Radical Cure Article

Do You Have to Take Antibiotics for Prostatitis? What Are Some Non-Antibiotic Methods?

There are many misconceptions about prostatitis nowadays. Not only patients but many doctors also have misconceptions about this disease. As soon as it is said to be prostatitis, it is thought that the prostate is inflamed and infected, and antibiotics must be used. This is an older way of looking at things. The decision to use antibiotics or not must be based on the nature of the inflammation.


Prostatitis is now clinically categorized as type I, type II, type III, and type IV prostatitis. Type I refers to acute prostatitis, which is primarily due to bacterial infection, and the symptoms are more pronounced. The use of antibiotics at this time has a better effect on the symptoms so that they can be relieved quickly.

Type II is a chronic and bacterial prostatitis. This type is effective with antibiotics but less effective than acute ones and requires a combination of care.

Types III and IV are chronic non-bacterial prostatitis, and the examination will show no elevated white blood cells. Antibiotics target bacteria and inflammation, and the absence of bacteria, i.e., non-bacterial prostatitis, does not lead to the desired therapeutic effect.

Chronic non-bacterial prostatitis is also known as chronic pelvic pain syndrome. More than 95% of clinically diagnosed chronic prostatitis falls into this category. It is free of infection, not even white blood cells. That's why most prostatitis treatments don't require antibiotics and are usually symptomatic.

1. Receptor blockers: For symptoms of urethral irritation such as urinary urgency, frequent urination, and painful urination, α-blockers or m-blockers can be used for relief;

2. Non-steroidal anti-inflammatory drugs: For pain symptoms, alpha-blockers, together with non-steroidal anti-inflammatory drugs, can be chosen to relieve pain;

3. Physical therapy: Chronic prostatitis is difficult to treat due to poor blood supply to the pelvic floor; antibiotics do not easily penetrate the prostate peritoneum, and prostate fluid is stagnant. Clinical practice has shown that if appropriate physiotherapy is used to localize the prostate, it can improve the overall treatment effect of prostatitis. Common physical therapy includes warm sitz baths, prostate massage, urethral laser, radio frequency, localized high-temperature treatment, and transrectal prostate microwave thermotherapy.

4. Traditional Chinese Medicine (TCM): According to TCM, the basic pathology of prostatitis consists of dampness and heat, kidney deficiency, and blood stasis, which are related to each other and affect each other, resulting in a complicated condition that is difficult to be cured quickly. 

Traditional Chinese medicine, Diuretic and Anti-inflammatory Pill has the efficacy of clearing away heat and detoxifying the body to remove dampness and heat. Also, it regulates the patient's kidneys to alleviate the condition of renal deficiency. Moreover, it takes advantage of the efficacy of promoting blood circulation and removing blood stasis to eliminate the stagnant blood and ultimately eliminate inflammation and achieve the purpose of treating prostatitis.

5. Daily conditioning: Due to work, many men are sedentary and lack exercise, which is an important cause of prostatitis. Coupled with an irrational diet, eating spicy and irritating foods for a long time can easily irritate the prostate. Frequent sex and excessive masturbation can also trigger inflammation of the prostate tissue. If there are no white blood cells or pathogenic microorganisms in the examination, and the symptoms are relatively mild, the patient only needs to focus on adjusting the lifestyle in daily life and improving the above-mentioned bad habits.

To summarize, the decision to treat prostatitis with antibiotics depends on the nature of the inflammation. In addition to antibiotic therapy, symptomatic treatment for the cause of the disease, physiotherapy, traditional Chinese medicine, and daily regimens are also effective ways to treat prostatitis.

You may also be interested in: 

Prostatitis: Why Can't It Be Simply Treated with Kidney Tonics and Strengthening Yang?

Why is Treating Chronic Prostatitis Like Climbing a Mountain?

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