Many men have written to me over the years complaining about chronic pelvic pain.
They look for treatment of chronic pelvic pain and prostatitis.
Sometimes it’s painful when they ejaculate.
Sometimes it’s all the time, or it gets bad at certain times of the day.
But the pain is chronic, and they have to cope with it all the time.
This can be caused by an enlarged prostate, or it could be an infection.
Chronic bacterial prostatitis causes a lot of pain and leaves patients looking for a chronic prostatitis cure.
Regardless of the cause, this pain is often diagnosed as prostatitis.
And then doctors test to see what is causing it to find a treatment.
chronic prostatitis cure
They test the man’s urine to see if there are bacterial colonies in the urine.
But there’s a better test — a semen sample.
Searching the semen for white blood cells will show if the body is fighting a bacterial infection of some form.
Most people who get this test show significant sign of bacterial infection.
The usual chronic pain treatments include antibiotics or so-called “muscle relaxers — but nothing seems truly to work.
Except there is something that can work.
I want to give you some information here that may work if you have chronic pelvic pain.
You can discuss it with your doctor — it’s information they may not have.
As you know, I’m not a doctor.
And I’m hopelessly unqualified to treat anyone.
But I do have access to information that you can take to your doctor to help you make decisions.
Here is something that your doctor may not know, and that may help you to avoid a lot of pain over the years.
We know that antibiotics are a miracle — not just because they fight infection.
Antibiotics also fight inflammation in a way that nothing else does.
One of the most useful anti-inflammatory antibiotics is minocycline, which is a type of tetracycline.
Minocycline and tetracycline both have very good anti-inflammatory qualities — especially Minocycline.
In fact, today’s study focuses on this valuable effect of antibiotics.
In the study, they called the pelvic pain “abacterial prostatitis,” or non-bacterial prostatitis.
In easier terms, it was just “chronic pelvic pain.”
It makes sense to use antibiotics when the pain is bacterial, but this study wanted to look at its effect on inflammation.
Researchers enrolled 41 men in the study.
All of the men had some symptoms of chronic pelvic pain or non-bacterial prostatitis.
They may have suffered from frequent aching or pain in their perineum, and/or rectum.
Sometimes they experienced urinary disturbances or frequent urinary pain that wasn’t attributed to infection.
They gave one group of men the antibiotic minocycline.
The patients took a dose of 100 mg twice a day, for three months.
The other group was given diazepam.
Diazepam is basically a benzodiazepine muscle relaxer/tranquilizer.
It’s better known as Valium.
Over three months, researchers measured the number of inflammatory cells that showed up in each group of men.
The men who had the minocycline had far fewer of the inflammatory cells.
And their symptoms were improved after three months.
The group that had the diazepam didn’t see as positive results.
I don’t want to be overly optimistic about what this study found.
There were many people that had to be treated afterward for the same problem.
So it didn’t really fix anything in some cases, and most cases the men continued suffering some symptoms.
But overall, the minocycline was much more promising than the diazepam.
I think that perhaps the dosages were a bit low here — perhaps it would be worthwhile trying higher dosages.
The study authors write:
Minocycline appears to be a useful drug in the management of abacterial prostatitis. These patients do not benefit from antimicrobials.
The relief from symptoms was more from the anti-inflammatory qualities of the minocycline.
Improvements had nothing to do with the antibacterial qualities of minocycline.
It is possible that people with these kinds of complaints have a bacterial infection that is undetectable.
There’s a chance that the minocycline helps resolve that infection.
But it is more likely that the antibiotics significant anti-inflammatory qualities assist in somewhat healing or resolving the symptoms.
However, it turns out that there may be something that may make these antibiotics far more effective.
And it’s a simple prostate massage.
Researchers conducted prostatic massage one to three times per week for one group of men in the study.
And they gave them antibiotics just like in the above study.
Overall 29 patients (40%) had complete resolution of symptoms,
14 (19%) had complete resolution followed by a recurrence,
15 (21%) had some improvement and
15 (21%) had no improvement.
It seems like the odds are very good if you combine the minocycline with prostate massage.
I think there are a lot of other things that might work for this problem.
But it does pay to try out minocycline with your doctor.
And you should massage your prostate (or better yet, have your wife or girlfriend do it) one to three times per week.
Minocycline in Chronic Abacterial Prostatitis: a Double-blind Prospective Trial
Use of prostatic massage in combination with antibiotics in the treatment of chronic prostatitis