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Medical Forum / Diseases and Disorders / Prostatitis / February 2004when is it okay to resume intercourse?
My husband has been on antibiotics for 5 days and he is feeling much better.He was diagnosed with prostatitis.I worry that it is still too soon to have inetrcourse because his ejaculate may have infection in it and thus pass an infection on to me. > My husband has been on antibiotics for 5 days and he is feeling much better.He > was diagnosed with prostatitis.I worry that it is still too soon to have > inetrcourse because his ejaculate may have infection in it and thus pass an > infection on to me. That's not a worry, since you don't have a prostate gland. He could pass you some small amount of the antibiotic he is taking. He can avoid that using a condom. As far as sex goes, whenever he feels up to it is fine. He might well get a reduction in his symtoms just by ejaculating. Jim Thanks ! >That's not a worry, since you don't have a prostate gland. > [quoted text clipped - 3 lines] > As far as sex goes, whenever he feels up to it is fine. He might >well get a reduction in his symtoms just by ejaculating. Not quite. If there is active infection in the semen, the sexual partner can get infected even if they "dont have a prostate". The organisms which cause prostatitis can also cause vaginitis, infection of the secretory glands in the female tract, and also infect the woman's urinary tract. It is probably a good idea for the man to use a condom unil the infection has cleared up. Best, Bob Robert A. Fink, M.D., FACS, P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 USA Telephone: 510-849-2555 FAX: 510-849-2557 <http://www.rafink.com> "Ex Tristitia Virtus" -------------------------------------- NOTE: The above message is not to be considered as "medical advice". Medical advice can be given only after a "hands-on" examination of the patient by a physician. ======================================== Thank you Bob, That was my original thought.Too late now as the deed has been done.We women are lucky because we can get alot of meds for vaginal infections over the counter.So far, I haven't exhibited any infectious signs.I know I don't have a prostate to get infected but alot of parts "on the way" are certainly subjected to in fection...Also my husband did have some pain upon ejaculation but, no more pain upon urination.IS THAT NORMAL?The Doc only prescribed a 10 day course of Bactrim(sp?).I think he should be on the meds for a few weeks longer...but hey, I'm not a physician.I only know that I have never experienced someone with bone shattering "chills" like my husband had as soon as the ibuprophen wore off.Maybe its time to switch Doctors!? >Also my husband did have some pain upon >ejaculation but, no more pain upon urination.IS THAT NORMAL?The Doc only >prescribed a 10 day course of Bactrim(sp?).I think he should be on the meds for >a few weeks longer...but hey, I'm not a physician.I only know that I have never >experienced someone with bone shattering "chills" like my husband had as soon >as the ibuprophen wore off.Maybe its time to switch Doctors!? Pain with ejaculation is fairly typical with prostatitis. Ten days' worth of Bactrim may not be enough (and the organism might be something which is not responsive to Bactim; this might include trichomonas, which requires a different drug along with treatment of *you* also). If your husband continues to have symptoms (or you have any), I would suggest that you both see an urologist. Best, Bob Robert A. Fink, M.D., FACS, P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 USA Telephone: 510-849-2555 FAX: 510-849-2557 <http://www.rafink.com> "Ex Tristitia Virtus" -------------------------------------- NOTE: The above message is not to be considered as "medical advice". Medical advice can be given only after a "hands-on" examination of the patient by a physician. ======================================== > Pain with ejaculation is fairly typical with prostatitis. Ten days' > worth of Bactrim may not be enough (and the organism might be [quoted text clipped - 4 lines] > If your husband continues to have symptoms (or you have any), I would > suggest that you both see an urologist. Oh look! A genuine dinosaur! You should keep up with the literature, Bob. For a more informed debate: http://www.chronicpelvicpain.us/ "Robert A. Fink, M. D." wrote... > Pain with ejaculation is fairly typical with prostatitis. Ten days' > worth of Bactrim may not be enough (and the organism might be [quoted text clipped - 4 lines] > If your husband continues to have symptoms (or you have any), I would > suggest that you both see an urologist. I have a legitimate question and it should not be misconstrued as sarcastic. I see you take seriously the topic of infection. I'm impressed. I'm curious though and I bet some of the other sufferer's are too? What type of cultures are available for your patients? Do you ask that your labs screen for all bacteria and how long do they bake specimens for? I'm assuming it is the Stamey Mears methodology being used? The reason my question should not be construed as sarcastic is because even though I don't believe all CPPS - IC cases are infection related, ( see....I said it ), I do believe some are, and it seems to me that it is very appropriate and a responsibilty that a physician cultures as a first line investigatory measure. So, I'm just wondering what type of serices you might offer in this regard? Ciao. >I have a legitimate question and it should not be misconstrued as sarcastic. >I see you take seriously the topic of infection. I'm impressed. I'm curious [quoted text clipped - 7 lines] >physician cultures as a first line investigatory measure. So, I'm just >wondering what type of serices you might offer in this regard? I am not an urologist. In fact, I have already been called a "dinosaur" by "Webmaster Chronicprostatitis" who alleges that the literature and I disagree. Aside from seeing a cite or two, I am not going to dignify Mr. Chronic's posting with a response. What I was actually saying was that the symptoms described by the wife of someone who might have chronic prostatitis might be related to residual infection; that use of a condom during intercourse might be a good idea; that further evaluation (jncluding cultures, which are not always valid) was indicated; and finally, that there are other kinds of infections (other than bacterial) that can involve the prostate (like Trichomonas, which is a parasite) which require treatment different than the standard antibacterial antibiotics. Best, Bob Robert A. Fink, M.D., FACS, P. C. 2500 Milvia Street Suite 222 Berkeley, California 94704-2636 USA Telephone: 510-849-2555 FAX: 510-849-2557 <http://www.rafink.com> "Ex Tristitia Virtus" -------------------------------------- NOTE: The above message is not to be considered as "medical advice". Medical advice can be given only after a "hands-on" examination of the patient by a physician. ======================================== > I am not an urologist. In fact, I have already been called a > "dinosaur" by "Webmaster Chronicprostatitis" who alleges that the [quoted text clipped - 13 lines] > > Bob Looking at the original posting in this thread, I see that I may have overreacted to Bob's advice, and if so, apologies. It is possible her husband does have an infection given the description. It is certainly unusual to have a woman posting here about her husband's acute prostatitis though. It may be the first time in 8 years. Far more commonly we see woman posting about their husband's chronic pelvic pain. Bob, as for studies discouraging a microbe-centered approach to the issue of chronic prostatitis, see http://www.chronicprostatitis.com/ "Robert A. Fink, M. D." wrote.. > What I was actually saying was that the symptoms described by the wife > of someone who might have chronic prostatitis might be related to [quoted text clipped - 4 lines] > (like Trichomonas, which is a parasite) which require treatment > different than the standard antibacterial antibiotics. Yes, and I agree with those concerns above, that is why I asked if you went an extra step regarding culturing instead of relying on basic measures down at the local lab? By your reply, I guess you rely on the latter. "Minsati37" wrote.. > My husband has been on antibiotics for 5 days and he is feeling much better.He > was diagnosed with prostatitis.I worry that it is still too soon to have > inetrcourse because his ejaculate may have infection in it and thus pass an > infection on to me. If it was determined he does have an infection then he can indeed pass it on to you during intercourse. It's probably best for you two to use a condom until he finishes his course of antibiotics and is tested again. After he is tested again, you both should review the results with your doctor and discuss how you would like to move forward, ( condom or not? ). p.s. hopefully the medicine will do it's job and all will be fine and back to normal. Please report back for the group and let us know how thing's turn out. Good luck to you. |
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