Prostatitis For 5 Months, All Antibiotics Taken, And Prostatitis Is Still Here. What To Do Please?

Question

Asked by TOOYOUNGFORTHIS

Prostatitis For 5 Months, All Antibiotics Taken, And Prostatitis Is Still Here. What To Do Please?

Hello. I'm 35 y/o. I have had this prostatitis for 5 months (I have had prostatitis episodes since age 25). I have been given various antobiotics by an urologist.

Currently in my 4th week of taking Flomax + Doxicycline+ Naproxen. The sensation of swollen thing in the perineum is still there. Plus, now it hurts above the penis (the bladder?), and my ejeculation fluid has been reduced to a few drops. Erections are not as hard when having intercourse.

I have tested negative in all STD test, and also got an ultrasound imaging of my prostate and vesicule. Dr. said no structural problems.

What to do?? What do I have? My doctor talks about some prostate surgery. I'm 35 y/o and don't want to cause any damange to my prostate or sexual fuction.

Thank you very much.

Answer

Hi, Thanks for your question. We've actually received many questions from young men in your place--extended episodes of chronic prostatitis that don't seem to respond well to treatment. Dr. Feeney recently wrote about chronic prostatitis, and how it isn't well understood. One of the treatment approaches to chronic prostatitis is an extremely long course of antibiotics--6 to 8 weeks or even longer if the situation demands it. There is a chance that your current treatment regimen will work if the course of antibiotics is extended. -Dan