Patient's question:
Since the first careful examination of prostate fluid showing 3-5 white blood cells and 2 lecithin, to the current 1 lecithin and 1 white blood cell, I have been taking medication for nearly three months. I feel that the medication hasn't improved the results as it used to. The main symptom now is frequent urination during the day, with about ten times in the morning.When I was awake at night, I had tests for chlamydia, bacterial culture of prostate fluid, gonococcal culture, and mycoplasma culture, all of which were normal! The medication I am currently using is Yinhuai Biyinling and Tamsulosin Hydrochloride sustained-release tablets.
Hello doctor, why is it that after nearly ten prostate fluid examinations over three months, the results are still similar to those before my last follow-up, or even worse? Besides, since all the cultures are normal, could this be non-bacterial chronic prostatitis? Is it one of the most difficult types of prostatitis to treat? I'm considering stopping the medication, after all.
Doctor's answer:
Nonbacterial prostatitis and bacterial prostatitis are relative terms, primarily referring to prostatitis caused by nonbacterial infections. It cannot be attributed to bacterial infection factors, but it does present symptoms such as prostate congestion, swelling, and discomfort in the groin area. Nonbacterial prostatitis requires comprehensive treatment, with alpha-blockers being a key medication. For prostate patients, timely treatment can reduce the incidence of the disease, whereas delayed treatment may affect overall health. Therefore, patients should seek timely symptomatic treatment and avoid overexertion in daily life while paying attention to personal hygiene.