Common "Chronic Prostatitis" queries answered by top doctors | iCliniq

Chronic Prostatitis

Chronic prostatitis is a persistent inflammation of the prostate gland which develops gradually and lasts for more than three months. The symptoms of chronic prostatitis include an urge to urinate, pain while urinating, pain in the lower back, rectum, penis, or testicles. Chronic prostatitis is treated depending on the underlying cause.

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Why is the severity of my testicular pain after unprotected intercourse not reducing since a month?

Query: Hello doctor, I am having testicular pain after unprotected intercourse, and my doctor has suspected STD after a scrotal scan. The pain lasted for a month, and the severity decreased after taking several antibiotics. The pain had almost subsided but started again when I masturbated two days back. N...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I understand your concern and will surely help you out. You have chronic prostatitis, and the treatment is by alpha-blockers and antibiotics together for four weeks. I suggest you give a sample of semen for culture in the laboratory before you start antibiotics. I sugg...  Read Full »

Why do I get pain in penis during urination with milky white discharge?

Query: Hi doctor, I am a 24-year-old male. I have an issue with similar symptoms of a UTI. And both times, I have gone to urgent care for it. I have got tested and treated for UIT and chlamydia. Both times I have tested negative. My symptoms are white milky discharge and pain in the penis while urinating a...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. For your symptoms of urethral discharge and pain in passing urine with increased frequency and urgency in the long term, treated with antibiotics and tested negative for STI twice, the most probable diagnosis is chronic prostatitis. Other possibilities, like bladder sto...  Read Full »

Is my penile head dry, sensitive, inflamed, and burning due to unprotected sex?

Query: Hi doctor, I have been dealing with what I thought was a UTI for three months. It started with a fever and got worse one month back. I rubbed my genitals with a transgender girl and used her semen to masturbate until I cummed. We did not have sex. She did give me oral sex. I got prescribed Ciproflox...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. I understand your concern. To me, those symptoms seem to be chronic prostatitis, and it has two types, one is with bacterial infection, and the other is without infection. Diagnosis is by semen culture, which is done in any laboratory. If it is positive bacteria, then I...  Read Full »

I have a burning sensation in my penis. Why so?

Query: Hello doctor, I am having burning sensation in the tip of the urethra and the lower side of the penis that keeps on coming and going. I have undergone UTI (urinary tract infections) test. I did not notice any discharge or change in the color of the penis or urine.  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello, Welcome to icliniq.com. I think you have chronic prostatitis with inflammation of the prostate gland. I suggest you take the tablet Tamsulosine 0.4 mg once at night for 30 days and the tablet Ciprofloxacin 500 mg twice daily for 28 days (consult a specialist doctor, talk with him or her, an...  Read Full »

I have been suffering from frequent urination and bladder irritation for a long time. What do I do?

Query: Hello doctor, I have been suffering from frequent urination problems and bladder irritations for a long time. Kindly help.  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hello,Welcome back to icliniq.com.Thank you for your query. I understand your concern. This is likely to be chronic prostatitis. It is due to inflammation of the prostate gland. I suggest you take tablet Ciprofloxacin (quinolone antibiotics) 500 mg twice daily for two weeks, tablet Tamsulosine (alph...  Read Full »

Will tablet Levofloxacin help in the recovery of my chlamydia infection?

Query: Hi doctor,I was recently tested for chlamydia and had a reading of IgM - 0.9 and IgG - 1.3. I was prescribed tablet Levofloxacin treatment once daily for 14 days. Will this cure the chlamydia infection and make it negative?   Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. Yes, tablet Levofloxacin is used to treat chlamydia and gonococcal infections. A course for seven days should be fine. You can repeat the test after a week. Please share the result with me.  Read Full »

Is it essential to get a PCR test done for chronic prostatitis?

Query: Hi doctor, We spoke yesterday regarding my chronic pelvic pain condition. I would be doing both urine and semen culture soon. Is there any specific culture or PCR testing to be done? The reason I am asking this is that the traditional dipstick and culture test does not seem to be accurate based on c...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome back to icliniq.com. The method varies, and the PCR (polymerase chain reaction) is accurate when there are atypical bacteria like TB (tuberculosis), for example. Your urine microscopic analysis showed no bacteria. The thing I am trying to get is the sample that contains the organism, lik...  Read Full »

Why do I get pain and inflammation in penis?

Query: Hello doctor, When I take the semen culture sensitivity test, the results show three types of gpc grown and my pus cells positive (scanty). What does it mean? I am so anxious about this, and my marriage is next month. I think I have been infected. I am so confused that I want to tell my partner be...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. No worries, you will be well with antibiotics. Just share your report with me so I will prescribe your medications. Then you will get well before your marriage.  Read Full »

Why does my foreskin retract during masturbation?

Query: Hello doctor, When I masturbate, then my foreskin retracts. If I pull the foreskin backward and then forward again, the end of my foreskin pulls in further and further, as if my glans were pulling it in. And, because my glans are very sensitive, it can sometimes suddenly happen when masturbating tha...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. I got your first point that foreskin keeps retracting and your glans is sensitive, and you feel discomfort. Let me assure you that this is normal and does not require treatment. Many people get a circumcision, and glans are always exposed, so the glans' sensitivity will...  Read Full »

What is the diagnosis of red rash that appears on the head of penis with burning urination?

Query: Hello doctor, A year ago I urinated and the urine appeared very yellow and there was a burning sensation. Within a few hours, a reddish/brown rash appeared on the head of my penis that lasted three to four days and then disappeared as quickly as it appeared. However, I have been left with a myriad o...  Read Full »


Dr. Samer Sameer Juma Ali Altawil

Answer: Hi, Welcome to icliniq.com. Thanks for the detailed history and presentation with pictures (attachment removed to protect patient identity). Your problem has been there for a long and you had a thorough investigations done and you tried many treatments. Persistence of problem might be related to chr...  Read Full »

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