Patient's question:
Post-ejaculation urethral pain has persisted for about a year, accompanied by symptoms of impotence and premature ejaculation, but there are no abnormalities in urination. At the hospital, a thorough examination revealed that the prostate ultrasound showed a slightly rounded prostate measuring 433329 mm, with a point-like strong echo. The doctor diagnosed it as prostatitis and prescribed one month of clarithromycin, tamsulosin hydrochloride, and sipuleucel-T. I mainly want to consult about three questions: 1. What is the degree of fibrosis in the prostate, and how severe is it? 2. How do the medications help to enlarge the prostate gland? 3. After treatment, how can sexual function be fully restored—can it recover on its own, or will it require further medication?Doctor's answer:
Chronic prostatitis, if there is a decrease in white blood cells, requires oral antibiotic treatment for about 4-6 weeks. During this period, approximately 2 weeks of symptom improvement feedback is needed. If it doesn't work, a new antibiotic should be prescribed. At the same time, psychologically, the impact of the disease on you should be minimized. Medication treatment will show some effects after three months, and generally, a satisfactory outcome can be achieved within a year. Timely treatment can reduce the likelihood of recurrence, whereas delayed treatment can affect your health condition. Therefore, patients should take medication promptly and pay more attention to self-care in daily life, avoiding spicy foods.