+ 2 Prostate infection related to AAS use?
About a month ago my prostate started bothering me and all the typical urine problems that come with it as well as my prostate was actually sore getting gradually worse with time. The pain started spreading so I did some research and felt confident I had a prostate infection. I went to the doctor and sure enough I had a prostate infection or prostatitis so I was prescribed an antibiotic. The antibiotic was a 3 week supply which I am halfway through the third week. By the end of the second week I felt that it was almost gone there was no pain and urine problems were subsiding until 2 days ago. I went to bed with no pain it wasn’t bothering me at all and when I woke up it was back with a vengeance. This is alarming to me because it was getting better and I’m still taking the antibiotics exactly as prescribed. I’m on trt so idk if this is making it worse or not so I skipped my dose this morning and am going to continue to do so until it gets better and I go back to the doctor. I’m 27 and have no history of prostate issues. I came off my first cycle in 4 years a few months back. Has anyone else experienced prostate infection while having no history of prostate issues and could this be related to AAS use? My doctor said that it wasn’t unusual for someone my age to get a prostate infection and their not sure what causes them but also said there is a link between people who are chronically constipated and prostatitis which I am. Mainly I’m concerned this is related to use of hormones and will be a recurring thing.
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Quick update, I went to the doctor today prostate seems to be ok but we ran a bunch of tests to get to the bottom of this . Just wanted to say thanks to everyone who replied with studies and personal experience. I wish I could throw some karma everyone’s way but unfortunately I haven’t reached boss level status on the forum yet.
Thanks for your consideration. i think you should be seeing a really good Urologist for this. The difference between a good Urologist and a bad one can be astounding!
There are mainly two types of Prostatitus (actually four defined in the literature)...bacterial and non-bacterial. Bacterial can be caused by Urinary Tract Infections (UTI's) and some Sexually transmitted Diseases (STDs) and can be treated fairly successfully with antibiotics. Non-bacterial Prostatitus has no known cause and subsequently is very difficult to treat. Sometimes antibiotics can lessen the symptoms of non-bacterial Prostatitus, but rarely cure the problem.
Your doctor claiming that AAS can cause Prostatitus is dubious - perhaps s/he is confusing Prostatitus with Benign Prostatic Hyperplasia (BPH). BPH can be caused by AAS as the large doses of Testosterone are converted to Dihydrotestosterone (DHT) which is medically/scientifically proven to cause BPH. Then there is the compounding factor of excess Testosterone being aromatised into estrogen which also has a negative effect upon the Prostate.
At 27, theoretically you should have no problems with BPH, however, using AAS has put you into an unknown/unresearched area of medical exploration. I personally predict that with the increased use of AAS by young men, BPH will become more prevalent amongst AAS users at an early age.
I would suggest that you get a Digital Rectal Examination (DRE) of your Prostate as well as an ultrasound to establish whether you have BPH. Then perhaps if those examinations raise any concerns - a Prostate biopsy to rule out Prostate Cancer. You will discuss all of this with your Urologist.
I'm not trying to be a scare-monger here - just raising stuff that you really should be thinking about.
Thanks for the info man After all the responses I’m surprised my doctor didn’t mention the different types of prostatitis I was out of town and went to an urgent care however the doc did say I couldn’t get a prostate exam until the infection clears or it will spread the bacteria. Also doctor never said this was related to hormones I was inquiring to the community if this could possibly be related to hormones having recently come off cycle.
This doctor doesn’t seem like he is all that informed. Prostatitis is verified with a DRE (digital rectal exam - fingers) - the ‘digital’ is misleading; I thought it was a machine, nope fingers. I’ve probably had 100+ DREs, no homo but still homo, fml.
The only time I didn’t get DREs was when I had an established pattern, and it was a waste of both of our times.
Like I wrote below, estrogen will send you into an enlarged prostate quickly.
I agree about the doctor not being informed. I’m going to make a Dr apt with my family doctor on Monday and try to convince him to take bloods as well because I’ve paid out pocket for bloods twice this year already so I need insurance to cover this one. It’s possible my estrogen could be higher than normal but do you think slightly elevated e2 could cause prostate issues like this?
Estrogen can have an effect on prostate and contribute to both Nonbacterial Prostatitus and BPH. I'm not sure how high your levels of E have to be to have an effect. So while E can contribute, according to a study of rats, Testosterone can block E's affect on the Prostate. However,using an anti-estrogen or AI had no effect on Prostatitus once it was established (that's my understanding of the Abstract). The attached article talks about hormone imbalance as a contributing factor in Nonbacterial Prostatitus and since you have just come off cycle maybe getting a hormone panel done to see where all your levels are would be a good idea.
https://www.ncbi.nlm.nih.gov/pubmed/3172358
Your on point with the literature and I really appreciate it. I see lots of people dismissing studies on rats but there’s reasons they use rats because their endocrine systems are very similar to ours. It doesn’t state the dosage of estrogen the rats recieved to cause prostatitis which is unfortunate but definitely a correlation between non bacterial prostatitis and elevated estrogen.
What antibiotic are you taking? Sometimes, they have to step it up to something stronger like Levaquin 500mg. What are you on now, Ciprofloxacin? Your family doc should set you straight if you’re still having issues.
The estrogen piece is just something to think about next cycle.
Edit: you’re on TRT, I would check where it is at. Don’t go taking your AI out of schedule, before the test though and skewing the data.
Yes ciprofloxacin 500mg every 12 hrs is what I’m on and symptoms have subsided over night again which Idk if that’s good news. My ARomasin dosage is 6.25 mg Monday and Friday(12.5 mg tablet halved) my test dosage is 175 weekly. I’ve currently taken myself off the testosterone until I can find out what’s going on
Ah, my mistake. I didn't read your post thoroughly enough. I didn't think a doc would draw that connection. I hope that the infection - if there is one - will clear up with the course of antibiotics that you are taking, give it time. From my research one of the most effective bacterial prostatitus antibiotic courses is 500mg Azithromyacin MWF for three weeks.
Get bloods check DHT and Dont cycle anything.
Stick with Dr. and take a serious approach to the prostate (no homo)
Get this right and get it right with your doctor, get referral to specialist urgently if it is only a MD/GP/PCP
The prostate is no joke and this might not be an infection if the anti-bs dont work.
Time is really important here, get to an expert/specialist. Dont fk around.
I definitely plan on seeing a specialist because I went to an urgent care and the doc didn’t even mention different types of prostatitis so I don’t think I got the best advice. I have been reading that typically a stronger antibiotic is prescribed for this than what I received. I’ve never had any prostate issues before this flare up but I’d like to get a check up just to be safe the only problem is the doctor said they couldn’t give a prostate exam while I have an infection for fear of spreading bacteria. Thanks for the advice prostate is nothing to fuck around with I feel confident this is just prostatitis where I didn’t get strong enough antibiotics but there will def be a prostate exam in the near future
Exactly mate. Hence my question below about whether this is dr prescribed trt. If it was dr would have immediately referred to a urologist. OP doesn’t answer any posts so who knows what’s really going on here.
No Dr trt but I’m pretty religious about my blood work I just didn’t want to turn this into a discussion about the downfalls of self trt as many people my age consider 250-300 mg trt which is about what I cycle on. I got bloods over a year ago after 3 years off AAS and my test levels were in the low 300’s. I used and abused steroids 18-21 biggest mistake of my life and biggest regret the damage is done now all I can do is To try to do what’s best now
Thanks for the reply and appreciate you not wanting g to turn the discussion into dr v self-prescribed. I too don’t want to get into it. The only point I was trying to make that if this was dr prescribed and given the stated prostate risks around the use of testosterone for replacement therapy in men the protocol would have been for the dr prescribing to immediately refer you to a urologist for further exams. All the best and good luck....please keep us posted.
Exactly Dacky. You're on the money as always fella.
Prosatitis can happen as a result of many factors. Whether or not its related to AAS use in you case is hard to say. If the antibiotic is not working switch to a more effective one. Prostatitis can result from a Urinary Tract Infection which untreated will spread to the prostate. Taking a PSA test might be a good idea although at your age it should be ok.For chronic constipation there are a couple of new drugs on the market that are effective for CIC and IBS. Look into Linzess and Trulance.
basskiller89I have never had a prostate infection however, I do take duta to keep DHT levels low which helps with my prostate size. The higher my DHT levels got the larger my prostate got. In addition to that I had excess sebum in skin pores and damaged hair follicles which lowering DHT completely controlled. I've met some dumb fucking doctors too brother, anytime someone asks to stick their fingers in my asshole repeatedly I just questions the intentions. Ask to see a girl doctor for bloods and such. Hopefully that guys is gone for your 6 week blood checkup. I personally will not cycle without duta and letro because I am hyper sensitive to both hormones where as not all are. Check the 9pm news there is supposed to be some medical special involving prostate size, that and look into duta, always here if you need anything brother!!
Don’t know if this will help or not. My doctor put me on trt and when he did he made me come in every 6 months for prostate exam. He said the testosterone can promote prostate cancer. Or maybe he just like sticking his finger in my a$$.
RustyhookerBlood screen...PSA....except the finger can make ya giggle. Lol
Lol.. he started with one finger then six months later you graduated to two fingers then six months later... well you get the point ;)
Yea I started to get worried when he took off his watch and rolled up his sleaves. And he was wearing short sleaves already. But damn did it feel good when he pulled out.
lmao you need a "no homo" in there some where.
Sorry “NO HOMO”.
^^^ They dont him goose for nothing
Are you on Dr prescribed trt?
I’m a long time prostate victim. For me, high estrogen would put me on the fast path to prostatitis. Sometimes I could catch it with AIs, and avoid the need for antibiotics. Masteron and Tren guaranteed prostatitis for me. I’ve taken so much Levaquin treating prostatitis I have wicked tendinitis in my elbow.
If your prostate swells you never fully empty your bladder.
So you basicly have toxic piss sitting in your body for long periods of time (not good).
Just a few things to read up on ...........
Saw palmetto
Paygeum
Dandilion
Even a small dose of cialis 5 mg daily works wonders for swollen prostate.
I'd say you have high dht conversion so I would request bloods from your endo and get this sorted asap.
Good luck mate Keep us posted
Damn dude. That sucks. Get that fixed right away. Get checked, get healed, be careful
This happened to a buddy of mine. He never had any prostate issues before but during a cycle he got a prostate infection. His doctors told him that it was most likely from AAS use. He took his antibiotics and it didn't help.So he dropped his cycle then it went away with antibiotics again. He was like 30 when this happened and hasn't had a problem since even on cycle. But this would be the second time I've heard of it. So I would say it's not a common thing. But in the future I would load up on prostate support supplements if you choose to take AAS again
RustyhookerJust curious if you too a screen for std's? Clamydia for example stays hidden until flareups
Do Sexually Transmitted Disease and HIV Cause Prostatitis? - Prostate.net
https://prostate.net/articles/sexually-transmitted-disease-hiv/
That a good point I was screened for hiv 7-8 months ago but not stds in 5 years I’ve been scared to but it may be time since the antibiotics aren’t getting rid of it. Thanks for the article!
RustyhookerJust a different view. It can be scarey to check with the idea of what ifs. When i was younger i pulled tge trigger to test before any new relationship just for mental clarity.
A few members have been on here in the past with varied inflammation issues. Some gear does cause irritation as thats the path of removal for some gear. Dht of course is one type to effect prostate. And std of course.
"to test before any new relationship just for mental clarity"
That's the behavior of someone responsible. I think that people do not realize that we can unknowingly be carriers of certain diseases without it being visible. I remember the doctor told me that a husband who had cheated on his wife had given her AIDS, he did not know because he was in perfect health, his illness was not until well after.
Hahaha. Yup.
Chic : hey baby. Where is our first date
You: we going to clinic for blood test
It's all good if you buy her dinner afterwards.