How to prevent prostatitis?

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the symptoms of chronic prostatitis always come and go. recently my condition become better, how can I maintain it 

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  • Posted

    Hi Dan

    I’m in a similar position to you, I’ve had prostatitis for three months, the last three weeks of which were hellish, but it’s suddenly improved.

    This is perhaps not an exciting, silver bullet you’re hoping for but my plan is to keep healthy, eat well, drink lots of water, no caffeine and little alcohol, take supplements (zinc, saw palmetto, quercetin) and trying not to worry about recurrence. Others may have better advice but I think this is the foundation of any plan.

    Good luck!

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    • Posted

      Hello Gareth

      Just a quick question. I've been fighting chronic prostatitis for three years off and on and mostly on with antibiotics. My question is whether I've been wasting my time and health taking antibiotics if the condition might improve on it's own without antibiotics. We're you taking antibiotics when your symptoms improved? And I'd appreciate anyone else reading this to offer their experiences. I've seen three urologists and they all said the treatment was 3 months or longer on antibiotics. Thank you for your time.

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    • Posted

      Hi Carl

      I’m still on antibiotics, had a course of cipro which didn’t help, then switched to trimethoprim. Since switching my symptoms have improved. I’ve also been taking the various supplements I mentioned.

      It might be any of the above or just a natural fluctuation in symptoms that has caused the improvement, I just don’t know. But I’ve got a good few weeks of the trimethoprim left and will see it out, whilst continuing to do all of the other things.

      I want to believe it’s the antibiotics working, as otherwise it’s probably just natural ups and downs which is a bit disheartening!

      I’m no expert in any of this either, my advice in the above post is really just based on some common sense factors.

      I’ve come to realise there will be no silver bullet that fixes this, so I’m trying to take a ‘no stone unturned’ approach

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    • Posted

      hi gareth ive had 4 bouts of prostatitis since 1999 the most recent was sept 17 ,i was on trimethoprim for 6 weeks and it cleared up the bout i had before that was 10 yrs ago in 2009,i hope this helps you
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    • Posted

      Anything that gives us hope is helpful, John.

      I think a problem with this sort of forum is that it’s inhabitants are a combination of newly diagnosed men, desperate for help, or those in ‘worst case’ scenarios. 

      For the most part the guys whose problem clear up and go away after a while tend not to be spending their time on forums...

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  • Posted

    Mine disappeared for nearly three years and then came back with a vengeance after a 32 hour plane/ coach journey . Maybe a conincidence or maybe that amount of time sitting bought it back ?

    I’ve now had it on and off for 5 months and it flares up when I’m stressed .

    Horrible condition . 

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  • Posted

    Check out the idea of de-stressing and exercise.  A study found that this helps the majority of cases more than taking endless antibiotics (which can in themselves be harmful).  The are videos about exercise on the pelvic pain clinic site.  I am not promoting it, just think it looks a better solution than endless meds!

     

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  • Posted

    I am not familiar with trimethoprim. Right now my Uro has me on moxiofloxacin and doxy. 

    A

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    • Posted

      It's one of various antibiotics your doctor might try. Typically they might use ciprofloxacin, doxycycline, trimethoprim, azithromycin. There are others in the same classes as these. The choice might depend on which (if any) bacteria they have found. I have proteus mirabilis which responds to most of these - in theory. They are not doing a great deal of good so far unfortunately.

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    • Posted

      Trimethoprim (Bactrim?) is also recommended for prostatitis as an alternative for those who can't or don't want to risk taking a fluoroquinolone (FQ).  Moxifloxacin is an FQ which means it can have the same side effects as Ciprofloxacin.  Actually, Moxi + doxy seems a very heavy mix - does your Uro think you have something very serious or is he/she just playing very safe?  Have you had a culture done to check what the bug is?

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    • Posted

      Thank you. That is helpful. In a mid-February 2018 prostate fluid culture revealed mycoplasma hominis that is resistant to these antibiotics:

      -Clindamycin

      -Erythromycin

      -Josamycin

      -Clrithromycin

      -Ofloxacin

      -Pefloxacin

      -Doxycycline

      -Tetracycline 

      the MH is susceptible to Minocycline which I am receiving tomorrow - my Uro only prescribed it for 20 days which I think is too short. What do you think? He prescribed the doxy to hold down the symptoms and the Moxifloxacin to try and hit the prostate. 

      I will ask him to put me on the Bactrim and to stop the FQs as they are really messing with my body (joint aches in shoulder and ankles).

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