no treatment required. it is standard practice for men with infertility and category iv prostatitis to be given a trial of antibiotics and/or anti-inflammatories however evidence for efficacy are weak. since signs of asymptomatic prostatic inflammation may sometimes be associated with prostate cancer, this can be addressed by tests that assess the ratio of free-to-total psa. the results of these tests were significantly different in prostate cancer and category iv prostatitis in one study.