22M - Weak/inconsistent urinary stream for 2 months, no pain or burning, sometimes just dribbles
22M, non-smoker, never used alcohol or recreational drugs.
Height: 6 foot 1
Weight: 150
For the last \~2 months I’ve noticed a significant change in my urinary stream. Before this started, I had a strong stream and could urinate quickly. Now the stream is very inconsistent.
Symptoms:
Sometimes the stream is normal or close to normal.
Sometimes it’s a weak stream.
Sometimes it’s mostly dribbling.
When my bladder is very full, I often get a brief stronger stream at first, then it becomes weaker and slower.
Sometimes I feel like there may be a tiny amount left after urinating, but most of the time I feel empty afterward.
Sometimes it feels similar to the sensation of being “bladder shy” when someone is standing next to me in a public restroom.
What I do NOT have:
No burning with urination.
No pain.
No blood in urine.
No fever.
No known STI exposure.
No increase in nighttime urination. I sometimes don’t even go at night.
Urine is usually clear.
Other details:
Ejaculation seems normal.
Erections seem normal.
Symptoms started around the last few weeks of a stressful college semester/finals period.
Around that time I was working out regularly and doing exercises such as hip thrusts and inner/outer thigh machines.
I also realized I habitually keep my core/abdominal muscles clenched throughout the day and was doing stomach vacuum exercises fairly often.
I spend a lot of time sitting while studying.
I take whey protein and creatine, but I had already been taking them for months before symptoms started.
I have not seen a doctor yet. Does this sound more consistent with pelvic floor dysfunction/tension, urethral stricture, bladder neck dysfunction, or something else? What evaluation would typically be recommended for someone my age?