Patient's question:
What aspects should be paid attention to when suffering from chlamydia prostatitis? What kind of spicy foods are generally not recommended to eat? How to avoid infecting family members? Are pathogens present in urine?First follow-up question: Can chlamydia prostatitis be cured? How long does the treatment take? Is traditional Chinese medicine better than Western medicine? Will there be any sequelae? Is testicular pain a symptom?
Doctor's answer:
Hello: Some patients with chronic prostatitis have multiple prostatic fluid bacterial cultures that fail to identify the pathogen, while PCR tests show positive results for chlamydia. In such cases, chlamydial prostatitis can be diagnosed. This type of infection is a sexually transmitted disease, often resulting from untreated chlamydial urethritis that spreads to the prostate.The main symptoms of this condition, in addition to perineal pain and discomfort, include varying degrees of urethral itching, as well as urgency, dysuria, and difficulty urinating. A small number of patients may experience frequent urination, and in the morning, a small amount of thin, viscous secretions may be observed at the external urethral orifice. Severe cases or delayed treatment may lead to acute epididymitis.
Once diagnosed, active treatment should be initiated. The first-line medications are tetracycline or erythromycin, as both have strong chlamydia-killing effects and prolonged treatment can reduce recurrence. The regimen for tetracycline is 500 mg, taken four times daily orally, followed by 250 mg, taken four times daily, for three weeks. Azithromycin is also an option, with a starting dose of 1000 mg followed by 250 mg once daily.
Since this condition is a sexually transmitted disease, both sexual partners must be treated simultaneously, and sexual activity should be avoided during the treatment period.