Thank you both Neo and Dr. Fraser. I will hold the Farxiga for now.
My experience from decades of painful prostate pain is that prostatitis is a symptomatic, complex condition that, in quite a few cases, is not very well understood. I like to share some of my experiences. The best way for me has been to manage my painful prostate through a trial-and-error approach.
- If you have a bacterial infection, then you might be treated with the proper antibiotics. But then again, you might be prone to reoccurring bacterial infections or non-bacterial prostatitis.
Even if there is no sign of a bacterial infection, you might try antibiotics anyway. In my special case, I always got a short time of complete relate from doxycycline. Then, after a week or so, the discomfort grew back again. This is not a strange observation, not now that I have learned that doxycycline has other effects than just being an antibacterial agent. It comes with anti-inflammatory actions, and together with azithromycin and vitamin C, it might act on stem cells.
Since my symptoms have gotten much less irritating, I donāt treat them with antibiotics anymore. But when I did, I got the best effect from Sulfametoxazol 400mg + 80 mg trimetoprim mornings and evenings for three weeks and then once a day for another 4ā5 weeks.
I have also had relief from pumpkin seed oil and Viagra.
Another intriguing personal observation is that, when I do a senolytic protocol with fisetin 30 mg/kg body weight, mixed with oil and black pepper, I get restored prostate function and short period of complete relief from any symptoms that I still might have.
In my case, a non-bacterial, painful prostate is still a mysterious condition that requires a lot of patience and a trial-and-error approach.
One last thing on this - with any bacterial infection ā it is critical to tightly manage blood glucose into as close to a normal range as possible. Letting it run high makes it very difficult to the antibiotics to overwhelm the bacteria who enjoy feasting on glucose. I find treatment failures go way up when patients have hyperglycemia - or worse yet obesity (without weight adjust antibiotic dosing - which few physicians and pharmacists seem to address) and hyperglycemia.
Interesting insights ā and yes, just like women with interstitial cystitis - often times it isnāt infection - sometimes antibiotics help, but other treatments often are the key. The anti-inflammatory effects of macrolide or tetracycline antibiotics may be the active ingredient, not the antibiotic effect. There is a lot we donāt know and patientās individual experiences on what works for them is an area for learning.
I think we want to be sure the other direction though, and until we are we should be careful - and @lsutiger might want to especially be so right now
Btw, here is one of the threads where it had been discussed elsewhere
This case clearly illustrates why medical providers typically donāt make ācurbside consultationsā. You need to have patientās whole medication information - HPI, past medical history, med lists, physical exam, potential tests before make any recommendations.
@lsutiger I would advise you to discuss all of this with your Urologist, rather than assuming a group of strangers on the internet are correct. And I donāt mean that as an insult to anyone trying to help here.
Unfortunately, even on this forum, there are some individuals at the far extremes of the bell curve.
KarlT, indeed, I will be discussing all of this with my urologist. The info shared on my post, however, has helped provide me with the information to have a better conversation with my urologist. Thank you all for your input.