In men with documented low testosterone levels, replacement therapy may play a role. We have found that eliminating the other symptoms of prostatitis, either with antibiotics, prostatic massage, alpha blockers, or Prosta-Q will typically improve the sexual symptoms as well. Dr. Shoskes Antibiotics have been the mainstay of therapy by most doctors. We have found that men with congested prostates will often benefit from combining antibiotics with massage. As previously mentioned, voiding dysfunction is treated commonly with alpha blockers such as Flowmax.
Supportive measures can be important.
Some men benefit from avoiding spicy foods, alcohol and caffeine. Others find hot baths help to relax the muscles in the area and relieve pain. Dr. Shoskes I have pretty much listed the therapies we use. If pelvic muscle pain is the problem, we also use physiotherapy and muscle relaxants. The main therapies under study for prostatitis include Proscar, Elmiron and Enbrel.