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Chronic Prostatitis Treatment Protocols

Please note that much of this information is now superseded by data discussed at our prostatitis and pelvic pain forum. Please join the forum for the latest information.

The cause of chronic prostatitis/chronic pelvic pain syndrome is unknown and treatments are empiric. Hence, the principal purpose in evaluation of the patient is to exclude a treatable cause of symptoms. (Alexander & Pontari, AUA Meeting 2001)

The following distilled wisdom has been gleaned from the experience of the site managers, the advice of prostatitis researchers and discussion among sufferers on the CPPS / prostatitis forum. It has made many sufferers feel close to normal again. (Caveat: Information on the forum —which has a joining fee— will be more up-to-date and you are urged to join the forum rather then following the advice on this page). Do not take any of the prescription medications mentioned herein without discussing it first with your doctor!

The traditional treatment for this malady has been (and for many urologists still is) antibiotics. We frown upon the use of antibiotics after they have failed. The archives are full of men reporting negative side-effects from these drugs. Most knowledgeable urologists today will discourage the use of antibiotics if they fail to cure a patient and cultures are negative. Unfortunately, many men are temporarily helped by these drugs, for complex reasons, and this convinces them that they have an infection, sending them looking for new prescriptions again and again. In extreme cases men have taken antibiotics continuously for years without any lasting benefit.

In order to subdue symptoms you may have to change your lifestyle, diet, career, approach to life psychologically. Maybe your genes will not comfortably allow you to be the go-getter or fire-eating Type-A personality you used to be before all this started. Maybe that high-stress power career is no good for you. At first you will mourn the loss of these things, but after a few years most men adjust and feel that the sickness has taught them valuable lessons about life, fostering a calmer, philosophical approach wherein attention is paid to relaxation, both physical and mental. Other men are able to maintain high pressure lifestyles with the addition of meditation, relaxation exercises and physical therapy (as outlined in the Wise-Anderson Protocol).

With care, it is indeed possible for many sufferers to have long periods of feeling extremely well with symptoms so subdued that they are hardly noticeable.

The future looks very promising for this disease/syndrome. New treatments (releasing pelvic muscle spasms, neural stimulation, tinkering with genes, drugs which target tiny subsections of the immune system etc.) offering even more efficacious symptom control and perhaps even a total cure are looming on the horizon.


Quercetin is a superb mast cell secretion blocker. This site has a page on quercetin. Take ~2g (2000mg) quercetin daily. Cycle 3 weeks on, 1 week off. It seems to work better that way. Only buy the most reliable brands of quercetin like Prosta-Q* or Q-Urol* (new!). Read a study of quercetin and CP/CPPS. Quercetin can also be obtained in smaller quantities from natural sources, like broccoli and Rooibos (Redbush) Tea, which is delicious hot or cold.
* - has supporting studies

In addition to quercetin, it is advisable and useful to take some key supplements to bolster your immune system and subdue inflammation.

General Recommendations

Avoid stress. Avoid excessive sitting (pressure can be a mast cell trigger) and use a donut cushion (see page on sitting) if you have a sitting job. Avoid truck-driving, bicycling and horse riding. Avoid excessive exercising (a mast cell trigger) and fatigue, but do take gentle exercise, like walking. Avoid foods to which you react with phlegm, stomach pain, diarrhoea, flushing, headache, rash, joint pain (allergens degranulate mast cells, releasing histamine, and this may be the cause of your condition). Eat blue/red onions (full of natural quercetin) as is broccoli. Climate: a hot, dry (immune-system-friendly) climate is preferable to a cold, wet one. Researchers in northern Europe report that cold weather (a mast cell trigger and muscle spasm promoter) co-incides with flares.



The following agents help some but not all sufferers. You may wish to experiment, especially if our protocol as outlined above does not do the trick for you (listed in no particular order):

More details of medications, including side effects, can be viewed on our medications page.


Other items rumored to help:


Different people have different triggers/irritants, but here are the most common you may wish to experiment with avoiding:

Please email us your suggestions for this page!