Chronic Prostatitis: How to Treat It When You Have Tinnitus?

[IvanRus]

Hi everyone!

My tinnitus is the same, but I've gotten so used to it that I hardly notice it anymore.

Now, I have a different problem. My chronic prostatitis has flared up again after six years of remission, which is really frustrating. It's a tough condition to treat.

I recently went to a urologist, and he attempted to collect a prostate secretion sample, but we couldn't get one. Because of this, we weren't able to analyze it for flora and antibiotic sensitivity. As a result, I was prescribed Doxycycline and several rectal suppositories, but the treatment feels somewhat random. I've been on this medication for ten days now, but unfortunately, there's been no improvement.

I'm curious—how do doctors in your country approach treatment for chronic prostatitis? Do they always perform a bacterial culture first, or do they usually prescribe fluoroquinolone antibiotics right away?

If anyone has had success in achieving remission or curing chronic prostatitis, I'd be very grateful to hear about it!

 

[Fields]

Hi, I also suffered a lot from intermittent prostatitis. Initially, I was prescribed antibiotics, but what really helped me was a specific set of pelvic exercises.

Over the years, I developed my own routine of exercises that almost completely eliminated the problem for me.

I'll see if I can gather them for you in the form of images or videos, if you're interested.

 

[momus]

The Mayo Clinic website says:

• Acute bacterial prostatitis is usually caused by common strains of bacteria. The infection may have spread from other parts of the urinary or reproductive systems.
• Chronic bacterial prostatitis generally has the same cause as acute bacterial infection. It may occur when treatment for an acute infection isn't long enough or fails to kill all the bacteria.
• Chronic prostatitis/chronic pelvic pain syndrome is not well understood. Research suggests that multiple factors may collectively play a role. These include previous infection, nervous system dysfunction, immune system dysfunction, psychological stress or irregular hormone activity.
• Asymptomatic inflammatory prostatitis, which has no known cause, is generally found only during an exam for other medical conditions and is not treated.

The last one is as if they decided that since they don't know what causes it, then they don't have to give it a real name.

 

[object16]

This might sound unorthodox, but my doctor prescribed Prometrium, 200 mg. It works by feeding back on the pituitary gland, which helps reduce prostate size. At least now, I can pee normally. My serum testosterone is at the lower end of normal, which I'm okay with. The urologist did say it's not the usual approach, but that it's fine. You could consider trying it for a few months. I've been on it for years. Since it's not a conventional treatment, your doctor might not agree with the idea.

 

[Varda]

Do not take antibiotics for chronic prostatitis. They won't resolve the issue, and you risk a permanent tinnitus spike or a C. diff infection. Are you sure the pain is coming from your prostate? This condition is so vague that many now refer to it as "chronic pelvic pain syndrome."

My symptoms appeared as bladder tension, with a constant urge to urinate but nothing coming out. I started taking long, hot baths frequently, and eventually, the symptoms went away.