Signs of prostatitis in men and its treatment with medications

groin pain with prostatitis

Male prostatitis can be bacterial or non-bacterial. The cause of the first is various pathogens: staphylococci, streptococci, gonococci, etc. Non-bacterial prostatitis occurs due to the influence of factors that create stagnation of blood in the pelvic area.

When the first signs of prostate inflammation appear, an urgent need to consult a urologist. Only a specialist can determine the presence and type of prostatitis and prescribe its therapy with certain medications.

Medical treatment of prostatitis in men is considered the most effective solution to get rid of this dangerous ailment. It aims to:

  • to eliminate the causes of the disease;
  • to stop the inflammatory process in the prostate gland;
  • to relieve pain and spasms.

There are several groups of drugs that are used in drug therapy of the disease.

Groups of drugs

Drug therapy for inflammation of the prostate gland is carried out using various groups of drugs. However, only a doctor decides how to treat prostatitis in men with medication in each case. He selects the necessary funds depending on the form of the disease, as well as the nature of its course.

In most cases, treatment is carried out with:

  • antibiotics;
  • non-steroidal anti-inflammatory drugs;
  • antispasmodics;
  • pain relievers;
  • hormonal agents;
  • alpha blockers;
  • immunomodulators;
  • muscle relaxants.

The medicines used in the treatment of prostatitis are used in various combinations, both in the acute form of the disease and in its chronic stage.

Antibiotics and NSAIDs

Antibiotics are prescribed to destroy the pathogenic bacteria that caused the disease and relieve an acute or chronic inflammatory process. The form of release of these drugs can be tablets, capsules, injections, rectal suppositories.

In men, treatment of acute prostatitis can be carried out with the following antibacterial drugs from the group of fluoroquinolones, which have a wide spectrum of action.

For the treatment of chronic prostatitis, it is more advisable to use antibiotics from the tetracycline group or macrolides.

The average course of antibiotic use for inflammation of the prostate is 2-3 weeks.

With ineffective antibiotic therapy or in the case of a non-bacterial nature of the disease, non-steroidal anti-inflammatory drugs (NSAIDs) are prescribed.

NSAIDs actively suppress any inflammation, relieve puffiness well, and have pronounced analgesic properties. Due to the adverse effect of these drugs on the patient's digestive system, short-term courses of their use are recommended at weekly intervals.


With prostatitis in men, there is a decrease in the erectile function of the penis. To restore it and normalize the endocrine system, hormone therapy is prescribed. It is also necessary to eliminate the inflammatory process in the affected organ.

Alpha blockers

Prostatitis often causes urinary problems. Relaxation of the muscles is necessary to facilitate the outflow of urine. For this purpose, the doctor prescribes the intake of alpha-blockers.

The drugs act on the sympathetic nervous system, which is necessary to control the tone of the smooth muscles of the bladder and urethra. After taking drugs of this group, the muscles relax, spasms are eliminated, and urine output is normalized. Also, funds are needed to eliminate inflammation and pain during urination.

Therapy of prostatitis with medicines of this group is carried out for a long period of time. They are usually appointed for at least six months.


After taking antibiotics for prostatitis, the body is in a weakened state. Together with harmful microorganisms, useful microflora is also killed. During this period, a man is most susceptible to infection. To reduce the likelihood of dangerous consequences, complications, viral and bacterial diseases, the necessary vitamins, elements and minerals are prescribed.

To strengthen the body, the intake of immunomodulators is important. They help to increase not only local immunity, but also the protection of the body as a whole.

Muscle relaxants

To reduce muscle tone, muscle relaxants are prescribed. They normalize blood flow so that the prostate gland juice is released in full. Also, funds are able to eliminate pain syndrome.

Pain relievers

When prostatitis occurs, many men feel a strong pain syndrome, pain at the time of urine output. All drugs with which the treatment is carried out, to one degree or another, affect the source of pain. However, they are not always able to completely cope with unpleasant sensations.

With a strong pain syndrome, pain relievers are indicated.

The drugs are available both in the form of tablets and solutions for injections. Doctors note that it is better to act on the source of pain in liquid forms. On their basis, enemas are made. The composition quickly gets into the source of pain, which helps to cope with the pain syndrome within a short period of time.


A feature of prostatitis is not only the appearance of physiological changes. With a disease, a man suffers from a decrease in potency, problems with erectile function. The penis is not always ready for intimacy.

Men begin to worry a lot about this. After all, violations in the sexual sphere for many patients are one of the most serious manifestations of the disease. Therefore, the patient's psyche suffers.

To restore the nervous system, sedatives are required. They are also necessary if in everyday life a man often has to be nervous and experience stressful situations. Such phenomena negatively affect the already weakened organism.

If severe mental disorders are noted, tranquilizers are required.

It is worth remembering that sedatives are taken for a short period. After all, the body can get used to the constant intake of active ingredients. If you exceed the dosage, then various complications may appear.

Other means

There are also other drugs that are prescribed for prostatitis. But they are not considered essential remedies in the course of treatment.

Anticholinergic drugs are necessary to normalize the process of urination, blood circulation and increase potency.

It is possible to reduce the swelling of the tissues of the prostate gland with the help of antihistamines. But it is worth remembering that such funds are potent. Therefore, it is prescribed exclusively by a doctor.

All drugs require a specific dosage regimen. It must be issued by a urologist when prescribing the stages of treatment.

Rectal suppositories

Drug treatment of prostatitis is carried out with the obligatory use of rectal suppositories. Suppositories are more acceptable dosage forms, since they act directly on the source of inflammation. In this case, pain and negative processes are quickly eliminated.

Dissolving in the rectum, the components are immediately delivered by the bloodstream to the diseased organ. That is, the effect occurs after 15-20 minutes. This is especially true when the pain of inflammation becomes unbearable.

Unlike suppositories, the same tablets or capsules first enter the stomach, then, dissolving, pass through the liver, while losing some of the beneficial substances and properties.

In addition, suppositories are considered safer forms of drugs, since they do not affect the functioning of the kidneys and liver.

The variety of rectal suppositories is quite large. They can contain:

  • antispasmodics;
  • analgesics;
  • antibiotics;
  • beekeeping products;
  • components of the prostate glands of cattle.

Suppositories are almost always based on coconut oil. Thanks to him, rapid absorption of medicinal components is ensured. Many of the capsules contain vitamins and minerals that help boost immunity.

Some men can only use suppositories, tablets are prohibited due to diseases of the gastrointestinal tract (GIT).

Candles are inserted only after a cleansing enema has been performed. They must be inserted at least 2-4 cm. After the introduction, you must lie in bed for about half an hour. The procedure can be carried out at home.

There are many drugs and techniques for the treatment of prostatitis. But they will be effective only in combination.

Of course, drugs for drug treatment have an effect, but recovery will come much faster if you add physiotherapy and folk recipes to them.