Q. What are the causes of prostatitis, and how can it be managed?

Answered by
Dr. Samer Sameer Juma Ali Altawil
and medically reviewed by Dr.Lekshmipriya B
This is a premium question & answer published on Jul 13, 2022

Hi doctor,

I had mild pain and burning symptoms in my penis for half a week. The symptoms are sporadic, and there is no blood or anything else noticeable other than the feeling of slight burning and pain while urinating or ejaculation. Yesterday I felt the symptoms a bit stronger. During masturbation, there was pain, and I felt severe itchiness over my penis after a while. Now I feel a slight continuous burning and intermittent pain on top of my penis, and the itchiness came from the deeper inside (probably in the direction of my prostate). Sometimes the pain feels like a sharp needle pricking but only for a moment and not that often. I usually masturbate once a day, and today I took like one to two hours, but most of the time, I only take 30 minutes or something like that. The pain usually started when it was hot, and I was sweating. Kindly help.



Welcome to

This seems to be prostatitis which can be caused by sexual contact. The treatment is by long-term antibiotics and alpha-blockers. I suggest taking tablet Ciprofloxacin 500 mg twice daily for four weeks and tablet Tamsulosin 0.4 mg once at night for 30 days. After that, I hope you will feel better. If you have any more queries, please let me know.

Hi doctor,

Though I had no sexual contact for months, can it still be prostatitis? The most common symptoms of prostatitis are blood and pain, etc., I do not have these symptoms while urinating. So is that because it is the initial stage? So would I have any problems taking that medicine if it is not prostatitis? Thank you very much.



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Prostatitis is commonly caused by sexual contact, but that is not always a role. The causes of prostatitis might be bacterial or abacterial (without bacteria), and both types respond well to antibiotics. Diagnosis is usually from the history of pain and dysuria and clinical examination of the prostate. Prostatitis is not always present with blood or urethral bleeding. I suggest you take the prescribed medications.

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