How to treat prostatitis in men: drugs and the first signs of prostatitis.

Prostatitis is characterized by inflammation of the prostate gland tissue, resulting from the development of congestion in it.

In the modern world, this is the most common urological disease among men of all ages. According to statistics, after the age of 30, prostatitis covers 30% of the male population, after 40 - 40%, after 50 - 50% and further in increasing order.

However, given the specifics of the diagnosis and the possibility of the disease being latent, the actual data are much higher.

doctor's advice for prostatitis symptoms

Growth reasons

Currently, the causes of prostatitis are divided into two major groups:

  1. Infectious - (sexually transmitted infections (penetration into the prostate tissues of the pathogen - germs, viruses, bacteria, fungi, etc. ): also the presence of chronic foci of infection (chronic tonsillitis, sinusitis, nephrotic pathology).
  2. Non-infectious (stagnant) (decreased immunity, hypothermia, decreased physical activity, sedentary lifestyle, prolonged sexual abstinence and conversely excessive sexual activity, alcohol abuse).

The development of prostatitis is facilitated by injuries, disturbance of blood circulation and lymph in the pelvic organs, hormonal disorders (absolute or relative androgen deficiency).

Thus, it is emphasized that the individual entry of the pathogen into the tissues of the organ is not always and perhaps not necessarily the cause of the development of the disease. The most commonly recognized pathogen is Escherichia coli (86%), followed by Klebsiella, Proteus, Enterococci, Pseudomonas aeruginosa. In relation to streptococci, staphylococci, chlamydia, mycoplasma, ureaplasma, researchers' views on their importance in the development of the disease differ. It is extremely rare for certain pathogens (treponema pale, Koch bacillus) to cause prostatitis.


Currently, the international classification of prostatitis has been adopted, which is the most complete and covers all types of inflammation:

  1. Category I. Acute prostatitis.
  2. Category II. Chronic bacterial prostatitis.
  3. Category III. Non-bacterial chronic prostatitis / chronic pelvic pain syndrome - a disease in which no infection is detected that lasts for more than 3 months.
    • Subcategory II A. Chronic inflammatory pelvic pain syndrome (leukocytes are identified in the prostate secretion).
    • Subcategory III B. Chronic non-inflammatory pelvic pain syndrome (no leukocytes in the prostate secretion).
    • Category IV. Asymptomatic chronic prostatitis (leukocytes are present in the prostate secretion, the patient does not complain, the disease is detected randomly).

First signs

The main signs of acute prostatitis are an increase in body temperature and frequent urination, which is accompanied by cramps and weak pressure. In addition, signs of prostatitis include a burning sensation in the perineum and pain in the rectum during bowel movements. In the stage of purulent inflammation, the spontaneous opening of the abscess and the outflow of pus from the urethra or rectum are possible.

A symptom of a chronic form is burning in the urethra and perineum, secretion of pus at the end of the act of defecation or urination, increased fatigue and irritability of the body.

Difficulty urinating with prostatitis is very dangerous, which, in the absence of timely treatment, can lead to acute urinary retention. Men should not ignore such indirect signs of developing prostatitis as complete or partial reduction in libido, accelerated ejaculation, sometimes painful, prolonged erection at night. All these symptoms are characteristic of inflammation of the prostate gland, in addition, in a simple stage and can be adequately treated.


If acute prostatitis is simply impossible not to notice, then in chronic prostatitis many do not notice certain signs or do not pay much attention to them.

Let's list the main symptoms of prostatitis in men:

  1. Problems with urination. Due to the narrowing of the urethral lumen, the jet may become sluggish, thin or intermittent. To empty, the patient must make an effort, which should not be normal. Sometimes urine must be excreted drop by drop, especially in the early stages of urination. Painful sensations often occur. Many patients have a frequent urge to urinate (especially at night), this is due to irritation of the nerve endings. Even after the toilet, many people feel that the bladder is not completely empty, this is due to an enlarged prostate and compression of the bladder. In severe cases, involuntary leakage of urine or incontinence may occur.
  2. Painful sensations. They are usually found in the perineum, pubic or testicles, groin or lumbar region. The pain may appear suddenly and pass just as quickly, they are often quite strong, but more often there is a dull or aching character.
  3. Sexual problems will inevitably arise. First, libido will decrease significantly. Second, erection problems may occur. Third, due to ejaculation problems (ejaculation), the average duration of intercourse will change: it can become short due to premature ejaculation or, conversely, very long due to delayed ejaculation. Fourth, the senses will also change, since the orgasm will not be intense. Fifth, the sperm volume will be significantly reduced (only a few drops can be released, which is not normal).
  4. Another characteristic symptom is problems with conception. If a man is planning a child, then with prostatitis, fertilization becomes impossible due to the unviable or insufficient motility of the sperm.
  5. Discharge from the urethra. They are usually white and slimy in texture and are more common in the morning.
  6. In the acute course, there is an increase in body temperature (up to 38-39 °), fever, worsening of the general condition, weakness, malaise and other similar manifestations. Such symptoms of prostatitis usually appear suddenly, without any prerequisites.

In addition, many have psychological problems associated with the symptoms listed above. A man can become insecure, his self-esteem will drop greatly, he will be depressed or irritable and nervous. Many members of the stronger sex are ashamed of such sensitive problems and do not consider it necessary to talk about them, keeping everything to themselves. And this puts a lot of pressure on the soul, changes behavior and in some cases can lead to depression or a nervous breakdown.

Chronic prostatitis

Many men do not pay much attention to the manifestations of prostatitis in the early stages. These are discreet painful sensations in the bladder area, a frequent urge to go to the toilet. Violation of normal ejaculation and erection is associated with the stronger sex with age and do not rush to see a doctor. Such a superficial attitude leads to the development of chronic prostatitis.

Here are the common symptoms of different forms of chronic prostatitis:

  1. Discomfort and cuts in the urethra during urination or sexual intercourse, small serous-purulent discharge from the urethra (mainly after prolonged urinary retention).
  2. Discomfort and / or moderate pain in the form of "pain" and heaviness in the perineum, which occurs or worsens after consuming alcohol, physical activity, sexual intercourse. Sometimes they have a transient paroxysmal nature.
  3. Decreased fertility, which is caused by an increase in the acidity of the secretion, a decrease or lack of motility of the sperm and their adhesion (adhesion) from the heads.
  4. Sudden frequent urge to urinate (sometimes up to 3 times in 1 hour) and a feeling of insufficient emptying of the bladder, which is explained by a violation of the nervous regulation of the prostate, its muscle fibers and the bladder.
  5. Pain during orgasm or blurred sensation of orgasm, ejaculation disorders, expressed in premature or, conversely, in the excessive duration of sexual intercourse. These effects are related to an inflammatory process in the area of the seminal vesicle or to scarring as a result of inflammation.

To diagnose the disease, you need to see a urologist. With the help of tests, the doctor makes a diagnosis and prescribes a course of medication.


To make an accurate diagnosis, a man must be examined by a doctor and checked. With prostatitis, the patient experiences pain from palpation in the perineal area. Internal palpation of the rectum shows the presence of swelling in the prostate area, it becomes dense to the touch. The patient complains of problems with the urogenital system. After collecting the memory, the patient must undergo a detailed blood test for the presence of excess protein, increased leukocyte count and prostate antigen.

To rule out infection, the patient must pass a smear through the urethra. The lab will vaccinate the identified bacteria and test their susceptibility to certain types of antibiotic agents. For an accurate picture, an ultrasound examination of the pelvic organs is performed. It clearly shows inflammation and enlargement of the prostate. If the gland is strongly developed, then on ultrasound you can see the presence of residual urine in the bladder.

After passing all the examinations and tests, the man will be diagnosed with a complete diagnosis and will be prescribed treatment.

healthy and inflammatory prostate with prostatitis

Drugs to treat prostatitis in men: a list

Combination therapy for prostatitis of various types may involve different combinations of the following methods:

  • immuno-correction therapy;
  • antibiotic treatment;
  • hormone therapy;
  • various physiotherapy procedures.
  • prostate massage;
  • lifestyle change;
  • surgery etc.

Treatment of prostatitis with medication includes taking various medications, including antibiotics:

  • alpha blockers;
  • hormonal drugs;
  • muscle relaxants;
  • immunomodulators;
  • rectal suppositories;
  • antibacterial drugs.

When treated with antibiotics, fluoroquinolones and macrolides are preferred, as they are able to accumulate at the required concentration in prostate tissues. Penicillins and tetracyclines are used less frequently.

Prostate massage

Prostate massage shows good results. The gland receives a complex result. First of all, it is possible to remove from the body the inflammatory secretion that has accumulated in the prostate (released during the massage). Improving blood circulation through these manipulations allows you to fight any kind of stagnation and also contributes to the good penetration of antibiotics into the glandular tissue.

prostate massage for prostatitis

A set of exercises

Exercises for the prostate:

  1. It is not at all a difficult exercise that is used for both treatment and prevention. It consists in compressing and relaxing the anal muscles. It is these muscles that are responsible for holding the current when urinating. Try to contract and disengage a muscle group. This will increase blood flow to the gland area.
  2. Use a contrast shower to improve circulation. To do this, direct the stream of water into the perineum. First, 30 seconds of very hot water, then 10 seconds of cool water.
  3. In the absence of acute symptoms, you can massage yourself. This is done to improve blood flow. Exercise is best done when you are lying down. The point for massage is the gap between the anus and the scrotum. The pressures must be certain, but not aggressive. The time is 3-5 minutes.

Be sure to consult your doctor before exercising. Sometimes their use is categorically unacceptable.


Decreased immunity negatively affects health.

This factor is one of the fundamental factors for the development of the disease and its aggravation. Long courses of antibiotics, required for prolonged prostatitis, also reduce the body's defenses. Therefore, it is advisable for the patient to consult an immunologist to select an immunocorrection strategy.


Physiotherapy for chronic prostatitis aims to activate blood circulation.

For this purpose, the patient is exposed to laser, ultrasound and magnetic vibrations are used. In some cases, these procedures are replaced by warm medicated enemas, which are given regularly to the patient. Suggest sitz baths, mud treatment, mineral water.


All suppositories for the treatment of prostatitis have one of the properties: pain relief (non-steroidal drugs), relief of convulsions (based on papaverine), elimination of the inflammatory process (contains antibiotic).

rectal suppository for the treatment of prostatitis

Alternative methods of treating prostatitis

Treatment of prostatitis at home is carried out only in simple forms or chronic relapse. Traditional methods can increase the body's resistance to infections and relieve pain.

  1. Pumpkin seeds have long been used by therapists in the treatment of prostatitis. It is a good and very affordable folk remedy for this condition. As these seeds contain a lot of zinc, which is essential for every man at any age, they quickly cure prostatitis. You just need to eat 30 seeds a day before meals. This is exactly the daily ratio of zinc to the body.
  2. The seeds and roots of the plant are suitable. The crushed roots of the plant are boiled for 10 minutes at the rate of half a glass of raw materials per 1 liter of water. The whole amount of broth is drunk in equal portions instead of water. The seeds are prepared in 4 teaspoons per glass of boiling water. Insist 40 minutes in a saucepan or 15 minutes in a thermos. Consume about 3-5 times a day for a tablespoon.
  3. The main ingredient is hazelnut. To treat prostatitis, you must take either the bark or the hazelnut leaves. You can prepare both ingredients alternately, alternating between them. Just be aware that the bark must be made twice as hard as it is hard. So, take a tablespoon of hazelnut leaves (or peel) and boil them in a glass of boiling water. Close the lid tightly and wait for half an hour. Then drain and take 1/4 cup 4 times a day. It is best to use fresh twigs every time, but you can also use them several times already. Usually one week of such procedures is enough - and the prostatitis disappears.
  4. To treat the disease, candles are made, which are stored in the freezer. For the dough, take 1 teaspoon of honey, 1 egg and about 3 tablespoons of flour. The ingredients are mixed until smooth, forming candles. Used in two lessons in the morning and in the evening, 1 piece for 1 month with an interval of 10 days.
  5. Celandine is used with caution. The plant is poisonous, an overdose leads to severe poisoning. At the same time, the drug from celandine will cleanse the body of polyps, tumors, cysts and will prevent prostate adenoma. The freshly squeezed juice is diluted with alcohol in equal parts. Drink daily, diluting in 50 ml of water. Start treatment with 1 drop, increasing the concentration by 1 drop every day for 60 days. After 10 days, the course is repeated.

Most folk remedies are used 1-3 times daily in courses of 20-30 days. Herbal home remedies last longer because of the mild effect of the medication, but are safer for the body, especially when accompanied by diseases of the intestines and stomach. The treatment should be accompanied by exercise: lifting the legs, squats. Intense walking for 15-30 minutes daily is recommended.

pumpkin seeds for prostatitis

Complications of prostatitis

In the absence of timely and adequate treatment, prostatitis can be complicated by the following conditions:

  • development of chronic prostatitis;
  • bladder obstruction
  • infertility development;
  • recurrent cystitis
  • stenosis of the urethra.
  • pyelonephritis
  • prostate abscess;
  • sepsis.

Some of the above conditions require urgent surgery!

Prevention measures

Prevention is about avoiding provocative factors. A healthy lifestyle, protected sexual intercourse and the presence of a partner will reduce the chance of infection of the urogenital system. General strengthening of the body and increased immune defenses are also a preventative measure for prostatitis.