two years ago I had my semen cultured because of symptoms of prostititis and had a positive culture for Enterococcus Faecalis, and went on antibiotics for a month. Because of a diagnosis of Non-Hodgkins Lymphoma and 6 months of treatments we never re cultured my semen. Because of recurring relatively minor symptoms my semen was cultured again a month ago, and again a positive culture of Enterococcus Faecalis. A month of Amoxicillan (875 mg- 2 x per day) and Rifampin (300mg 2 x per day) was prescribed but within 24 hours I was experiencing nausea and headaches. Although prilosec (daily) and advil 2-3 times daily helped enough to allow me to work and function it was not tenable, and so my doctor said to discontinue the Rifampin after day 6 hoping that was causing the reaction. Now, 36 hours after discontinuing the Rifampin I still have mild nausea and headache, which would difficult ot sustain for 3 more weeks.
1. How would you proceed vis a vis a different antibiotic and
2. are you aware of any alternative therapies that might resolve problem,
3. Can a healthy prostate have bacteria in a semen culuture?
I would stop all antibiotics and if your GI symptoms did not resolve in a day or two, I’d look for another, possibly more serious cause for these symptoms. Rifampin has been known to cause liver, renal and pancreatic problems, though not commonly.
Semen is usually sterile and represents fluids from your testis, epididymis, vas deferens, prostate and urethra. Therefore, let us not only give attention to your prostate. I would want to know about your urine culture also. As to treatment, I’d need to see the sensitivities of the bacteria. Tetracyclines, fluoroquinolones and sulfamethoxazole and trimethoprim as well as Geocillin ( off the U.S. market) are the antibiotics that get the best tissue levels in the non-acutely infected prostate. Hopefully your bacterial strain is sensitive to one of these. If not, then I'd want to put you on a long course of an appropriate antibiotic that produced some tissue levels (not nitrofurantoin).
I am unaware of non-antibiotic thereapies for treating such an infection. I would make it a point to have multiple ejaculations in the midst of treatment to get rid of infected semen.
The Content on this Site is presented in a summary fashion, and is intended to be used for educational and entertainment purposes only. It is not intended to be and should not be interpreted as medical advice or a diagnosis of any health or fitness problem, condition or disease; or a recommendation for a specific test, doctor, care provider, procedure, treatment plan, product, or course of action. MedHelp is not a medical or healthcare provider and your use of this Site does not create a doctor / patient relationship. We disclaim all responsibility for the professional qualifications and licensing of, and services provided by, any physician or other health providers posting on or otherwise referred to on this Site and/or any Third Party Site. Never disregard the medical advice of your physician or health professional, or delay in seeking such advice, because of something you read on this Site. We offer this Site AS IS and without any warranties. By using this Site you agree to the following Terms and Conditions. If you think you may have a medical emergency, call your physician or 911 immediately.