Patient's question:
22 years old, previously had a habit of masturbation. About 2 years ago, felt discomfort in the left pubic area and left lower back pain. 1 year ago, frequently experienced perineal fullness and pain. In the second half of last year, a check-up revealed chronic prostatitis with white blood cells at 3-4 and 65% lecithin corpuscles; other tests were normal. Took a month of blood-activating and stasis-dispelling medicine (they charge a lot to make money), but the symptoms persisted, and I couldn't afford more. This summer, the symptoms worsened—discomfort in both pubic areas, perineal fullness and pain, which intensified after standing for a long time, and lower back pain. Especially at night, discomfort in both pubic areas and perineal fullness and pain, sometimes accompanied by fullness in the inner thighs. Also noticed a decrease in libido and difficulty achieving an erection.Doctor's answer:
Antibiotic treatment is a common method for treating prostatitis. Antibiotic drugs diffuse from the plasma into prostatic fluid, and most are effective against Gram-positive bacteria that cause urinary tract infections. However, due to the inability to cross the lipid membrane of the prostatic epithelium to reach the prostatic acini for therapeutic effect, the treatment outcomes are often not ideal. Therefore, when selecting antibiotics for prostatitis treatment, it is important to know that the drugs should have high sensitivity to bacteria. The drugs used should meet the criteria of high lip solubility, high permeability, low binding rate with plasma proteins, and high dissociation degree. The combination of two or more drugs with synergistic effects should be used.Additionally, prostate massage can be performed. As long as it is done regularly, it can promote the excretion of prostatitis secretions, and routine examination of prostatic fluid can also be conducted. The most crucial aspect is to enhance confidence in treatment, eliminate mental concerns, and moderate sexual desire, but avoid forced abstinence. It is best to avoid stimulating foods such as tobacco and alcohol, and local physical therapy through hot water should be performed. Identify and modify obvious triggers in daily life. With more attention paid to lifestyle, prostatitis can improve quickly.