{"id":1735,"date":"2020-10-09T08:00:00","date_gmt":"2020-10-09T01:00:00","guid":{"rendered":"https:\/\/drsoaraweeurology.com\/?p=1735"},"modified":"2026-08-30T04:46:07","modified_gmt":"2026-08-29T21:46:07","slug":"%eb%a7%8c%ec%84%b1-%ec%a0%84%eb%a6%bd%ec%84%a0%ec%97%bc","status":"publish","type":"post","link":"https:\/\/drsoaraweeurology.com\/ko\/2020\/10\/09\/chronic-prostatitis-am-i\/","title":{"rendered":"\ub098\ub294 \ub9cc\uc131 \uc804\ub9bd\uc120 \uac10\uc5fc\uc744 \uc553\uace0 \uc788\uc2b5\ub2c8\uae4c?"},"content":{"rendered":"\n<div class=\"wp-block-columns coblocks-author-columns has-background is-layout-flex wp-container-core-columns-is-layout-52275889 wp-block-columns-is-layout-flex\" style=\"background-color:#8C8C971A;padding-top:2.5rem;padding-right:2.5rem;padding-bottom:2.5rem;padding-left:2.5rem\">\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:25%\">\n<figure class=\"wp-block-image size-full is-style-rounded\"><img data-recalc-dims=\"1\" fetchpriority=\"high\" decoding=\"async\" width=\"800\" height=\"800\" data-attachment-id=\"7037\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/new-photo-2024\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" data-orig-size=\"800,800\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;&quot;,&quot;orientation&quot;:&quot;0&quot;}\" data-image-title=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?fit=800%2C800&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=800%2C800&#038;ssl=1\" alt=\"Dr. Soarawee Weerasopone \u2014 Board-Certified Urologist in Bangkok, Thailand\" class=\"wp-image-7037\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?w=800&amp;ssl=1 800w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=300%2C300&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=150%2C150&amp;ssl=1 150w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=768%2C768&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=12%2C12&amp;ssl=1 12w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=600%2C600&amp;ssl=1 600w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=400%2C400&amp;ssl=1 400w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2023\/12\/New-Photo-2024.png?resize=200%2C200&amp;ssl=1 200w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><\/figure>\n<\/div>\n\n\n\n<div class=\"wp-block-column is-layout-flow wp-block-column-is-layout-flow\" style=\"flex-basis:75%\">\n<p class=\"wp-block-paragraph\"><strong><a href=\"https:\/\/drsoaraweeurology.com\/\" target=\"_blank\" rel=\"noreferrer noopener\">Soarawee Weerasopone, Urologist<\/a><\/strong><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Bangkok hospital Headquarter, Bangkok<\/a><\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><a href=\"tel:+66880221445\" target=\"_blank\" rel=\"noreferrer noopener\">Samitivej Sriracha Hospital \u2014 Urology department: <strong>088-022-1445<\/strong><\/a><\/p>\n\n\n\n<div class=\"wp-block-buttons is-layout-flex wp-block-buttons-is-layout-flex\">\n<div class=\"wp-block-button is-style-outline is-style-outline--1\"><a class=\"wp-block-button__link has-background-background-color has-text-color has-background has-link-color has-small-font-size has-custom-font-size wp-element-button\" href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" style=\"color:#1b4965\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a><\/div>\n<\/div>\n<\/div>\n<\/div>\n\n\n\n<ul class=\"wp-block-social-links aligncenter has-normal-icon-size is-style-default coblocks-animate is-content-justification-center is-layout-flex wp-container-core-social-links-is-layout-3e41869c wp-block-social-links-is-layout-flex\"><li class=\"wp-social-link wp-social-link-wordpress wp-block-social-link\"><a href=\"https:\/\/drsoaraweeurology.com\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M12.158,12.786L9.46,20.625c0.806,0.237,1.657,0.366,2.54,0.366c1.047,0,2.051-0.181,2.986-0.51 c-0.024-0.038-0.046-0.079-0.065-0.124L12.158,12.786z M3.009,12c0,3.559,2.068,6.634,5.067,8.092L3.788,8.341 C3.289,9.459,3.009,10.696,3.009,12z M18.069,11.546c0-1.112-0.399-1.881-0.741-2.48c-0.456-0.741-0.883-1.368-0.883-2.109 c0-0.826,0.627-1.596,1.51-1.596c0.04,0,0.078,0.005,0.116,0.007C16.472,3.904,14.34,3.009,12,3.009 c-3.141,0-5.904,1.612-7.512,4.052c0.211,0.007,0.41,0.011,0.579,0.011c0.94,0,2.396-0.114,2.396-0.114 C7.947,6.93,8.004,7.642,7.52,7.699c0,0-0.487,0.057-1.029,0.085l3.274,9.739l1.968-5.901l-1.401-3.838 C9.848,7.756,9.389,7.699,9.389,7.699C8.904,7.67,8.961,6.93,9.446,6.958c0,0,1.484,0.114,2.368,0.114 c0.94,0,2.397-0.114,2.397-0.114c0.485-0.028,0.542,0.684,0.057,0.741c0,0-0.488,0.057-1.029,0.085l3.249,9.665l0.897-2.996 C17.841,13.284,18.069,12.316,18.069,11.546z M19.889,7.686c0.039,0.286,0.06,0.593,0.06,0.924c0,0.912-0.171,1.938-0.684,3.22 l-2.746,7.94c2.673-1.558,4.47-4.454,4.47-7.771C20.991,10.436,20.591,8.967,19.889,7.686z M12,22C6.486,22,2,17.514,2,12 C2,6.486,6.486,2,12,2c5.514,0,10,4.486,10,10C22,17.514,17.514,22,12,22z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\uc6cc\ub4dc\ud504\ub808\uc2a4<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-linkedin wp-block-social-link\"><a href=\"https:\/\/www.linkedin.com\/in\/soarawee-weerasopone\/\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19.7,3H4.3C3.582,3,3,3.582,3,4.3v15.4C3,20.418,3.582,21,4.3,21h15.4c0.718,0,1.3-0.582,1.3-1.3V4.3 C21,3.582,20.418,3,19.7,3z M8.339,18.338H5.667v-8.59h2.672V18.338z M7.004,8.574c-0.857,0-1.549-0.694-1.549-1.548 c0-0.855,0.691-1.548,1.549-1.548c0.854,0,1.547,0.694,1.547,1.548C8.551,7.881,7.858,8.574,7.004,8.574z M18.339,18.338h-2.669 v-4.177c0-0.996-0.017-2.278-1.387-2.278c-1.389,0-1.601,1.086-1.601,2.206v4.249h-2.667v-8.59h2.559v1.174h0.037 c0.356-0.675,1.227-1.387,2.526-1.387c2.703,0,3.203,1.779,3.203,4.092V18.338z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">LinkedIn<\/span><\/a><\/li>\n\n<li class=\"wp-social-link wp-social-link-mail wp-block-social-link\"><a href=\"mailto:bhquro@bdms.co.th\" class=\"wp-block-social-link-anchor\"><svg width=\"24\" height=\"24\" viewBox=\"0 0 24 24\" version=\"1.1\" xmlns=\"http:\/\/www.w3.org\/2000\/svg\" aria-hidden=\"true\" focusable=\"false\"><path d=\"M19,5H5c-1.1,0-2,.9-2,2v10c0,1.1.9,2,2,2h14c1.1,0,2-.9,2-2V7c0-1.1-.9-2-2-2zm.5,12c0,.3-.2.5-.5.5H5c-.3,0-.5-.2-.5-.5V9.8l7.5,5.6,7.5-5.6V17zm0-9.1L12,13.6,4.5,7.9V7c0-.3.2-.5.5-.5h14c.3,0,.5.2.5.5v.9z\"><\/path><\/svg><span class=\"wp-block-social-link-label screen-reader-text\">\uba54\uc77c<\/span><\/a><\/li><\/ul>\n\n\n\n<style>\n\/* Hover effect for Social Dr Pom Block - Social Icons *\/\n.wp-block-social-links .wp-social-link {\n  transition: transform 0.2s ease, opacity 0.2s ease !important;\n}\n.wp-block-social-links .wp-social-link:hover {\n  transform: scale(1.15);\n  opacity: 0.9;\n}\n<\/style>\n\n<div class=\"dr-pom-academic-icons\" style=\"display: flex; gap: 16px; margin-top: 12px; align-items: center; justify-content: center;\">\n  \n  <a href=\"https:\/\/www.researchgate.net\/profile\/Soarawee-Weerasopone\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ResearchGate Profile\"\n     aria-label=\"View ResearchGate Profile\"\n     style=\"text-decoration: none; color: #00CCBB; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M19.586 0c-.818 0-1.508.19-2.073.565-.563.377-.97.936-1.213 1.68a3.193 3.193 0 0 0-.112.437 8.365 8.365 0 0 0-.078.53 9 9 0 0 0-.05.727c-.01.282-.013.621-.013 1.016a31.121 31.121 0 0 0 .014 1.017 9 9 0 0 0 .05.727 7.946 7.946 0 0 0 .077.53h.001c.024.115.06.262.112.438.243.743.65 1.303 1.213 1.68.565.376 1.255.564 2.073.564.8 0 1.536-.213 2.105-.603.57-.39.94-.916 1.175-1.65.076-.235.135-.558.177-.93a15.4 15.4 0 0 0 .063-1.207v-.512a.27.27 0 0 0-.273-.273h-2.95a.27.27 0 0 0-.274.273v.785c0 .228.0.343.273.343h1.337c.094 0 .14.045.14.137 0 .61-.063 1.043-.155 1.318-.182.546-.7 1.018-1.683 1.018-.654 0-1.135-.114-1.475-.356-.34-.244-.55-.585-.658-1.024a3.797 3.797 0 0 1-.111-.43 5.515 5.515 0 0 1-.06-.51 19.85 19.85 0 0 1-.025-.726c-.004-.28-.004-.628-.004-1.045 0-.418 0-.766.004-1.046a19.85 19.85 0 0 1 .025-.726 5.475 5.475 0 0 1 .06-.51 3.785 3.785 0 0 1 .111-.43c.108-.44.318-.78.658-1.024.34-.243.82-.357 1.475-.357.6 0 1.064.078 1.413.293.347.215.595.515.74.91.063.155.166.21.31.156l.967-.4c.15-.058.187-.18.13-.32a3.025 3.025 0 0 0-1.262-1.452C21.12.218 20.428.0 19.586 0zM8.512 4.32c-2.7 0-4.066.997-4.066 3.06v.04c0 1.92.992 2.83 3.046 2.83 1.27 0 2.038-.39 2.385-1.05h.13l.067.51c.04.2.207.34.41.34h.99V7.95c0-2.59-1.06-3.63-2.962-3.63zm-.18 1.61c1.118 0 1.628.56 1.628 1.86v.4l-1.65.16c-1.35.13-1.86.46-1.86 1.13v.04c0 .67.41 1.06 1.45 1.06.85 0 1.55-.32 1.93-.84.04-.06.13-.07.18-.02.05.03.07.1.07.16v.43c0 .26.13.42.34.42h1.05c.21 0 .34-.16.34-.42v-3.6c0-1.94-1.13-2.83-3.46-2.83-1.94 0-3.07.86-3.4 2.04l1.55.45c.18-.69.6-1.04 1.83-1.04zM2.135 16.314c-.587 0-1.066-.156-1.434-.469-.367-.312-.618-.704-.752-1.176-.034-.124-.061-.232-.082-.327a3.794 3.794 0 0 1-.044-.366 8.83 8.83 0 0 1-.022-.547C0 13.221 0 12.985 0 12.704c0-.281 0-.515.001-.704a8.81 8.81 0 0 1 .022-.547 3.802 3.802 0 0 1 .044-.366c.02-.094.048-.203.082-.328.134-.471.385-.864.752-1.176.368-.313.847-.469 1.434-.469.477 0 .892.087 1.246.262.353.175.622.443.806.804.044.083.083.157.117.222.034.066.069.144.105.235.022.054.011.099-.034.135l-.66.292c-.045.027-.082.013-.112-.045a4.043 4.043 0 0 0-.155-.27 1.247 1.247 0 0 0-.49-.495c-.225-.131-.522-.196-.892-.196-.402 0-.726.064-.972.193-.247.13-.422.302-.527.518-.027.045-.054.099-.082.16a1.39 1.39 0 0 0-.067.197 2.46 2.46 0 0 0-.05.282 5.51 5.51 0 0 0-.033.43c-.008.17-.013.376-.013.617 0 .242.005.448.013.618.008.17.02.314.034.43.013.117.03.21.05.282.02.072.042.137.066.197.105.216.28.39.527.518.246.13.57.193.972.193.4 0 .714-.07.94-.21.227-.14.394-.346.503-.617a2.43 2.43 0 0 0 .104-.395c.018-.123.027-.282.027-.477V13.2H2.34c-.04 0-.06-.02-.06-.062v-.5c0-.04.02-.062.06-.062h1.812c.04 0 .062.02.062.06v.5c0 .156-.005.296-.014.422a4.71 4.71 0 0 1-.04.342 1.732 1.732 0 0 1-.064.262c-.13.523-.402.913-.815 1.17-.413.255-.95.382-1.61.382z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/orcid.org\/0009-0004-8387-3559\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"ORCID iD\"\n     aria-label=\"View ORCID Profile\"\n     style=\"text-decoration: none; color: #A6CE39; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M12 0C5.372 0 0 5.372 0 12s5.372 12 12 12 12-5.372 12-12S18.628 0 12 0zM7.369 4.378c.525 0 .947.431.947.947 0 .525-.422.947-.947.947-.525 0-.946-.422-.946-.947 0-.525.421-.947.946-.947zm-.722 3.038h1.444v10.041H6.647V7.416zm3.562 0h3.9c3.712 0 5.344 2.653 5.344 5.025 0 2.578-2.016 5.025-5.325 5.025h-3.919V7.416zm1.444 1.303v7.444h2.297c3.272 0 4.022-2.484 4.022-3.722 0-2.016-1.284-3.722-4.097-3.722h-2.222z\"\/>\n    <\/svg>\n  <\/a>\n  \n  <a href=\"https:\/\/scholar.google.com\/citations?user=lTgsRMUAAAAJ&#038;hl=en\" \n     target=\"_blank\" \n     rel=\"noopener\"\n     title=\"Google Scholar\"\n     aria-label=\"View Google Scholar Profile\"\n     style=\"text-decoration: none; color: #4285F4; transition: transform 0.2s; display: inline-block;\"\n     onmouseover=\"this.style.transform='scale(1.15)'\"\n     onmouseout=\"this.style.transform='scale(1)'\">\n    <svg width=\"28\" height=\"28\" viewBox=\"0 0 24 24\" fill=\"currentColor\">\n      <path d=\"M5.242 13.769L0.5 9.5 12 1l11.5 8.5-4.742 4.269C17.548 11.249 14.978 9.5 12 9.5c-2.977 0-5.548 1.748-6.758 4.269zM12 10a7 7 0 1 0 0 14 7 7 0 0 0 0-14z\"\/>\n    <\/svg>\n  <\/a>\n  \n<\/div>\n\n\n\n<p class=\"wp-block-paragraph\">When an <a href=\"https:\/\/drsoaraweeurology.com\/2020\/07\/24\/what-is-acute-prostate-infection\/\">acute prostate infection<\/a> is not treated properly, around 10% of cases turn into a long-term problem \u2014 what we call <strong><em>chronic prostatitis<\/em><\/strong>. This article deals specifically with that chronic inflammation of the prostate gland. Any man who has lived with it will recognise the description immediately: it is a condition that erodes quality of life and reaches into almost every part of daily living.<\/p>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"579\" data-attachment-id=\"1730\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/prostatitis-disease-causes-explanation-vector-2\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?fit=1200%2C869&amp;ssl=1\" data-orig-size=\"1200,869\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Prostatitis Vector Medical Chart with Reproductive&quot;,&quot;created_timestamp&quot;:&quot;0&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Prostatitis Disease Causes Explanation Vector&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"One cause of Chronic prostatitis is improper bacterial prostatitis treatment\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;One cause of Chronic prostatitis is improper bacterial prostatitis treatment&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?fit=800%2C580&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?resize=800%2C579&#038;ssl=1\" alt=\"Inflamed prostate gland in bacterial prostatitis\" class=\"wp-image-1730\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?resize=300%2C217&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?resize=1024%2C742&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?resize=768%2C556&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Bacterial-Prostatitis.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">One cause of chronic prostatitis is inadequately treated bacterial prostatitis.<\/figcaption><\/figure>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic prostatitis is reported in up to 9% of men, and the recurrence rate can reach 50%. It divides into two categories.<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li><strong>Chronic bacterial prostatitis<\/strong> \u2014 a bacterial cause is confirmed on culture.<\/li>\n\n\n\n<li><strong>Chronic pelvic pain syndrome (CPPS)<\/strong> \u2014 no bacterial cause is found on culture. Most patients fall into this group, and it is the reason so many men end up confused about their treatment plan: without a bacterial target, there is no single antibiotic that will fix it.<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">The difficulty is that both categories produce identical symptoms, so the symptoms alone cannot tell them apart.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">That distinction has a practical consequence worth stating early, because it is where most of the wasted years go. <strong>If cultures are repeatedly negative, further courses of antibiotics are not the answer<\/strong> \u2014 not a longer course, not a stronger one, not a different one. It is the same trap that catches women with <a href=\"https:\/\/drsoaraweeurology.com\/2020\/10\/23\/bladder-pain-syndrome\/\">bladder pain syndrome<\/a>, and men with CPPS are frequently given that same treadmill for exactly the same reason. Antibiotics belong in this condition when there is something to treat.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\"><a href=\"https:\/\/pubmed.ncbi.nlm.nih.gov\/18645581\/\">Possible symptoms of chronic prostatitis<\/a><\/h4>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Urinary<\/strong> \u2014 urgency and frequent urination, especially at night<\/li>\n\n\n\n<li><strong>Sexual<\/strong> \u2014 premature ejaculation, painful ejaculation, altered sexual sensation<\/li>\n\n\n\n<li><strong>Pain<\/strong> \u2014 genital, rectal, prostatic or bladder pain<\/li>\n\n\n\n<li><strong>Neurological<\/strong> \u2014 neuropathic pain<\/li>\n\n\n\n<li><strong>Infective<\/strong> \u2014 pain on urination with a positive bacterial culture<\/li>\n\n\n\n<li><strong>Psychosocial<\/strong> \u2014 depression, anxiety or stress<\/li>\n<\/ul>\n\n\n\n<figure class=\"wp-block-image aligncenter size-large\"><img data-recalc-dims=\"1\" decoding=\"async\" width=\"800\" height=\"623\" data-attachment-id=\"1731\" data-permalink=\"https:\/\/drsoaraweeurology.com\/ko\/normal-prostate-and-benign-prostatic-hyperplasia-vector-flat-cartoon-illustration-icon-design-isolated-on-white-background-prostatitis-concept\/\" data-orig-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?fit=1200%2C935&amp;ssl=1\" data-orig-size=\"1200,935\" data-comments-opened=\"1\" data-image-meta=\"{&quot;aperture&quot;:&quot;0&quot;,&quot;credit&quot;:&quot;&quot;,&quot;camera&quot;:&quot;&quot;,&quot;caption&quot;:&quot;Normal prostate and benign prostatic hyperplasia. Vector flat cartoon illustration icon design.Isolated on white background. Prostatitis concept&quot;,&quot;created_timestamp&quot;:&quot;1578249094&quot;,&quot;copyright&quot;:&quot;&quot;,&quot;focal_length&quot;:&quot;0&quot;,&quot;iso&quot;:&quot;0&quot;,&quot;shutter_speed&quot;:&quot;0&quot;,&quot;title&quot;:&quot;Normal prostate and benign prostatic hyperplasia. Vector flat cartoon illustration icon design.Isolated on white background. Prostatitis concept&quot;,&quot;orientation&quot;:&quot;1&quot;}\" data-image-title=\"Chronic prostatitis always drags down the quality of lifestyle and affects almost the whole angles of lives.\" data-image-description=\"\" data-image-caption=\"&lt;p&gt;Chronic prostatitis always drags down the quality of lifestyle and affects almost the whole angles of lives.&lt;\/p&gt;\n\" data-large-file=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?fit=800%2C623&amp;ssl=1\" src=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?resize=800%2C623&#038;ssl=1\" alt=\"A man affected by the chronic pelvic pain of prostatitis\" class=\"wp-image-1731\" srcset=\"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?w=1200&amp;ssl=1 1200w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?resize=300%2C234&amp;ssl=1 300w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?resize=1024%2C798&amp;ssl=1 1024w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?resize=768%2C598&amp;ssl=1 768w, https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2020\/10\/Prostatitis.jpg?resize=16%2C12&amp;ssl=1 16w\" sizes=\"(max-width: 800px) 100vw, 800px\" \/><figcaption class=\"wp-element-caption\">Chronic prostatitis erodes quality of life and reaches into almost every part of daily living.<\/figcaption><\/figure>\n\n\n\n<h4 class=\"wp-block-heading\">What has to be excluded first<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic prostatitis is partly a diagnosis of exclusion, and that step is not a formality. Pelvic pain and urinary symptoms in a man can also come from bladder or prostate cancer, stones, a narrowing of the urethra, a bladder condition rather than a prostate one, or from problems outside the urinary tract altogether \u2014 the hip, the lower spine, a hernia, the bowel. Which of these need looking for depends on your age, your history and what exactly you are describing, which is why the tests are chosen rather than run as a fixed panel.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Two things must not be absorbed into the diagnosis once you have it. <strong>Blood in the urine<\/strong> is not a feature of chronic prostatitis and needs investigating in its own right. And <strong>a change in the character of the symptoms<\/strong>, as opposed to a flare of the usual ones, deserves a fresh look rather than another adjustment to the same treatment.<\/p>\n\n\n\n<h4 class=\"wp-block-heading\">When to be seen the same day<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic prostatitis is a grinding condition rather than a dangerous one. Its acute counterpart is different, and a man with chronic symptoms can develop an acute infection on top. <strong>Go to an emergency department the same day \u2014 in Thailand you can call 1669 \u2014 for:<\/strong><\/p>\n\n\n\n<ul class=\"wp-block-list\">\n<li><strong>Fever or shaking chills<\/strong>, particularly with severe pain low between the legs or in the lower abdomen, or feeling generally very unwell. An acutely infected prostate can lead to bloodstream infection quickly.<\/li>\n\n\n\n<li><strong>Being unable to pass urine<\/strong>, or straining with an increasingly full, uncomfortable lower abdomen \u2014 a swollen, inflamed prostate can block the outlet.<\/li>\n\n\n\n<li><strong>Pain that is escalating rapidly<\/strong> rather than following its usual pattern.<\/li>\n<\/ul>\n\n\n\n<h4 class=\"wp-block-heading\">How it is assessed and treated<\/h4>\n\n\n\n<p class=\"wp-block-paragraph\">After a careful history and physical examination, the investigations are tailored to the symptoms the patient actually reports rather than run as a fixed panel, and treatment then follows the evidence that emerges. The available options are:<\/p>\n\n\n\n<ol class=\"wp-block-list\">\n<li>Anti-inflammatory medication<\/li>\n\n\n\n<li>Neuropathic pain medication<\/li>\n\n\n\n<li>Prostate medication (alpha-blockers for the urinary symptoms)<\/li>\n\n\n\n<li>Erectile dysfunction medication<\/li>\n\n\n\n<li>Oral steroids<\/li>\n\n\n\n<li>Herbal extracts<\/li>\n\n\n\n<li>Pelvic floor physiotherapy, and other physical treatments \u2014 extracorporeal shockwave therapy, microwave thermotherapy, acupuncture<\/li>\n\n\n\n<li>Psychological support<\/li>\n<\/ol>\n\n\n\n<p class=\"wp-block-paragraph\">That is a long list, and it is fair to ask why. The reason is that the label covers several different problems that happen to produce the same symptoms, and the treatments are aimed at different ones. This is why modern practice tries to work out <strong>which components are actually driving your case<\/strong> rather than starting at the top of the list and working down. The usual groupings are the urinary symptoms, the psychological burden, the prostate itself, infection where it is genuinely present, nerve-related pain, and tenderness of the pelvic floor muscles. Most men have two or three of these rather than all six, and matching the treatment to the ones you have is what makes the difference between a plan and a series of guesses.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Pelvic floor muscle tenderness deserves particular mention<\/strong>, because it is the component most often missed and the one where physiotherapy from a therapist trained in pelvic floor work is genuinely effective. If your pain is reproduced by pressure on those muscles, that is a finding rather than an incidental, and it points to a treatment that has nothing to do with the prostate at all.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">It is also worth being straight about the evidence behind that list, since it is not uniform. The medications aimed at the urinary and pain components have the most behind them. Steroids, herbal preparations and some of the physical treatments have weaker or more mixed support, which does not mean they never help \u2014 some men respond well \u2014 but does mean they belong in a considered trial with a defined review point rather than as something to stay on indefinitely because it was started once. If you have been on something for months without being able to say whether it helped, that is worth raising.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">A few practical measures are worth trying alongside whatever is prescribed, because they cost nothing: breaking up long periods of sitting, adjusting or pausing cycling if that reliably provokes symptoms, warm baths, and reducing alcohol, caffeine and spicy food if you notice they make things worse. None of these are cures. All of them are things you control, which matters in a condition where much of the frustration comes from feeling that nothing is.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Chronic prostatitis is genuinely difficult to treat, and it is rarely controlled by any single drug on its own. It takes a longer period of trial and adjustment to find the combination that works for a particular patient \u2014 which is why a steady, continuing relationship between patient and doctor matters more here than in almost any other urological condition. Progress is real, but it is measured in months rather than days.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">One last thing, and I put it here rather than in a list because it gets left out of consultations. This condition affects sleep, work, mood and relationships, and men in particular tend to arrive having decided that the psychological side is not a medical matter and not worth mentioning. It is both. Low mood and anxiety are on the symptom list above for a reason, they make the pain worse through a well-recognised mechanism rather than an imagined one, and addressing them improves the pain rather than merely helping you tolerate it. Saying how much this is affecting your life is useful clinical information, not a complaint.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">If you have been struggling with chronic pelvic pain, prostatitis symptoms, or have not responded to repeated antibiotic courses, Dr. Soarawee Weerasopone offers specialist consultations at Bangkok Hospital Headquarters. <a href=\"https:\/\/www.bangkokhospital.com\/en\/bangkok\/doctor\/dr-soarawee-weerasopone-2\" target=\"_blank\" rel=\"noreferrer noopener\">Book a Consultation<\/a>. Appointments at Samitivej Sriracha Hospital can be arranged by calling the Urology department on <a href=\"tel:0880221445\">088-022-1445<\/a>. Questions about the cost of consultation or treatment should go to the hospital directly \u2014 for Bangkok Hospital, by email to <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>.<\/p>\n\n\n\n<p class=\"wp-block-paragraph\">Bangkok Hospital also runs a Telemedicine service, arranged in advance by email to the Urology department at <a href=\"mailto:bhquro@bdms.co.th\">bhquro@bdms.co.th<\/a>. It suits this condition unusually well, because so much of the work is the history and reviewing what has already been tried \u2014 and men who have been through several clinics often have a great deal of that to go through. Send previous urine culture results in particular, since a run of negative cultures alongside persistent symptoms is one of the most useful things in the file. Examination and any procedures are done in person. Samitivej Sriracha is in-person only.<\/p>\n\n\n\n<h2 class=\"wp-block-heading\">Frequently Asked Questions about Chronic Prostatitis<\/h2>\n\n\n\n<div class=\"schema-faq wp-block-yoast-faq-block\"><div class=\"schema-faq-section\" id=\"faq-question-1\"><strong class=\"schema-faq-question\">What is chronic prostatitis?<\/strong> <p class=\"schema-faq-answer\">Chronic prostatitis is a long-term inflammation of the prostate gland that significantly impacts quality of life. It is reported in up to 9% of men, with a recurrence rate as high as 50%. It is divided into two main categories: chronic bacterial prostatitis, where a bacterial cause is confirmed by culture, and chronic pelvic pain syndrome, where no bacterial infection is found.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-2\"><strong class=\"schema-faq-question\">What are the symptoms of chronic prostatitis?<\/strong> <p class=\"schema-faq-answer\">Chronic prostatitis can cause a wide range of symptoms including urinary urgency and frequency (especially at night), pelvic and genital pain, rectal discomfort, painful ejaculation, premature ejaculation, and neuropathic pain. It can also lead to psychological effects such as depression, anxiety, and stress due to its chronic and often frustrating nature.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-3\"><strong class=\"schema-faq-question\">What is the difference between chronic bacterial prostatitis and chronic pelvic pain syndrome?<\/strong> <p class=\"schema-faq-answer\">Chronic bacterial prostatitis is confirmed when bacterial cultures from urine or prostatic secretions test positive. Chronic pelvic pain syndrome (CPPS) presents with the same symptoms but without any evidence of bacterial infection. CPPS is the more common category, yet more difficult to treat, as there is no specific bacterial target and the underlying mechanism involves nerve sensitization and inflammation.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-4\"><strong class=\"schema-faq-question\">My cultures keep coming back negative. Should I try another antibiotic?<\/strong> <p class=\"schema-faq-answer\">No. Where cultures are repeatedly negative, further antibiotic courses are not the answer, whether longer, stronger or different, because there is no bacterial target to treat. Repeated courses in this situation cause antibiotic resistance and side effects without benefit, and they are the commonest reason men spend years without progress. Antibiotics belong in this condition where infection is genuinely demonstrated. The productive step instead is working out which components are driving your particular case and treating those.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-5\"><strong class=\"schema-faq-question\">How is chronic prostatitis treated?<\/strong> <p class=\"schema-faq-answer\">Treatment is highly individualized and often requires a combination of therapies. Options include anti-inflammatory medications, neuropathic pain drugs, alpha-blockers for urinary symptoms, erectile dysfunction medications, oral steroids, herbal extracts, pelvic floor physiotherapy and other physical treatments (including shockwave therapy, microwave thermotherapy, and acupuncture), and psychological support. Modern practice identifies which components are driving the individual case \u2014 urinary symptoms, psychological burden, the prostate itself, genuine infection, nerve-related pain, and pelvic floor muscle tenderness \u2014 and matches treatment to those, rather than working down the list. Monotherapy alone is rarely sufficient, and a trial-and-adjust approach over time is typically needed.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-6\"><strong class=\"schema-faq-question\">Do all these treatments have equally good evidence?<\/strong> <p class=\"schema-faq-answer\">No, and it is worth knowing which is which. The medications aimed at the urinary and pain components have the strongest support. Steroids, herbal preparations and some physical treatments have weaker or more mixed evidence, which does not mean they never help, but does mean they belong in a considered trial with a defined review point rather than something continued indefinitely because it was once started. If you have been taking something for months and cannot say whether it helped, raise it at your next appointment.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-7\"><strong class=\"schema-faq-question\">What can I do myself?<\/strong> <p class=\"schema-faq-answer\">Several measures are worth trying alongside prescribed treatment: breaking up long periods of sitting, adjusting or pausing cycling if it reliably provokes symptoms, warm baths, and reducing alcohol, caffeine and spicy food if you notice they make things worse. None are cures, but all are within your control, which matters in a condition where much of the frustration comes from feeling that nothing is. Reporting the effect on your sleep, work and mood is also useful, since low mood and anxiety worsen pain through a recognised mechanism and treating them improves the pain rather than merely helping you tolerate it.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-8\"><strong class=\"schema-faq-question\">When does this need emergency care?<\/strong> <p class=\"schema-faq-answer\">Chronic prostatitis is a grinding condition rather than a dangerous one, but an acute infection can develop on top of it. Go to an emergency department the same day, or call 1669 in Thailand, for fever or shaking chills, particularly with severe pain low between the legs or in the lower abdomen or feeling generally very unwell, since an acutely infected prostate can lead to bloodstream infection quickly. The same applies to being unable to pass urine, and to pain escalating rapidly rather than following its usual pattern. Blood in the urine is not a feature of chronic prostatitis and should be investigated in its own right rather than attributed to it.<\/p><\/div> <div class=\"schema-faq-section\" id=\"faq-question-9\"><strong class=\"schema-faq-question\">Can chronic prostatitis be cured?<\/strong> <p class=\"schema-faq-answer\">Chronic prostatitis, particularly the chronic pelvic pain syndrome type, is difficult to cure completely due to its multifactorial nature and high recurrence rate. However, most patients can achieve significant symptom relief with proper multimodal treatment. Long-term follow-up with a urologist, patient education, and a strong doctor&#8211;patient relationship are essential for managing this chronic condition effectively.<\/p><\/div><\/div>\n\n\n\n<script type=\"application\/ld+json\">\n{\n  \"@context\": \"https:\/\/schema.org\",\n  \"@graph\": [\n    {\n      \"@type\": \"MedicalWebPage\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/09\/chronic-prostatitis-am-i\/#webpage\",\n      \"url\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/09\/chronic-prostatitis-am-i\/\",\n      \"name\": \"Am I suffering a chronic prostate infection?\",\n      \"description\": \"Chronic prostatitis explained: the difference between chronic bacterial prostatitis and chronic pelvic pain syndrome, why repeated antibiotics fail when cultures are negative, what must be excluded first, which components drive an individual case, how the evidence behind the treatment options differs, and the signs that need same-day emergency care.\",\n      \"inLanguage\": \"en\",\n      \"datePublished\": \"2020-10-09\",\n      \"dateModified\": \"2026-08-30\",\n      \"lastReviewed\": \"2026-08-30\",\n      \"specialty\": \"https:\/\/schema.org\/Urologic\",\n      \"medicalAudience\": { \"@type\": \"MedicalAudience\", \"audienceType\": \"Patient\" },\n      \"isPartOf\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#website\" },\n      \"author\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"reviewedBy\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"publisher\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/#physician\" },\n      \"about\": { \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/09\/chronic-prostatitis-am-i\/#chronic-prostatitis\" }\n    },\n    {\n      \"@type\": \"MedicalCondition\",\n      \"@id\": \"https:\/\/drsoaraweeurology.com\/2020\/10\/09\/chronic-prostatitis-am-i\/#chronic-prostatitis\",\n      \"name\": \"Chronic prostatitis\",\n      \"alternateName\": \"Chronic pelvic pain syndrome (CPPS)\",\n      \"description\": \"Long-term inflammation of the prostate gland, reported in up to 9% of men with a recurrence rate reaching 50%. It divides into chronic bacterial prostatitis, where a bacterial cause is confirmed on culture, and chronic pelvic pain syndrome, where no bacterial cause is found. Most patients fall into the second group, which is why repeated antibiotic courses often fail: where cultures are repeatedly negative, further courses whether longer, stronger or different have no target and cause resistance and side effects without benefit. Both categories produce identical symptoms, so symptoms alone cannot distinguish them. The label covers several distinct problems producing the same picture, so management identifies which components are driving the individual case rather than working sequentially down a list of treatments.\",\n      \"signOrSymptom\": [\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Urinary urgency and frequency, especially at night\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Genital, rectal, prostatic or bladder pain\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Painful ejaculation, premature ejaculation or altered sexual sensation\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Neuropathic pain\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Pelvic floor muscle tenderness reproducing the pain on palpation, the component most often missed and the one most responsive to trained pelvic floor physiotherapy\"},\n        {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Low mood, anxiety or stress arising from the chronic nature of the condition, which worsen pain through a recognised mechanism and whose treatment improves pain rather than only tolerance of it\"}\n      ],\n      \"differentialDiagnosis\": [\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Bladder or prostate malignancy\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Visible blood in the urine, which is not a feature of chronic prostatitis and requires independent investigation, and any change in the character rather than the intensity of symptoms\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Acute bacterial prostatitis\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Fever or rigors with severe perineal or lower abdominal pain and systemic illness; can progress to bloodstream infection and requires same-day emergency assessment\"}\n        },\n        {\n          \"@type\": \"DDxElement\",\n          \"diagnosis\": {\"@type\": \"MedicalCondition\", \"name\": \"Urinary stone, urethral stricture, or a bladder rather than prostatic cause including bladder pain syndrome\"},\n          \"distinguishingSign\": {\"@type\": \"MedicalSignOrSymptom\", \"name\": \"Identified by targeted investigation chosen from the history rather than a fixed panel; non-urological causes in the hip, lumbar spine, hernia or bowel also enter the differential\"}\n        }\n      ],\n      \"possibleComplication\": [\n        {\"@type\": \"MedicalEntity\", \"name\": \"Superimposed acute prostatitis with systemic sepsis: fever or rigors with severe perineal pain or systemic illness needs same-day emergency assessment; in Thailand the emergency number is 1669\"},\n        {\"@type\": \"MedicalEntity\", \"name\": \"Acute urinary retention from an inflamed, swollen prostate obstructing the outlet\"}\n      ],\n      \"possibleTreatment\": [\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Anti-inflammatory medication\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Neuropathic pain medication\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Alpha-blockers for urinary symptoms\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Pelvic floor physiotherapy\", \"description\": \"Delivered by a therapist trained in pelvic floor work. Indicated where pelvic floor muscle tenderness reproduces the pain, a component frequently overlooked and one that has nothing to do with the prostate itself.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Other physical treatments including extracorporeal shockwave therapy, microwave thermotherapy and acupuncture\", \"description\": \"Evidence is weaker or more mixed than for the medications targeting the urinary and pain components; appropriate as a considered trial with a defined review point rather than indefinite continuation.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Oral steroids and herbal extracts\", \"description\": \"Weaker or mixed supporting evidence. Some men respond, but these warrant a defined trial period and review rather than open-ended use.\"},\n        {\"@type\": \"LifestyleModification\", \"name\": \"Self-directed measures\", \"description\": \"Breaking up prolonged sitting, adjusting or pausing cycling where it provokes symptoms, warm baths, and reducing alcohol, caffeine and spicy food where they aggravate symptoms. Not curative, but within the patient's control.\"},\n        {\"@type\": \"MedicalTherapy\", \"name\": \"Psychological support\"}\n      ],\n      \"expectedPrognosis\": \"Difficult to cure completely, particularly the chronic pelvic pain syndrome type, but most patients achieve significant symptom relief with a combination approach. It is rarely controlled by any single drug, and progress is measured in months rather than days, so a continuing relationship with one urologist matters more here than in almost any other urological condition.\"\n    }\n  ]\n}\n<\/script>\n\n\n\n<p class=\"wp-block-paragraph\"><strong>Disclaimer:<\/strong> This content is written and reviewed by Dr. Soarawee Weerasopone, a board-certified urologist at Bangkok Hospital Headquarters. It is intended for educational purposes only and does not constitute medical advice. Chronic prostatitis is diagnosed after other causes have been excluded, and new or changing symptoms should be assessed rather than attributed to it. No medical advice, diagnosis or prescription is provided through personal messaging channels or social media. Always consult a qualified healthcare professional before starting any medical treatment. In an emergency, attend the nearest emergency department \u2014 in Thailand the emergency number is 1669.<\/p>\n","protected":false},"excerpt":{"rendered":"<p>Pelvic pain that no antibiotic seems to fix, and tests that keep coming back normal. Dr. Soarawee Weerasopone, urologist at Bangkok Hospital, explains the two forms of chronic prostatitis, why most men fall into the harder one, and why treatment takes patience rather than a single prescription.<\/p>","protected":false},"author":185281453,"featured_media":10029,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"advanced_seo_description":"Persistent pelvic pain, urinary symptoms, and sexual discomfort? Dr. Soarawee explains chronic prostatitis and chronic pelvic pain syndrome \u2014 symptoms, diagnosis, and treatment options.","jetpack_seo_html_title":"Chronic Prostatitis & Pelvic Pain Syndrome: Symptoms & Treatment | Dr. Soarawee Urology","jetpack_seo_noindex":false,"jetpack_seo_schema_type":"","_jetpack_newsletter_access":"","_jetpack_dont_email_post_to_subs":false,"_jetpack_newsletter_tier_id":0,"_jetpack_memberships_contains_paywalled_content":false,"_wpcom_ai_launchpad_first_post":false,"_jetpack_feature_clip_id":0,"_jetpack_memberships_contains_paid_content":false,"footnotes":"","jetpack_publicize_message":"{title}\n\n{excerpt}\n\n{url}","jetpack_publicize_feature_enabled":true,"jetpack_social_post_already_shared":true,"jetpack_social_options":{"image_generator_settings":{"template":"highway","default_image_id":0,"font":"","enabled":false},"version":2},"_wpas_customize_per_network":false,"jetpack_post_was_ever_published":false},"categories":[1362],"tags":[1464,1465],"class_list":["post-1735","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-infection","tag-chronic-prostate-infection","tag-chronic-prostatitis"],"jetpack_publicize_connections":[],"jetpack_likes_enabled":false,"jetpack_sharing_enabled":true,"jetpack_shortlink":"https:\/\/wp.me\/pgZdrK-rZ","jetpack_featured_media_url":"https:\/\/i0.wp.com\/drsoaraweeurology.com\/wp-content\/uploads\/2026\/04\/Chronic-Prostatitis-2.webp?fit=1200%2C630&ssl=1","_links":{"self":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts\/1735","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/users\/185281453"}],"replies":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/comments?post=1735"}],"version-history":[{"count":24,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts\/1735\/revisions"}],"predecessor-version":[{"id":11818,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/posts\/1735\/revisions\/11818"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/media\/10029"}],"wp:attachment":[{"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/media?parent=1735"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/categories?post=1735"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/drsoaraweeurology.com\/ko\/wp-json\/wp\/v2\/tags?post=1735"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}