I went back to my urologist about two weeks ago and told him that the prostatitis was still there after a month of various antibiotics, just as bad as ever. It tends to wax and wane, but mostly it just hangs around. We reviewed the fact that the Bactrim didn't work, the Levaquin didn't work, and the Omnicef didn't work. I suggested that it might not be a bacterial infection. He said he's not convinced of that. So as one final measure, he prescribed an additional month of Doxycycline.
Well, I'm about two weeks into that month-long course of Doxycycline, and the prostatitis is just as bad as ever. I'm now convinced that this is not a bacterial issue. Something tells me this has to be related to ME/CFS. When my body-wide inflammation gets worse, i.e. a crash, the prostatitis gets worse. I'm starting to accept that fact that this issue might not go away any time soon--that it might be another long-term symptom that I have to deal with as part of ME/CFS.
If that's what it is, I can accept that. The worst part of having a new symptom is the not knowing what you're dealing with. Once I get that figured out, I have something to research and focus treatment on. It's the not knowing that's the worst.