What Every Man Should Know About Prostatitis

Nelson Vergel

Founder, ExcelMale.com
Thread starter #1
This is the number one reason for PSA increases while on TRT.

Chronic Nonbacterial Prostatitis/Chronic Pelvic Pain Syndrome
It has been widely reported that more than 90 percent of men with prostatitis
meet the criteria for chronic nonbacterial prostatitis/chronic pelvic pain syndrome (CNP/CPPS).


"Like many such poorly understood conditions, CNP/CPPS remains a challenging syndrome. Patients usually have symptoms consistent with prostatitis, such as painful ejaculation or pain in the penis, testicles or scrotum. They may complain of low back pain, rectal or perineal pain, or even pain along the inner aspects of the thighs. They often have irritative or obstructive urinary symptoms and decreased libido or impotence. As a rule, these patients do not have recurrent urinary tract infections. The physical examination is usually unremarkable, but patients may have a tender prostate."




Asymptomatic Prostatitis
Information presented at the NIH consensus conference added asymptomatic prostatitis as a new category, partly because of the widespread use of the prostate-specific antigen (PSA) test.

Clearly, symptomatic bacterial prostatitis can elevate the PSA test to abnormal levels. Asymptomatic prostatitis may also elevate the PSA level. In addition, patients who are being evaluated for other prostatic diseases may be found on biopsy to have prostatitis. There are no studies elucidating the natural history or appropriate therapy of this condition. It does appear that PSA levels return to normal four to six weeks after a 14-day course of antibiotics.23 Treatment is routinely recommended only in patients with chronic asymptomatic prostatitis known to elevate the PSA level. In these patients, it may be prudent to treat before drawing subsequent PSA samples.

Treatment of Prostatitis
prostatitis antibiotics.jpg
 
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Nelson Vergel

Founder, ExcelMale.com
Thread starter #2
I discovered I had a bad case of prostatitis last month. I had back ache, pain under my belly button, tender perineum and a bloated feeling. I thought my IBS was acting out but my doctor told me prostatitis related referred pain is common. My urine came back normal but I was put on Cipro for 11 days. At the second day, my symptoms disappeared.

My symptoms just returned after a month. I may have refractory prostatitis, so starting a second cycle now using doxycycline.
 
#3
Be careful on Cipro and Levaquin and other fluoroquinolones. The side effect profile should not be dismissed casually. I had a friend take Levaquin and she had horrendous joint issues, low energy, etc. for many weeks after stopping. For some people sides may persist indefinitely..

IANAD - but if there is an older antibiotic with fewer sides, I'd prefer that.

In your case, you recovered fine which I'm glad...
 
#5
Best wishes for a full recovery Nelson. May I ask what are the causes of non-bacterial prostatitis? How can it be prevented?
As the author of the article Nelson attached pointed out, there is no clear understanding of what causes non-bacterial prostatitis. There is even great disagreement as to the nature of the condition (he writes that it is likely that "multiple disorders" are being lumped together and called non-bacterial prostatitis).

Having dealt with it for years, since I was in my 20s, I can attest to the fact that it is a poorly understood, uncomfortable condition. I will add that on the occasions I had confirmed, bacterial prostatitis, the clinical presentation was different, far more uncomfortable, and did yield to antibiotics.
 
#6
I've been dealing with this condition for many years. My understanding is that a really lengthy antibiotic cycle is required for prostatitis. At least a month.

As for causes, I won't elaborate other than quote "nonbacterial prostatitis may be caused by stress and irregular sexual activity". I'm not sure what is meant by "irregular", but my first bout, about 25 years ago, was definitely related to sex (and nothing all that wild either).

I've had some success with keeping it in check by adding a high-quality oregano supplement. I can verify that it helped when my doc wouldn't really listen to my complaints.

http://www.remedy-prostate-infection.com/oregano_oil_prostate_treatment.html
 
#8
I've been dealing with this condition for many years. My understanding is that a really lengthy antibiotic cycle is required for prostatitis. At least a month.

As for causes, I won't elaborate other than quote "nonbacterial prostatitis may be caused by stress and irregular sexual activity". I'm not sure what is meant by "irregular", but my first bout, about 25 years ago, was definitely related to sex (and nothing all that wild either).

I've had some success with keeping it in check by adding a high-quality oregano supplement. I can verify that it helped when my doc wouldn't really listen to my complaints.

http://www.remedy-prostate-infection.com/oregano_oil_prostate_treatment.html
You're the second recent person I've encountered who has made this suggestion. Many thanks.
 
#9
I've been dealing with this condition for many years. My understanding is that a really lengthy antibiotic cycle is required for prostatitis. At least a month.

As for causes, I won't elaborate other than quote "nonbacterial prostatitis may be caused by stress and irregular sexual activity". I'm not sure what is meant by "irregular", but my first bout, about 25 years ago, was definitely related to sex (and nothing all that wild either).

I've had some success with keeping it in check by adding a high-quality oregano supplement. I can verify that it helped when my doc wouldn't really listen to my complaints.

http://www.remedy-prostate-infection.com/oregano_oil_prostate_treatment.html
Will oil or oregano work if its non bacterial? What r suppose to do if no infection is present??
 
#10
I’ve dealt with prostatitis for about fifteen years. It started with acute bacterial prostatitis which had me so sick I couldn’t get out of bed. Since then I’ve had frequent recurring chronic prostatitis.

Seldom has any infection been found yet antibiotics have always improved symptoms. However lately when symptoms have flared up I’ve gone to the doctor and got a prescription but then I’ve waited a few days before starting treatment and the symptoms have disappeared on their own without treatment. So maybe it has not been an infection. At any rate it can be a very frustrating condition.

A caution on Cipro. For treatment of my first acute case I was given Levaquin, another drug in the same class as Cipro. I had three rounds of ten days each. On the third time I started having tendon pain in my hands and Achilles’ tendons. I stopped the levaquin but had trouble walking for about three weeks. After that I refused any flouroquinolon drugs. A few years back my doctor convinced me to try Cipro. After taking the first dose the tendons in my hands started hurting. I will never take another dose of it.

There is an orthopedic surgeon in my area who is retiring because of neuropathy in his hands which he blames on the use of Cipro. I also met a man at my gym who took Cipro for prostatitis and now has neuropathy that his doctor blames on Cipro.

I think the most effective antibiotic for me has been a series of rosephin shots. I think that if I perhaps was harboring a bacteria in my prostate that kept flaring up that perhaps this antibiotic had finally cleared it up. Another thing I feel has helped my prostate is regular prostate massage using an Aneros prostate massager.
 
#11
I am almost convinced my prostate issues started after using hcg.
I too have an irritated prostate that sometimes feels that a tennis ball is inside my rectum.
No real pain but i have a feeling of irritation.
 
#12
As the author of the article Nelson attached pointed out, there is no clear understanding of what causes non-bacterial prostatitis. There is even great disagreement as to the nature of the condition (he writes that it is likely that "multiple disorders" are being lumped together and called non-bacterial prostatitis).

Having dealt with it for years, since I was in my 20s, I can attest to the fact that it is a poorly understood, uncomfortable condition. I will add that on the occasions I had confirmed, bacterial prostatitis, the clinical presentation was different, far more uncomfortable, and did yield to antibiotics.
I've been dealing with this condition for many years. My understanding is that a really lengthy antibiotic cycle is required for prostatitis. At least a month.

As for causes, I won't elaborate other than quote "nonbacterial prostatitis may be caused by stress and irregular sexual activity". I'm not sure what is meant by "irregular", but my first bout, about 25 years ago, was definitely related to sex (and nothing all that wildprinprinpprin either).

I've had some success with keeping it in check by adding a high-quality oregano supplement. I can verify that it helped when my doc wouldn't really listen to my complaints.

http://www.remedy-prostate-infection.com/oregano_oil_prostate_treatment.html
I am no stranger to the excruciating pain associated with this problem, I call them the screemy weemies, I have had them for years, generally associated with post orgasm and sometimes a lack of a orgasms for some time. I pop an aspirin and voilà within minutes they are gone.
 
#13
I’ve dealt with prostatitis for about 15 years. Sometimes it has been diagnosed with cultures as a bacterial infection and has responded to antibiotics. I’ve been on multiple long duration antibiotics which it has responded to. However recently I’ve been avoiding antibiotics and after a few days of pain it has suddenly cleared up.
 
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