, the chosen dosage and the sensitivity of the pathogenic microflora to antibiotics).
Important!Fluoroquinolone antibiotics may have an inhibitory effect on sperm.When planning pregnancy, it is necessary to start trying to conceive no earlier than 2 months after the end of treatment.
During antibiotic treatment, men should simultaneously use antifungal drugs.This is due to the fact that drugs with antibacterial activity can also inhibit beneficial microflora, helping to keep the level of fungi in the body at a normal level.Therefore, an environment favorable for the development of fungal infections may appear in the male body, the treatment of which requires the use of drugs with other effects.
Alpha blockers - analgesics and antispasmodics for chronic prostatitis
Spasm and pain are typical symptoms of prostatitis.To reduce spasms and thus get rid of unpleasant sensations, treatment should include taking alpha blockers.They not only reduce spasms of the prostate muscle tissue but also relax the bladder sphincter.In addition, these drugs significantly reduce pain caused by prostatitis in the acute stage.
Pharmacological treatment with these drugs reduces discomfort and pain during urination in men, but they have many side effects and a complete list of contraindications.That is why they should only be used as prescribed by a specialist.Additionally, these medications are only effective for nonbacterial causes of prostatitis.If the gland inflammation is caused by an infection, experts tend to choose other medications to treat the pain and spasms.
Hormonal drugs for prostatitis
The main reason why hormonal treatment for chronic prostatitis may be prescribed is due to prostate overgrowth in men.Typically, this condition requires reduced testosterone levels.The result of treatment is a reduction in prostate size, normalization of hormone levels and reduction of symptomatic manifestations of the disease.
Hormonal treatment is carried out exclusively according to the doctor's prescription and only under his supervision.It requires constant monitoring of hormone levels, which helps prevent many negative effects of the drug on the function of internal organs in men.
Antiviral drugs for prostatitis
If a virus is the cause of prostatitis, treatment is carried out with appropriate medications.
In addition, for men, drugs with anti-inflammatory effects belonging to the NSAID group are prescribed.
Both antiviral and anti-inflammatory drugs are prescribed in tablet form, but according to urologists, a more pronounced and rapid effect is achieved when using the drug in suppository form.
This treatment is supplemented by taking immunomodulators.They help men produce more antibodies in their bodies, helping to actively fight infections caused by prostatitis.As a result, treatment requires less time.