Prostatitis is inflammation of the prostate gland in males. It may be caused due to infection, trauma, or immune system disorder. It causes difficulty in urination, pain, burning micturition, blood in urine, etc. It may lead to semen abnormalities, infertility, etc. Treatment depends on the cause and elimination of the cause and symptomatic treatment.

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Will post-exposure prophylaxis alter the results of fourth generation HIV test?

Query: Hi doctor, I had intercourse six months ago without a condom (but after six months of intercourse, she checked HIV antigen and antibody, p24 - negative), but she was positive for HSV 2. Again five months ago had intercourse with a condom (but oral sex without a condom). Then the very first day star...  Read Full »

Dr. Ravinder Kaur Sachdeva

Answer: Hi, Welcome to I am first going to mention the best part of the complete description given by you: 1) Both the partners, with whom you had exposure, were tested HIV (human immunodeficiency virus) negative. 2) You had started postexposure prophylaxis and completed it for 24 d...  Read Full »

Can prostatitis cause pain and burning sensation in perineum and anus while urinating?

Query: Hi doctor,I was diagnosed with acute prostatitis. I am experiencing pain and burning sensation in the perineum and anus while urinating, especially at night. My test reports for STD and urine analysis came back negative. I am currently taking tablet Bactrim. My query is, how long does it take for th...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to Prostatitis is inflammation of prostate gland leading to increased frequency, urgency, and difficulty in passing urine along with deep perineal pain or discomfort. The accurate diagnosis is made through semen culture, and I hope you got this test done. Usually...  Read Full »

Will an enlarged prostate gland cause difficulty in urination after cystolitholapaxy?

Query: Hi doctor, On the thirtieth two months ago, I had a bladder stone removed by cystolitholapaxy. No catheter was put in, and that afternoon I could not urinate. I went back to the urologist, and a catheter was put in. On Monday, it was taken out, and after a few hours, I discovered I could not urinat...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to You have an enlarged prostate gland which causes this difficulty in passing urine, and secondary bladder stones, which were treated. Bladder stone itself is an indication for transurethral resection of the prostate, which causes occlusion and difficulty passing urin...  Read Full »

Do urinary tract infections cause prostatitis?

Query: Hi doctor, I masturbated after a long gap of two months. After drinking a carbonated drink two days later, my urethra felt inflamed, and I had frequent urination. I got antibiotics (Cefdinir TMX) for ten days, and it went away a little bit. Then, I had another carbonated drink, and the same thing h...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to From your history, I can say that you might be having chronic prostatitis. Diagnosis can be made only by semen culture. There is no need to hold from masturbating. Frequent masturbation is required to treat chronic prostatitis. I suggest you do a semen culture test ...  Read Full »

How to overcome the urgency to urinate caused by chronic prostatitis?

Query: Hello doctor, I am 33-year-old. After passing a kidney stone, I had symptoms of pain in the groin area and around the penis, dysuria, and frequent urination. I have the symptoms for two months. The doctors diagnosed me with chronic prostatitis, and I even did cystoscopy without any abnormalities ...  Read Full »

Dr. Samer S J Altawil

Answer: Hi, Welcome to Yes, it seems to be prostatitis. I agree with that, and you are on long-term antibiotics, which is great, and you improved, and I hope you will reach full recovery. And in case after antibiotic treatment you did not get well, please follow me back. Regarding which one i...  Read Full »

How to prevent side effects of Sulfamethoxazole-Trimethoprim?

Query: Hi doctor, I am a 51-year-old male of height 5'9" and weight 210 lbs. My GP prescribed Sulfamethoxazole-TMP DS for prostatitis. I have very bad side effects from it. What, besides drinking a ton of water, can be done to get it out of my system? Kindly guide me.  Read Full »

Dr. (col) Rakesh Karanwal

Answer: Hi, Welcome to The Sulfamethoxazole component of the drug is a sulfa drug and prone to cause significant side effects or even severe allergic reactions. The half-life of the drug under reference is 12 hours. Hence, with plenty of water, the drug will be fully excreted out of your syst...  Read Full »

Why do I have discomfort and pain in the penis?

Query: Hi doctor, I am 29 years old and had UTI eleven months back. I took antibiotics for seven days and then it became fine. After a month, I did a urine culture and had E.coli in it. Again, I was advised to take antibiotics for 15 days. Nothing helped me. Again, I continued taking antibiotics. I cons...  Read Full »

Dr. Albana Greca

Answer: Hi, Welcome to You have pain due to prostatitis. It is a difficult condition to treat. I suggest you avoid activities that aggravate prostatitis such as prolonged sitting or bicycling. You can take supplements containing echinacea, garlic, goldenseal to reduce your inflammation. T...  Read Full »

Does prostatitis cause burning sensation?

Query: Hello doctor, I had unprotected sex with one girl at the end of the previous year (she is known to me). Then, three months ago, I had protective sex with another girl with a protective condom. But oral sex was done without a condom. Then I knew the previous girl has HSV 2 (herpes simplex virus), th...  Read Full »

Dr. Samer S J Altawil

Answer: Hello, Welcome to Herpes simplex 1 symptoms persist, and the diagnosis is prostatitis. You need semen for culture to check what type of bacteria is infecting your prostate, then antibiotics for six weeks for that specific type of bacteria. That is best to be done as the prostate infec...  Read Full »

Why am I experiencing a constant burning sensation in my urethra throughout the day?

Query: Hello doctor, I am a 21-year-old male. For the past 2 to 3 months, I have been experiencing a constant burning sensation in my urethra throughout the day, especially when I urinate. About six weeks into the symptoms, I went to my general physician and had my urine tested. My white blood cell count ...  Read Full »

Dr. Vaibhav

Answer: Hi, Welcome to Your symptoms can be related to prostate inflammation, called prostatitis. Sometimes in this condition, urine examination reports are normal. But symptoms of burning in the urethra, pain in the lower back, or perineum happens. You will need to meet a urologist for a pro...  Read Full »

Why is there a black mass on my penile shaft?

Query: Hi doctor,Halfway down my penile shaft, I seem to have a black mass. I can notice it only when my foreskin is pulled down. I have symptoms of prostatitis and urethritis for two years. I have symptoms of dysuria, urine dribbling, inflamed meatus, constant urethral pain, prostatitis, epididymitis and ...  Read Full »

Dr. Raveendran Sr

Answer: Hi, Welcome to I understand your concern. You have taken a lot of antibiotics to get cured. If it is a prostate infection, then it takes some time to get cured. If you have pain during ejaculation, then you need think of a bacterial infection. You have done some investigations for...  Read Full »

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