Antibiotics for Prostatitis? Why Don’t They Seem to Work?

Antibiotics for prostatitis are the ‘standard of care’ for most cases of prostatitis, but should they be? There are downsides to every drug, and antibiotics are no exception. In fact, aside from the hundreds of serious Adverse Drug Reactions that occur from antibiotics, by their very nature they kill the ‘good bacteria’ that reside in the digestive tract. As science learns more and more about the human body, we are finding that the bacteria of the digestive tract are directly responsible for health in hundreds of different ways. Aside from the well-known effect of Candida Yeast overgrowth infection, killing off these bacteria could lead to conditions such as IBS, allergies, and autoimmune disease. Yet antibiotics are still used with alarming frequency, often even when it’s known they will not work, as in the case of Antibiotics for Bronchitis and for colds.

In the case of antibiotics for prostatitis, the case is more complex since it’s difficult to find out whether or not the prostatitis is being caused by a bacteria, and a bacterial infection is the only time that antibiotics are effective. However, most cases of prostatitis are PRESUMED to be a bacterial infection, and antibiotics are usually given despite the fact that no bacteria is identified in an estimated 95% of cases of prostatitis.

In other words, 95% of men with prostatitis have
little hope for a cure with antibiotics alone since they
don’t actually have any identifiable bacterial infection.
I encourage men to request a culture & sensitivity
(proving bacterial prostatitis) of either the urine or
EPS, before consenting to the use of antibiotics.1

Often the ‘trial’ of antibiotics turns into multiple courses of antibiotics that increase the chances of Adverse Drug Reactions and unknown long-term consequences of killing good bacteria in the gut when, in fact, antibiotics in several studies have been shown to be no better for prostatitis than a placebo. 2    3.

But is the presumption of bacterial infection justified? While it’s generally the standard treatment, many are questioning this common treatment and asking for more in-depth studies of prostatitis to find out if antibiotics are truly the answer for this painful and frightening condition. In many cases, it’s being found that antibiotics for prostatitis are not the right answer.

We tested 2 of the drugs most commonly prescribed for treatment of CP/CPPS in men with moderate to severe long-standing symptoms. The data show that neither ciprofloxacin nor tamsulosin significantly reduced the NIH-CPSI total score over 6 weeks compared with placebo

 

Fungal Infections

Fungal infections are usually not considered in cases of prostatitis except in men with immune system problems such as HIV. However, some studies that actually look for the cause, and do cultures after obtaining fluid from the prostate, have found that fungal infections are present in up to 13% of cases of chronic prostatitis 4. These men are often exposed to multiple courses of antibiotics unnecessarily that could be avoided if only adequate testing were to be done to find out the cause of their pain.

in these cases, antiFUNGAL agents are the answer. “It is well known that antifungal agents are sometimes remarkably effective in cases of prostatitis symptoms that are refractory to antimicrobial chemotherapy”. 5. Well, with the known problems of antibiotics, making an attempt at finding what is causing the prostatitis seems like a prudent first step rather than subjecting men to dangerous drugs based on presumptions.

Autoimmune Prostatitis

Autoimmune prostatitis is another possible cause of chronic prostatitis that is almost never considered, even in cases of chronic prostatitis that have been given multiple courses of antibiotics without success. Autoimmune diseases are problems of the body’s own immune system attacking itself. Often, these illnesses manifest as the body attacking one particular part of the body, for instance the body attacks the joints in Rheumatoid Arthritis, and the thyroid in Hashimoto’s thyroiditis.

Autoimmune disease has been on the rise in western countries, affecting up to 1 in 5 people, or an estimated 50 million Americans alone 6. While few studies have been done on an autoimmune condition being the cause of chronic prostatitis, one study found that an autoimmune reaction to the prostate might be present in up to 30% of men with chronic prostatitis that were unresponsive to antibiotics 7. In these cases, antibiotics for prostatitis might make the autoimmune condition even worse by killing sensitive good bacteria in the gut responsible for immunity.

So, are antibiotics for prostatitis the right choice? Certainly, an article on the internet is not going to give you the answer to this, but hopefully it may have opened up your eyes to the fact that antibiotics are not the only choice for this painful condition, they have many downsides, and are even the exact wrong choice in many cases.

SOURCES

 

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