r/Prostatitis

Does unprotected sex cause this?

I have had flair-ups of this 3 times. Always after unprotected sex. Does this cause the condition? Every time both my partner and I have tested negative for STD’s after comprehensive tests.

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u/wergil_ — 14 hours ago

Is there anyone who has recovered from numbness ? Havent found any success story

Is there anyone who recovered from genital numbness ? And I mean touch, temperature, sexual sensation ?

If theres anyone please write down short story.

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u/Cray-J — 16 hours ago

Has anyone ever taken Levofloxacin for UTI and or Prostatitis ? Whats your experiance been ?

I am 25 year old man , currently battling a persistent case of chronic bacterial prostatitis and am looking for experiences from those who have been through a long term course of Levofloxacin.
My testing confirmed a dual colonization of Enterococcus faecalis and Enterobacter ludwigi. I already tried an extended course of Fosfomycin and many other antibiotics, but the infection remained, likely due to issues of poor prostate penetration. Now, I am facing choice , possibly my only real choice a long course of Levofloxacin ,I’ve read extensively about the side affects and they do scare me quite a bit .
4- 6 week course of Levofloxacin at 500mg daily would most likely be my dose . I would really like to hear from people who have gone through similar situations. Mine just feels hopeless.

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u/greenowl882 — 2 days ago

Possible light at the end of the tunnel

Met with my pelvic floor pt last Thursday and she asked me a bunch of questions then I ended up with yet another finger in my bum. She did, however, note that pretty much every single muscle down there was tense and under stress. This gave me a reluctant sigh of relief. I've been given daily breathing exercises and 3 different stretches to perform every day to relax and strengthen these muscles, she also gave me a very detailed and thorough explanation of how the muscles down there work, what stresses them and how it affects everything from urinary operation to bedroom performance, as well as the nervous system and muscle systems at play that result in pain (even minor, Intermittent pain like m,y occasional twinges and stings)

I'm very hopeful that following these guidelines will yield some results soon, I meet back with her this upcoming Tuesday, wish me luck

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u/MooksMaximus — 1 day ago

I want to give you all hope

Hi! I developed chronic prostatitis/CPPS due to extreme anxiety and possible ligament damage due to fluoroquinolone antibiotic use in june 2025. I was floxxed, which means I suffered severe disabling symptoms from fluoroquinolones. The anxiety and terrible panic from it made my pelvic floor extremely tight.

The CPPS was in many ways even worse than the antibiotic induced disability. I couldn’t sleep a second, I felt like a had an extremely severe UTI that would kill me. Peeing hurt so much I cried. I am gay and thought I would never be able to have anal sex again or any sex for that matter. I couldn’t get an erection for months because of the pain.

I learned to control my pelvic floor and conciously relax it. Nothing else helped. I meditated and used a warm compress. Now I sometimes can feel a sting in the area but then I know how to relax the muscles and it goes away. I stille have some issues from the fluoroquinolones but my CPPS is like 99% gone. I can have sex normally, pee normally, sleep, do everything normally regarding it. I hope you all will heal❤️

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u/Particular_Chair_901 — 2 days ago

19M Normal urine/culture test but urinary symptoms, back heaviness, weak erections what is this

Hey everyone,
I’m 19M and I’m trying to figure out what’s going on.
A few days ago I started having pain while urinating, irritation at the tip of my penis, and a constant urge to pee. I also noticed a small amount of white fluid coming out when I squeezed my penis. The next day I developed lower back pain, and now it feels more like a heavy/achy feeling in my lower back.
I had a kidney function test, urinalysis, and urine culture done, and everything came back normal except for some crystals in my urine. No infection showed up.
The pain while urinating has improved quite a bit now, but my erections are still nowhere near normal. My morning erections are probably only around 50% of what they usually are, which has me worried. I also suddenly developed bloating around the same time.
Has anyone experienced something similar with prostatitis or CPPS, even with completely normal urine tests and cultures? Could this still be prostatitis, or is there something else I should be looking into?
Any advice or similar experiences would really help. Thanks.

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u/Obvious_Focus6757 — 1 day ago
▲ 2 r/Prostatitis+1 crossposts

Chronic pain for years and question related to referred pain and wand.

Hello,
I am using an Njoy wand as a pelvic wand and I think it’s doing something. I should mention I also have a fissure that was chronic, alongside my urinary symptoms.
I’ve noticed there’s quite literally a specific spot that, when I press with the wand, radiates pain toward the glans — very similar to my chronic urinary pain. This gets triggered specifically when I press at the 12 o’clock position.

Is there a way to make that area stop being painful?

Thanks.

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u/Throwawayforcuti — 2 days ago

Urethral discomfort / feeling like there is a drop of urine in my urethra. Is it CPPS?

Has anyone here had a similar experience and/or would be able offer some guidance?

For over a month, I have felt that my penile urethra is sensitive. It's very mild, doesn't disrupt my day-to-day at all, and I don't even feel anything when I'm completely focused on something else. Even when I do focus, I don't always feel it. But sometimes I might feel a slight irritation, or more often the feeling that a drop of urine is making its way through it, while I feel it inside, way more sensitively than normal.

This started just over a week after unprotected sex. However, I should give some context that I became unnaturally worried about contracting an STI from this incident before any symptoms even started. Also before my symptoms had started, I had already booked an asymptomatic STI test with no evidence of any risk.

I tested negative twice (both just before and after the 2 week period) for chlamydia and gonnorrhoea. Not at risk of trich.

Saw my GP. Ordered a urine test. Urine culture Normal (No Action), but Leucocyte test came back positive.

Nitrofurantoin and D-Mannose for a possible UTI didn't work.

Saw a urologist, who saw no need for another urine test and prescribed more antibiotics. I did have a 5-day period of no symptoms while using Doxycycline and Levofloxacin last week, but after one instance of ejaculation (while I was still on antibiotics) the feeling came back. It is possible that the feeling passed due to some internal relief of using antibiotics. I think I was already better a day before even starting them. I also don't know why it came back while I was still on them.

Had a second appointment with the urologist where I told him this. He said I'm getting better and to leave it be. It seems to be kind of stuck like this for now though (not getting better or worse).

No other symptoms whatsoever.

I've basically narrowed this down to CPPS or MGen, which I wasn't tested for. But the symptoms don't seem to match MGen at all, right? Do they match anyone's experience of CPPS? The urologist clearly told me I have nothing that I can pass on, but I didn't specifically raise the possibility of MGen, which I wasn't aware of at the time.

Any help is appreciated.

Edit: I should add that my symptoms are sporadic, usually more in the morning and at night, but importantly no significant change while I'm urinating, or after.

Edit 2: I'm in my mid-20s

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u/LoveCloudAtlas — 3 days ago

Constipation while have hypertonic pelvic floor

Hey guys.

Many of my pelvic floor problems is realted to the state of my bowels. When i finally have complete bowel movement (rarely) a lot of the pressure from the anus is gone, and much easier to urinate etc.

But most of the time im constipated, have incomplete bowel movement where i poop fragmented, and fart many times a day. While being in this state i feel a pressure on my anus.

I have taken husks, magnesia at night etc, but not very effective.

I have taken all relevant tests, and came back negative.

Did anyone sort out their constipation? Which for me is the key i guess.

Any supplements? Specific exercises?

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u/Entire_Discipline823 — 4 days ago

Mentholated/Icy vague feeling on glans and perineum + increased precum

3 weeks ago I had oral sex with a stranger and 3 months ago I had unprotected sex. That's for context.

After the oral Sex episode, some 2 days after, I've felt a numbness on my whole penis, so strong that actually even prevented me for having erections for some days.

After that numbness left me, since then, I've been feeling this vague mentholated/icy feeling. It's not always on the same place. It started on the whole glans, then it eventually moved somewhat the perineum area, and now it feels more like it's on the "back" of the penis (where the penis connects to the body). But it's not persistent, some days I feel nothing, all day long, some days it keeps on coming and leaving me during the day.

Additional to that, I've never produced much pre cum, but now the slightest sexual arousal is producing precum like I never had before. It is clear, very sticky. and that only shows up when I'm aroused or discussing sexual matters. I also noticed my actual cum is more water as well.

Other than these symptoms, I have nothing at all. No burning when peeing, no smell, no weird discharges, no redness, nothing is swollen, nothing at all.

Does it sound like a non bacterial case of Prostatitis? Based off the given symptoms? Or do some milder bacteria also behave that way, like E.coli?

After some research on this sub and tangential subs I've seen that some people had E.coli and had very similar symptoms to mine, except theirs usually have some more additional symptoms then mine.

I am treating a strep Tonsillitis with Amoxilicin at the moment and it will take some more days for me to finish the set, so I am not able to start any other antibiotic or taking any tests until this course ends and my system recovers from the treatment...and anxious and worried as I am, I'd like to hear opinions until I am able to check it.

Thanks!

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u/dermenschmaschine — 4 days ago

Considering stopping tamsulosin - thoughts?

Like many of you, I have been on this journey for some time(5 years give or take). Initially diagnosed with OAB but after being persistent and 4 urologists later - I finally feel like I am headed in the right direction.

After trying OAB meds that did nothing, a urologist prescribed tamsulosin and despite not being thrilled with the side effects, I did see some improvement with urgency, pain, and frequency by maybe a 30 percent improvement. Eventually I was taking .8 and holding steady at 30-40 percent improvement. I met with a new urologist who recommended adding tadalafil and pelvic PT. The addition of the tadalafil seemed to be what turned the corner (dramatic decrease in pain, reduction in urgency and some change in frequency). In an effort to maximize benefits - I took tadalafil in the morning and tamsulosin at night.

After being hesitant on pelvic PT, I pulled the trigger and scheduled and, gentleman for me, it was a game changer. I was such a skeptic at first but the work that’s been done has been amazing - maximizing on all the improvements made by the medicine (i.e. no flare ups, less frequency, less urgency, less muscle tightening/spasms, etc.) The most telling benefit of the PT being that for the first time in 5 years I realized I wasn’t constantly thinking about urinating - who knew that was possible?!?

Now to my question- I inadvertently missed two doses of Tamsulosin at night and noticed that my night time voiding was reduced to only one wake-up or 2 at the max. So I trialed not taking the Tamsulosin for about 2 weeks now and have not noticed an increase in negative symptoms and continue to void less frequently at night. Having come so far I am hesitant to make the change permanent.

Has anyone else been on a combination of both Tamsulosin and tadalafil and then stopped Tamsulosin and maintained positive progress? Just don’t want another shoe to drop

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u/Padraig_88 — 4 days ago
▲ 3 r/Prostatitis+2 crossposts

Looking for ideas on complex case

I'm writing on behalf of a man who has a very complex situation and lives in a country with very limited access to healthcare.

Since 2021 he has been dealing with persistent urethral burning (without dysuria), bilateral chronic epididymitis, and chronic prostatitis. The urethral and testicular pain is constant and not related to urination.

The following pathogens have been detected at different times in different labs but all within the last 18 months:

- P. Mirabilis - urethral swab, gram stain
- Enterococcus Faecalis - Urethral swab and semen, Vitek 2
- Morganella Morganii - Urethral swab and semen, Vitek 2
- Enterobacter Cloacae - Urethral swab and semen, Vitek 2

Because he has no history of catheterization, the most likely explanation is that the infection originated from a contaminated speculum used during his wife's pap smear. Initially, he was prescribed multiple short-course oral antibiotics, but these provided no symptom relief. The concern is that it made the situation much worse. (Ciprofloxacin, levofloxacin, doxycycline, azithromycin, phenazopuridine.)

We are concerned that the Vitek 2 cultures are not detecting all of the pathogens or may be misidentifying them. Given the pain is constant and not related to urination, but pathogens are detected, what do you think?

Please keep in mind that it is almost impossible for him to get a visa to get to a country for testing or treatment. I can go there to get a specimen for testing and if we knew what meds he should take, he might be able to get them locally or we'll figure out how to get them from a medical professional in another country and get them to him.

Thanks for your help.

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u/memyhr — 5 days ago

Has anyone here had urethritis from edging?

25m 175cm 78kg
Hi ,

I want to know if there is someome here going through the same as me.

I edged three times and now its been 6 months of dysuria.

Do i have stricture or something worse?

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u/solestus123 — 4 days ago

Had burning in urine, but had a negative UTI test

My doctor said I had prostatis, and prescribed me Bactrim. How would I know if it’s acute vs chronic? The burning isn’t terrible, it’s mostly when I wake up in mornings and I feel pain in my scrotum area and it is occasionally hard to urinate. Is masturbation okay during this? I don’t want to make it worse.

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u/OneBadger7469 — 4 days ago

My Story - Pretty bad to pretty okay

TLDR: Experienced Prostate, bladder and pelvic floor pain at 45 years old for the first time in my life for approx. 5 months and things are getting better.

Started Feb 10, 2026 with weird but not painful sensations down below. Woke up the next morning with bladder discomfort and a week stream. Symptoms progressed through week. Testicular pain began. Made apt with GP

  1. Blood test negative for bacteria

  2. digital exam was normal

  3. Blood test was good, PSA, Electrolytes and white blood cells normal.

  4. Doc ordered testicular ultrasound. Found cyst but nothing else.

  5. Ordered STI urine test. Negative.

  6. Put on Cypro for 9 days. No change.

Everything got worse. Started having urine hesitancy. Golf ball in anus feeling and pain. Hurts to sit. Bladder and urethra on fire.

Went to a Urologist. Put me on 30 days of bactrim and alpha blocker. Neither helped. Started taking graminnex. Cut out milk and most other dairy.

We are now in what, April? Symptoms remain. Metal health suffering. Libido gone, ability to perform gone. Painful everything.

Still on Graminnex and still on alpha blocker.

Around May I started to have periods of minor relief with flair dome ups.

Things slowly started to improve to the point where I would almost feel normal some days

In June I was feeling really good so I stopped my Alpha Blocker (it was causing sleep issues and heartburn). Had a bit of pelvic tensing for a few days once the drug was out of my system.

Now I am doing much better, not 100% but good enough that it's not top of mind or bothering most of the time.

Here is everything I did that I am still doing

  1. Cut out dairy and reduced cheese

  2. Cut out hot baths

  3. Taking graminnex twice a day

No idea if any of these above things actually helped or if it just needed to run its course.

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u/xiuxiu1313 — 5 days ago

WA state uro recommendations

Hey all, I’m dealing with my second “round” of prostatitis. Now that I’m almost 50 they also test PSA, and I’ve ended up getting an MRI which showed both moderate BPH and signs of prostatitis. No lesions, but they still want to do a biopsy for some reason…which I’m really not sure about with an already inflamed prostate.

My first prostatitis was verified pseudomonas infection, this time they’ve not found anything, but the DRE before the two glass test was -very- minimal and I’m not sure I trust it.

Prostatitis wise all I’ve done so far is one month of Docy, which didn’t do much. I have lifelong complex uro issues and feel my care providers are usually unresponsive and out of their depth.

I’m wondering if anyone would have a specific uro with a good reputation for complex cases in WA state or even nearby.

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u/True_Confection_5050 — 5 days ago

23M Update- flairs coming and going? Antibiotic kinda helped?

Hi all,

I wanted to give a brief update of my experience and see if anyone has advice.

I originally started feeling my symptom (which is, this feeling of leaking/tingling/dripping at the tip of my penis) about 2 months ago, towards the end of April. I did urine culture tests and Sti panel tests, tested for everything which all came back negative.

I saw a urologist for the first time about a month ago, he did a uroswab test with my urine sample, again all came back negative. He then scheduled a cystoscopy, which I then canceled, I am going to reschedule at some point but I wanted to do pelvic floor physical therapy first.

About 2 weeks ago, I got put on CEPHALEXIN antibiotics for a week, for a separate “skin infection”, which I believe was just a pimple that I squeezed at too much and got inflated.

Anyways, the CEPHALEXIN, I believe help make my symptoms go away. I think it definitely reduced the “inflammation” in my tip of penis urethra.

After I was off of it, my symptoms weren’t at “full force” as much, but now about a week after, it feels like it is back in full throttle.

I’m going crazy now because I finally thought I saw the light at the end of the tunnel. But now I don’t know what to do.

Also, I have opened the tip of my penis to look inside my urethra. It looks normal colored, but there is some redness about a centimeter inside of it, which I don’t know if that is normal or not.

I am wondering if that information can lead anyone reading this to maybe understand more of my symptom and ongoing issue. Thank you in advance!

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u/WashComprehensive482 — 6 days ago

Transrectal biopsy soon. New research says its safe?

Transrectal biopsy soon. Dr says previous bacterial infection risks were inflated. New research says its safe

60 yr old dr who says he keeps up with the research. Says he used to tell patients not to do transrectal but has now switched based on new research.

I've recently had a cdiff infection and still have mushy stools im trying to figure out. Tests say im colonized with c diff but no current toxins. Is transrectal something I should avoid because of my issues or should I go through with it?

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u/Twister96AnotherCow — 5 days ago
▲ 3 r/Prostatitis+1 crossposts

Confusion about my pelvic floor symptoms

Hey Guys

I have been having having pelvic floor trouble for now 7 years, and still ongoing ufortunately.

I have been to PT a lot of times, and tried different therapits. I have been at an urogolist too, and had cheched my urine flow, scanned my bladder, and also had a camera through my penis. All was normal structurally.

My PT feel im tensed up, and i usally get manual therapy for about 20 min each time. I also stretches almost daily once with happy baby, baby pose, glute bridghes, side strech, figure 4, cobra 90/90, and all theese famous streches. Also i dont drink, smoke and stop Fapping for 6 months now

I just dont feel i advance though, just stuck. Of course it has got a little better, where i dont feel the tension as an intense (i guess golf ball sensation) where im always automatically clenching, but its still there, just reduced.

My symptoms: Hesitancy, double void, feeling of not fully emtpying bladder, constipation (straining) always almost, weak sensation when ejaculating (and i tense up, feel like its burning at my rectum after ejaculation), premature ejaculation.

I get almost normal erections, but i feel its quickly loses strength, as soon as i stop thinking/fantanizing.

If i have a good bowel movement it all feels better though. I have easiger peeing, and the clenching sensation down there feels much better, much lighter down there.

I noticed also i alwaystuck my lower stomach in, and that when i breath deeply i get a weird sensation at my left groin, like som pressure. My left glute also generally feels more dead, than my right when i tense up.

But no pain at all.

Do anyone been though the same? Is it the IC or BC? is it the Obturator internus? Or do i have levitor ani syndrome?

I hope somebody could guide me, so that i could suggest my PT.

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u/Entire_Discipline823 — 7 days ago

Enterococcus faecalis came positive. Now what?

M33 (UK).

I've been having strong fishy urine smell for several months now - most notable in mornings.

I've also been dealing with testicular inflammation and redness for 5 years now that started out of nowhere. Many urologist visits (5 total, 2 of which in a different country), multiple urine/semen cultures (negative for UTI/STD's (with the same partner for 15 years too), normal ultrasounds, urinalysis that shows no proteinuria, normal PSA test, indicating no prostate issues and normal EGFR/creatinine for kidney function. Normal bladder function and urine flow.

The main scrotum/testicular symptom is skin redness that gets aggravated after ejaculation and takes several days to subside.

I also do have anal burning almost every time I go to the bathroom for number 2.

My urologists still prescribed long courses of antibiotics (Ofloxacin & trimethoprin), which did absolutely nothing and only created stomach issues on top in the long term.

I have no urgency to pee, pain while peeing or blood in urine. I do have pain when moving my pelvic muscles after peeing, though (which go away after 2-3 movements). The smelly urine is a new symptom and only subsides after showering, until the next day. It's also more foamy than usual, specifically in mornings.

Most recently, I did an extensive first catch urine PCR UTI test (it was for women, but as a guy, almost nowhere do labs do PCR tests for males). Out of 32 bacteria analysed, 1 came positive - Enterococcus faecalis (97.17 x10^5 CFU/m).

I am now panicking - is this serious? Is it finally the answer of all my symptoms? Not sure what my next steps should be.

Many thanks.

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u/Gamer0607 — 7 days ago