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I remember the first time I saw a case of prostatitis in my office 16 years ago in a young patient. The symptoms were debilitating. There was chronic pain around his testicles and his perineal area, lower back pain, and excess urination. This guy was living in New York City, really looking forward to having the time of his life and here he was in my office in a debilitating condition.

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EPISODES NOTES

My heart went out to the guy and I remember at the time, colleagues telling me that I could have a great practice if I just focused on prostatitis because of the complexity of the condition. 

So this article is all about prostatitis and my goal is to give you some information and hopefully some answers to those of you who have prostatitis and have questions around the condition. 

Let’s get into it!

What is Prostatitis

Prostatitis is a disorder of the prostate associated with inflammation and often causes a number of symptoms that are incredibly painful for men. There are four categories of Prostatitis: Acute Bacterial Prostatitis, Chronic Bacterial Prostatitis, Chronic Pelvic Pain Syndrome, and Asymptomatic Inflammatory. Around 10% of men will experience prostatitis in their lifetime which accounts for around 2 million clinical visits a year. 

Prostatitis is a neuropathic disease which means that the nerves are affected, whether they’re affected initially by the bacteria later on through the treatment and usage of antibiotics or fluro where they’re affected later on after the use of antibiotics or fluoroquinolones. The pelvic area is often hyperactive in the pelvic area. 

Should I Take Antibiotics for Prostatitis?

The main treatment right now for prostatitis is antibiotics and usually last six – seven days for treatment since diagnoses assume that even if there is no known bacteria or infection, something needs to be killed off and that antibiotics do the trick. If you’re familiar with my work, then you know that I use natural remedies and treatments for my patients. I do believe in our society that we overuse antibiotics to treat problems and often cause more harm than good. 

Even at times, the symptoms of prostatitis in men get worse because of overuse of antibiotics.

I do suggest exploring your options with treatment surrounding prostatitis and my intention is not to tell you what’s right or wrong. Rather, I want to provide you with what the science is saying. And it has been well documented that antibiotics do work but it’s not the silver bullet. It does kill off the bad bacteria as well as the healthy bacteria and that is causing an immense amount of diseases. So make sure you’re keeping tabs on your dosage.

Where I would say that you probably want to see a naturopathic or functional medicine doctor for prostatitis is that you’re seeking more help from practitioners who think outside the box for this condition. As I mentioned, this is not an easy area or condition to treat. 

If you want to read more about the problem surrounding treatment of using antibiotics, check out the book Missing Microbes by my colleague Martin Blaser. 

What Are the Best Treatments for Prostatitis

It’s important to remember that there are many options to treatment with prostatitis and when treating inflammation of the prostate, you want to treat the nervous system with deep diaphragmatic breathing and focus your attention on the exhale portion of the breath. What I ask patients to do is breathe in, let your belly expand, hold for four seconds and then release for seven seconds, nothing less than that. 

If you’re struggling at night with sleeping, this is a great way to calm your nerves and I suggest doing it as much as you can especially when anxiety comes up. 

Another suggestion to help with treatment is acupuncture which has been very effective for prostatitis according to the scientific literature. As for supplements, anything that has anti-inflammatory properties is great and really fantastic in treating prostatitis such as flower pollen extract, kava, and skullcap. Probiotics are always a go to for me and a primary therapeutic approach. It’s important that if you are taking antibiotics, that you use probiotics to help replenish your gut with good bacteria. 

The final one I’ll suggest is meditation. I don’t really used the term meditation in my practice but if you wanted to do the diaphramtic breathing I suggested earlier, the best position for this is to sit in the Lotus position

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Listen to the entire episode on prostatitis on the Dr. Geo Podcast

This article is for general information only, and we’re not forming a doctor-patient relationship to this. The use of the information and all links associated with this podcast is at the readers risk and is not to replace medical advice from a physician or a healthcare practitioner.

Lastly, thoughts and opinions are my own and may not reflect the views of any institution or organization I’m associated with.

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