Chronic prostatitis: symptoms, causes, treatment and prevention

symptoms and causes of prostatitis

Prostatitis is diagnosed exclusively in men. This is one of the most common diseases of the male reproductive system, 4 in 5 men have experienced symptoms of prostatitis at least once in their lifetime.

Most often, prostatitis affects men aged 20-40 years at the peak of their sexual activity. Chronic prostatitis is diagnosed in every 10 men. It is characterized by periods of ups and downs and disguises itself as a series of other diseases.

Symptoms of chronic prostatitis include the following:

  • Discomfort and pain in the lower abdomen, with periodic cramps that do not subside for a quarter or more. The pain can occur in the lower back, legs, scrotum, anus. It is especially painful to urinate and ejaculate.
  • Penile erection worsens and sexual desire weakens. First, premature ejaculation develops and over time, on the contrary, ejaculation practically does not happen, it becomes very difficult to achieve this.
  • Urination becomes painful and incomplete. There is a feeling of incomplete emptying of the bladder all the time.
  • A man's quality of life deteriorates from time to time.

There are 2 types of chronic prostatitis: bacterial and bacterial.

Bacterial (infectious) prostatitis occurs with a constant alternation of sudden exacerbations and relapses, while infection and bacteria are found in the prostate secretion.

In this case, nearby organs can be affected, such as the urethra, the neck of the bladder, the seminal vesicle and therefore the disease manifests itself in different ways. An accurate diagnosis can be made after a thorough examination.

Most often, the disease manifests itself as follows:

  • Frequent and painful urination.
  • Burning in the urethra.
  • Premature ejaculation.
  • Small mucous discharge from the urethra.
  • Serious sexual dysfunction.

All this greatly affects a man's ability to work and mental state, which leads to prolonged depression and neurosis.

Bacterial chronic prostatitis is a disease in which bacteria are not detected in prostate secretion. This form is very difficult to diagnose, as evidenced by the numerous reviews of men in various forums. It is also very difficult to find the right treatment regimen.


So far, doctors are dealing with many unclear factors as to the origin of this disease. This greatly complicates the healing process.

Even ultrasound and laboratory tests of the secretion may not show the presence of an inflammatory process. According to the recommendations of the European Union of Urologists, the main signs of bacterial prostatitis are:

  • Appears in middle-aged men.
  • Prolonged pain in the pelvic area and groin.
  • Violation of urinary function and frequent urges.
  • Erectile dysfunction and pain during ejaculation.
  • Chronic congestive prostatitis: exacerbation and remission
  • Chronic congestive prostatitis is characterized by different stages of development, which are manifested by their different points:
  • Exudative - a man feels cutting pain in the groin, scrotum and pubic area.
  • Erection problems and accelerated ejaculation are observed.
  • Alternatively - the patient complains of discomfort in the groin, scrotum and pubic cavity.
  • There are frequent urges for urination and rapid ejaculation during sexual intercourse.
  • Multiplication - the patient notices frequent urination with weak current, a constant feeling that he is not completely emptying the bladder. And ejaculation, on the other hand, becomes difficult and slow.
  • Cyclic changes - at this stage, the prostate tissues begin to thicken sharply. The patient complains of discomfort in the pelvic and pubic area, frequent urge to urinate with a thin stream and incomplete emptying. Erection is very weak or non-existent, ejaculation becomes almost impossible and orgasm is weak, without strong impressions. Prostatitis progresses to the stage of chronic prostatitis of unstable remission, in which constant pain is observed and the remission occurs only for a few hours.

In terms of classification, it is common to use the US NIH classification, which divides the disease into types: acute and chronic bacterial, years without signs of inflammation and congestion, as well as histological.

Factors and causes of chronic prostatitis in men

Although there are a few germs of chronic prostatitis in the body of almost every person, only a few get sick. How can one explain the development of such a disease in a particular case?

Experts determine the appearance of chronic prostatitis not only from the presence of infection in the body, but also from conditions that affect the development of the disease.

The most common causes of chronic prostatitis in men include:

  • stagnation of blood, contained in the prostate, caused by a sedentary lifestyle.
  • unstable sex life;
  • uncomfortable and rather tight clothes.
  • frequent hypothermia;
  • injuries, as well as infections of various organs of the urogenital system.
  • malnutrition;
  • constant stress;
  • frequent drinking and smoking.

The diagnosis begins with a conversation with the patient, who must say exactly and completely what worries him. The doctor must find out why the patient has developed chronic prostatitis, find out all the possible causes and symptoms, how they manifest. The doctor must say everything in the smallest detail, it will depend on how correctly the diagnosis is made and effective and complete treatment will be prescribed.

Next, you need to feel and pass the secret for bacteriological analysis, thanks to which you can determine the presence of infections and find out the resistance of bacteria to antibiotics.


The palpation is done by the urologist through the rectum. This procedure makes it possible to determine the size and pain of the prostate. Hemorrhoids, adenoma or prostate cancer can also be detected during detection. Prostate ultrasound will give accurate data on the condition of the organ.

Determining the level of PSA in the blood makes it possible to rule out or confirm the presence of adenoma and prostate cancer.

If the urologist suspects a tumor, they should take pieces of prostate tissue for a biopsy, which will show its presence or absence.

Treating chronic prostatitis is a complex and time consuming process. Today, various methods are used to treat this disease.

Antibiotic treatment. In this case, macrolide antibiotics and tetracycline are used.

Only the treating physician can choose the right medicine, dosage and duration of treatment.

Usually the drugs are taken for 10-15 days. After that, repeated examinations are given, according to the results of which the doctor will determine if the patient has recovered or if additional treatment is required.

Prostate massage is necessary so that the secretion of the prostate does not stagnate and its microcirculation occurs. This is very conducive to a speedy recovery.

However, massage is prohibited for acute prostatitis, hemorrhoids and rectal stretch marks.

Massage is usually prescribed as an adjunct to antibiotic therapy.

Physiotherapy is prescribed to improve the condition of prostate tissues, which speeds up the healing process.

For treatment, laser therapy and overload are used. It is also effective to use mud, an enema with mineral waters rich in hydrogen sulfide.

Phytotherapy is used as an additional stimulus in the patient's recovery and is always used in combination with other methods. Various herbal remedies are used for treatment.

In some cases, surgery may also be indicated if the urethra is very narrow, the presence of abscesses or prostate adenoma is detected.


Diagnosis and treatment should be performed in medical facilities under the constant supervision of qualified physicians.

By contacting a doctor in a timely manner, you can achieve a quick cure. When starting treatment, there will be a long-term remission. You can talk about complete recovery when all the symptoms of the disease disappear and laboratory tests show good results.

The most popular questions from patients about chronic prostatitis

How to treat chronic prostatitis with folk remedies quickly and effectively?

The treatment can be carried out with the help of folk remedies. In folk medicine, the most popular is the use of decoction of chamomile, straw and sage. These microclips relieve the inflammation that takes place in the prostate gland very well.

To prepare such a microwave, take two tablespoons of chamomile and pour 100 grams of grass. boiling water. Also, for treatment, you can use the hippocampal peel, which is drenched in alcohol and kept for 10 days in a dark place.

A decoction of the onion also helps. It is necessary to chop two large onions and throw them in boiling water in a half-liter jar. The jar is wrapped in a towel and left to cook for 2 hours. Then every hour you should drink 50 grams of broth.

How to treat impotence in chronic prostatitis?

Disability can be treated at home, subject to a number of measures.

It is necessary to choose appropriate drugs that will help fill the cavernous bodies of the penis with blood. Before that, however, you need to consult a urologist. Modern drugs to enhance strength with the active ingredient sildenafil have a good effect.

It is necessary to adjust the diet and diet. You can not eat fatty foods and foods that lower testosterone. It is necessary to lean on cereals and lean meat, drink juices and green tea.

Also, do not forget about physical activity. Walking and jogging in the fresh air are very effective in this regard. You also need to make swings with your feet. This helps to contract the muscles of the anus and perineum.

How long is chronic prostatitis treated and how to get rid of it forever?

Antibiotic treatment lasts 1-3 months, depending on the neglect of the disease. If necessary, additional treatment with small doses of antibiotics may be prescribed. Lipophilic antibiotics cope better with this task.

To forget this problem forever, you need to change your lifestyle, eat right, do not get too cold and rest your body.

Why is chronic prostatitis dangerous?

Chronic prostatitis is characterized by sudden exacerbations of the disease, which are replaced by relapses. When the pain subsides, it becomes easier and the man decides that he can deal with this problem on his own, instead of contacting a urologist quickly. However, the delay will not help here, as with each flare the inflammation will increase.

Inflammation can affect nearby organs, leading to cystitis, pyelonephritis and cystitis. As a result, a man can develop infertility.

What antibiotics should you take for chronic prostatitis?

A number of penicillins are often used. Tetracycline antibiotics for mycoplasma and chlamydia are often prescribed.

Fluoroquinolones are very effective and penetrate well into prostate tissues. Macrolides accumulate well in prostate tissues and quickly remove toxins.

Is it possible to have sex with chronic prostatitis?

If the disease is caused by an infection, then it is better to abstain from sex so as not to infect your partner. Although you can use a condom. It is simply necessary to have sex, because when he is excited, the blood runs to the prostate gland and begins to contract. Also, during ejaculation, the pelvic floor muscles contract strongly, which is considered a good self-massage.

Prevention of chronic prostatitis in men and its characteristics

Preventing chronic prostatitis in men includes a healthy lifestyle and daily exercise. You can constantly strain and relax the scrotum from time to time.

With each urination, stop the current a little, so the bladder sphincter will harden in some way. Such high-quality exercises will allow the blood to circulate well through the veins of the prostate, as well as enhance metabolic processes in the body.