Bacterial prostatitis best approach

Hi All:

I’m writing to you all to share my difficult situation in combating Chronic Prostatitis.

Two years ago during my stay in north of Thailand I had an exposure by receiving unprotected oral sex.

Four days later I felt burning sensation on top of my penis and in urinary tract, one week later a milky discharge also observed and I went to clinic.

I was diagnosed with NSU (Non Specific Urethritis) by picking a sample from inside of my penis and looking at it under the microscope the doctor prescribed 1g of Azithromycin (single dose), one week after taking Azithromycin I was panicked because of no relief of symptoms and took Doxycycline 100mg twice a day for one week by myself, discharge disappeared but the burning sensation was there I went back to my clinic and same doctor tested my urinary tract sample under the microscope and said there is nothing unusual and it is all related to anxiety.

My horrible journey to the world of STD diseases had just begun, below is the list of all the medication that I have gone through till now:

1. Azithromycin : single dose 1g.

That was the only antibiotic that the unknown pathogen in my urinary tract was sensitive to, I remember the second time that I took Azithromycin all my symptoms went away and I felt like new born child but unfortunately I could not abstain from sex, so few days later, after a PROTECTED anal sex I felt that burning sensation back again that was spreading to my testicles.

2. Again Azithromycin : single dose 2g followed 1gr on second day.

I felt symptom free each time of taking Zithromax, but PROTECTED anal sex brought the symptoms back.

3. Ciprofloxacin : 500mg twice daily for 30 days

I broke up of with my girlfriend just due to my suspicion that I might get infected during our PROTECTED anal sex. I was doubting that there must be some kind of bacteria that could be transfered even when condoms are used. I went to urologist with this symptoms : penis skin discomfort and sensitivity, back pain, urgency to urinate but no testicle pain anymore, and after he examined all the evidence he diagnosed me with chronic prostatitis!

It seemed that the unknown bacteria could find his way up to my prostate gland !

4. Doxycycline : 100mg twice a day + Tamsulosin (Alpha blocker) for 3 months :

The one month Cipro regime was not helpful at all, the discomfort and burning sensation on my penis skin , back pain, urgency to urinate and bladder pain forced me to visit another urologist and he prescribed 3 months of doxycycline ! and I took it all. no sex any more just masturbation to help prostate fluid come out,still no avail.

It was on this point that I lost my trust in doctors I was desperate and totally exhausted, ready to get my own hands dirty in the world of health-care and medications,  I started readings tons of articles on the web, I realized that I could not host any Aerobic gram-negative microorganisms in my prostate glad because those Fluoroquinolones and macrolide antibiotics (like Azithromycin) can eradicate them, so I focused on gram-positive microorganisms, I realized that none of the antibiotics that I took was strong enough on gram-positive pathogens (except Ciprofloxacin which many gram-positive strains are only moderately susceptible.) also due to my anal sex habit there was a great chance of having Enterococcus faecalis in my prostate and Augmentin seemed a good choice to eradicate Enterococcus faecalis.

5. Augmentin (Co-Amoxivlac) : 625mg 3 times per day for two weeks.

I had Augmentin for complete two weeks and bingo the symptoms had gone, but 3 days later It slowly came back and ruined all my excitement of the victory. I guess I did not take the Augmentin long enough, so after one week research I put myself on heavier regime.

6. Ceftriaxon IV : 1g per day for 5 days + Augmentin : 625mg + Amoxicillin 250mg twice a day for 6 weeks
E. faecalis is resistant to cephalosporins (e.g. Ceftriaxon) but a cephalosporin will assure me that there won’t be any gram-negative microorganisms in my prostate and Amoxicillin has a good  sensitivity to E. faecalis.

I am still in doubt about the penetration ability of Augmentin into prostate gland but because of my last positive experience with Augmentin I am willing to try it again.

I am on the third day of the regime above and it seems it is working ! (Although lots of doctors told me my reliefs are just due to anti-inflammation of those antibiotics that I take but I simply don’t believe it, I am dead sure that there is a bacteria in my prostate.)

I am taking lots of fluid (5 t0 8 liters per day) to prevent kidney and liver failure and also Phenazopyridine 100mg 3 times per day along with Ibuprofen 400mg to get rid of pain.

Any insight and suggestions are very welcome.
I will let you guys know if I could manage to win this battle.
Best regards.
signed by Bacterial Prostatitis fighter.

[jhn0]

hey I have the similar symptoms, I have taken azithromycin 1g dose symptoms disappeared and came back after a few days I took 2g again as a single dose.
I had irritation in urethra and pain in testicles on one side, no discharge or warts or the burning sensation.
And my doc says im fine im just thinking too much about it. I want to know if you were experiencing the same?
I think I might have Prostatitis from the unprotected anal sex with a working girl. :(
Could you also tell me how did your doc. find out that you have prostatitis?

Best of luck fighting the Bacteria!

[craig457]

how did it turn out for you and your treatment?  any improvements?

[craig457]

how are your symptoms now?  I have been battling the same type of symptoms for over 6 months.  any feedback you could provide would be great.

[Emer75]

HI Guys find a good Homeopath in your area worth a try results can be amazing better than antibiotics.

[Lowreen]

hey man, i have the same condition since 2003. my symptoms come back almost every time after sex. I have taken the following meds during the last 8 years:

Azithromycin 2g

Flagyl 2g

Doxycycline 100mg x 2 for 10/14/28 days

Rocephin shot

Ofloxacin 200mg x 2 for 10/14 days

Erthythromycin 100mg x 4 for 10/14 days

Ciprofloxacin 500mg x 2 for 14/21 days

The public clinic / hospital docs are useless, they did ultrasound, swab test, urine test, NAATs and kept saying I was fine. Until last month, a private specialist ordered a semen culture and the test came back Strep B. I am currently on Augmentin 675mg x 2 for 14 days. Symptoms came back on the 8th day, I am quite freaked out if Augmentin is not working but on the test report it shows the bacteria is suscepticle to Augmentin/Rocephin/Cefuroxime/Clindamycin. Same here, I am not exactly confident how well Augmentin penetrates the prostate. So far, ofloxacin has been the most effective for me but its expensive so I hadn't took it for more than 14 days.

I need help too man, from anybody who has successfully recovered.
  

[boyblue]

I have had all the above symptoms for the past 5 years,,, all after receiving unprotected oral sex.. I was on EVERY antibiotic known to man , had every test EVERY Dr said that there was nothing wrong except in my mind. I was finally diagnosed with an ecoli infection that went untreated for over a year.. was given Flgyl retested and no infection detected.  EVERYTIME after sex/ejaculation it causes an intense burning sensation and the opning of my urethra gets real inflammed/ irritated... been to several Drs and still saying no infection of any kind... every day is a nightmare for me with the itching, stinging sensation, its as if the very tip of my penis is super sensative and easily irritated.  I have completely lost all confidence in the Drs, they tell me it is chronic prostatits and that my encounter has nothing to do with my diagnosis.. I call ********, and say they just do not know what is going on with me.. it has caused MAJOR depression, to this day my prostate is HUGE, has constant spasms, and is causing me major pain.... I am only 41

[ukno]

I had this same thing going no to after I had unprotected oral sex this has to be a std something that's new because it seems like these Dr. Has no clue whats wrong with us has anyone found a solution to this problem? Cause I'm afraid that I could pass this to my wife I need help. My Dr. Pretty much said there's nothing more he can do he had on cipro, dox, bac and bout three more different ones. So if anyone find a cure please post it fellas thanx

[ChrisBrazil]

You should all run a PCR test and test for ureaplasma urealyticum - google it, read the articles and talk to your MDs. A stamey-mears test should be made in your case!

[StealthVirusCCID]

I seem to have some similar situation going on, but mine is more recent yet still with lingering symptoms . I have taken these meds:

Ciprofloxacin 500mg x 2 for 14 days,  x 1  for 7 days  Seemed to help but I had side effects after 1 week and some symptoms still persisted, such as tingling sensation upon urination.  

Flagyl 2g x 1   Seemed to help but one time dose - effects short lived and also was taken during Cipro regimen so not sure how effective it was.

Doxycycline 100mg x 2 for 7 days   Seems to help, almost halfway through currently, but not sure if it is due to the anti inflammatory effects of the abx.

I did not try public clinics but I did have urinalysis, urine culture, urine NAATs, blood tests - all, waiting on more tests. I have not had semen or blood cultures but I am open to other testing and suggestions, anyone?

I read about ureaplasma but the dr. said they don't know what causes NSU and she did not seem to be eager to order any other test currently.  A urinary tract sample does not sound like a pleasant experience!!  

I had initially urethral itching then irritation followed by burning upon urination and eventually sore/swollen testicles, low grade fever.    By the time I went for treatment it had affected my prostate.  Anyone know how good Doxy penetrates the prostate?

Thanks for the previous comments, gives me some information to think about, but any updates on how anyone is doing currently or any advice would be truly appreciated.  

[PeterPutts]

WOW! You guys are fighting some tough battles, and y'all aren't going to give up. I had prostatitis a few months ago, though I'm not certain it's cleared up. In fact, I think I may want to start some treatment for E.Coli. Sex is a beautiful thing, and it can also be an opening for a life of suffering. Human beings are so nasty. Stay faithful guys, and use protection, always!

[prostatitis_fighter]

just an update:

I have given up all medications and back to normal life, the symptoms are still there but they are tolerable. some days the pain is in its peak and I have no choice but to take painkillers and rest.

I don't think that I can do anything to go back to normal situation. It is almost 5 years I am suffering. lol

By the way the last antibiotic that I tried and really reduced the symptoms was Levofloxacin which I took along side of prostate massage.

Good luck to you all,

[compiler]

Have you heard about the Avelox? Those doctors just do not know how to cure the chronic prostatitis. So they say you are fine.