r/Prostatitis

Need a solution for urinary hesitation.

Urine starts after 3-4 seconds delay. Flow is alright but there is this hesitation. Also have pain i lower abdomen(suprapubic area) that i feel causes the delay. Need a solution for this.

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u/Trentscorner — 16 hours ago

For people who are positive to have bacterial prostatis, do you always have fever?

Hi all,

Sorry I need to ask this question. If I don't take antibiotics, I experience chill and fatigue. Otherwise I have all classic cpps symptoms. So I am extremely confused. Please share if you don't mind. I am pretty miserable right now.
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u/No-Buffalo8587 — 1 day ago

my understanding of flair ups

Hi ladies and gentlemen, hope you are all doing well on your rode to recovery. I am posting this to share my understanding of flair ups, what I have learned in my journey and some resources that maybe helpful to you all.

I have been dealing with a flair up since mid march 2026. I felt much better in end of April and still struggling with some nervous system dysfunction currently but overall I feel like myself again pre flair up. It was a very nerve racking experience (no pun intended) but all the symptoms came back, ED, pain in the pelvic area, urinary, sleep and catastrophizing but maybe at a 50% intensity. Overall I feel like flare-ups are not 100% bad. They are necessary and somewhat beneficial. I highly recommend listening to these 3 segments by Karl Monahan. He is a specialist who deals with this specific issue and his story is very inspiring. I have watched all of his videos and some of his videos i watch daily as motivation and reassurance.

https://www.youtube.com/watch?v=6CampG0u0TA

https://www.youtube.com/watch?v=26DIRL3B7j8

https://www.youtube.com/watch?v=qoGB1SIGk2k

https://www.youtube.com/watch?v=rmJQnYeJ8es&t=2s

In summary - flare ups are inevitable because you have to at some point re train your body and brain to do normal activity again. For me it was masterbation. At first even the thought of masterbating or any slight arousal would send my nervous system into high alert. I couldn't even look at a picture of a women in bikini. Currently every time i masterbate i feel the tightness and the nervous system in the background but its very much in the background. I don't think my masterbation is back to normal but its funcitonal. The strange the is that after I finish, my pain is gone and i feel 0 nervous system activity, basically i feel normal. Needless to say the flare up happened when i masterbated 5x that day back in march and i may have clenched too hard. But if i didn't have that flare up how would i know there is still something wrong? I can't just keep living life not doing any of the acitivities that I enjoy and not pushing myself to become normal, because at the end of the day we have to either strive to be normal or what is the point? remain broken forever? what other option do I have? with these mind body issues I believe its important to push the limits to retrain your mind that I am normal, nothing is wrong, and if your body says no something is, then maybe back off a bit and go a bit easy. But overall flare ups will happen and sometimes you need them to happen in order to progress. I hope this bit of information will help you in your journey as it has helped me. good luck all in your recovery.

Situation uncertainty

Hello everyone, I would like to get some information about a topic.

Since 2023, I have had recurrent microscopic hematuria. All examinations regarding this issue have been done: cystoscopy, CT scan, ultrasound, blood tests… No nephrological problems were found either.

However, my urologist goes through things very quickly and never talks to me about prostatitis or prostate-related issues. I often have testicular pain, abdominal pain, and sometimes I have difficulty holding my urine. Also, if I do not drink enough water, my urine becomes very dark.

From my research, I learned that there is also a form of prostatitis without infection. I am thinking about this possibility.

Has anyone here experienced a similar situation?

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u/Dgncn34 — 1 day ago

Prostatitis, hyperspermia and autoimmunity - I'll try anything by now

Anybody up for an overly long, sort of pathetic sob story ending with a plea for advice? I'm here to please!

 

I was caught with elevated PSA in my latter half 40’s and this opened a Pandora’s box of sex related shite. I’m 53 now. It all started with the familiar problem of peeing like a geezer. I could say my prostate had grown on me, but I hate the little bugger more than my cecum.

The medical professionals all took care to speak softly and not to step on my fallen manhood with their anatomical sandals. This had me slightly suspicious. I reacted with a google frenzy, of course. Turns out my country, Sweden, mostly use Rezum (non-invasive surgery) and Finasteride (5-alpha-reductase inhibitor) to treat BPH. And yes, both options brought with them some troubling stats surrounding sexual performance. Then again, I was more worried about peeing and cancer.

My urologist however turned out to be more of a Dr. House – kind of funny and rather blunt. He laid out the battle plans by saying surgery or not, it would be wise to start with Finasteride to rein in the prostate a bit. After half a year or so the verdict should be in. So imagine my surprise when my symptoms got better within an hour after taking my first pill.

Well this is funny, I thought, because my google-fu had done nothing to make me believe that was in the cards. Placebo doesn't really work like that. Weeks went by and then it hit me. My symptoms included CPPS and a numb feeling overall. So what about the inflammation? Some sources spoke of Finasteride reducing inflammation. It also seemed to help with my “blue balls”. Or, more accurately, what I thought was “blue balls”.

I suppose most of us walk through life kind of assuming most folks experience things as we ourselves do. Googling blue balls I now know it describes what can happen if a man gets nudged close to ejaculation but never finishes – teased, one might say – and then a while after get blue ball cramps. Me, I took it for granted that if a man simply doesn’t ejaculate for a period, he gets blue balls. In my case max two days when I was 18 and up to five nowadays, ending with severe discomfort that just will not give. Just so you know where I’m coming from: my balls become so sensitive I can’t bend to tie my shoes without pain; the feeling of severe pressure is such that my already sub-par concentration flunk; sleep is near impossible; the whole CPPS flares up; life becomes miserable.

That’s how I found out I suffer from hyperspermia. I did get comments from sex partners but thought nothing of it except to offer some lame apology for the exaggerated mess. There’s a hyperspermia subreddit, but it’s completely unserious/porn-centric. While I have no known issues with fertility, hyperspermia is still related to CPPS. As I was to find out, the combo can become distressing.

After awkwardly telling Dr. House about my offensive loads of cum, he remained composed and ordered me to take matters into my own hand(s). Yes, he actually said I was to masturbate at least thrice weekly. And just to be clear, since I started Finasteride, my loads are more or less normal, so this is not even a humble brag, just an old guy whining. Would have been funnier had he written a conscription but it’s silly enough as is. Silly and depressing.

My numbness and I guess my boring personality mean I struggle to masturbate. In fact, I always sucked at it (so to speak, I’m not flexible enough to actually) and through my adult life always thought of it as a necessary drudge, like doing the dishes, except worse. These last years I can very seldom finish without a sex toy and even then only if the stars are aligned. Porn does nothing much for me, as it’s just not my cup of tea. The whole masturbation task takes forever and I’d rather go to the gym, work or clean the flat.

We live in a small apartment and any me-time I get, I try to get it done. Sometimes it works. If I have to wait until the kids are asleep so I’m undisturbed fiddling with my set of lubricants and what not, at least half the time I fail to finish because the stars have moved along for that day and I’m too knackered. That begets the hyperspermia type blue balls. Which in turn makes masturbation that much harder due to increased inflammation and feeling bloated to the point of explosion. It’s a proper circle jerk of doom.

More than one time I’ve tried to instead ride things out. But there’s no light at the end of the tunnel of abstinence. It just keeps hurting. Sleep is almost impossible.

What about my missus, you might ask? Well, with a woman, all is fine. If she feels right, smells right, all that. I’d say we have a good relationship, my partner and I. We do have sex and when we do, we both enjoy it (or so she says). But honestly, how many women in their forties want to have sex 2-3 times a week 10 years into a relationship - with kids no less? I very much strive not to make my problem her problem. While being completely honest about my condition, I stress I have absolutely no expectations from her. The worst that happened is I’ve asked for a mercy fcuk when I was stuck and just had to sleep already, and then I’ve ended up indebted for days. She says it’s no biggie but I feel like I would if I asked a friend for money. She also says she’d be less bothered with me finding a discrete lover than me messing with her sleep like that. Well that would be something. Me administering that without any wrinkles. Yeah, so I truly feel like a caveman. Not in a good way sexy caveman. A hapless caveman stuck with his own miserable dick in his hand but so unskilled with such advanced tools that a happy resolution escapes him.

When I google my symptoms there are so, so many possible explanations and I know all too well how easy it is to latch on to any one of them. Wanting to improve health has demanded I be my own doctor, trying out various life style changes in a disciplined way to slowly tease out what’s what.

I already eat very healthy, I lift weights, run and cycle, I don’t smoke, seldom drink, sleep 7-8h. Honestly, I’m fit that way and look young. But my outwardly health hides auto-immune complications that drive my ADHD like a mare.

I often have a bit of brain fog and tiredness. Also proctalgia fugax (anus cramps), shitty joints, food insensitivities (milk protein gives me bad IBS and brain fog) and a list of other nuisances linked to auto-immunity. A couple of years ago, before I started testing everything and trying out all my foods and all, I went through a medical investigation to rule out MS (which runs in my family). Sugar spikes and drinking coffee like an office pro tend to aggravate everything. I live like a monk here, prayers remaining unheard.

I supplement fish oil + vit D wintertime, sometimes add some magnesium and B9 & B12 since I have bad uptake and drop unnervingly low even if I eat eggs.

When I get worsening CPPS I do some stretches and stuff, but what works best for the moment is to pop an NSAID. Should I start eating quercetin or something?

If you’ve read through all of this, I sincerely thank you. Does any of it sound familiar? What might I try next? I feel stuck. Would be happy to try just about anything.

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u/bjoernmoeller — 1 day ago

Are there pelvic wand alternative for trigger points releases?

Hello,
I both have a fissure and uti/Prostatitis symptoms. I found some painrelief with self internal massage but only partial which is why I am considering to purchase a tool. Has anyone tried the njoy wand as an alternative? It is quite pricey but it seems like it would work.
Thanks.

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u/Throwawayforcuti — 1 day ago

Antibiotic worked for a while

Urethritis and tight anal sphincter. Did tons of research, saw all sorts of specialized docs, did labs etc. I have a PT. Yes I tried some antibiotics in the past and antifungals. Nothing worked. PT hasn’t been working. For reference I’m 24 and healthy aside from this and eat healthy as well.

I recently caught syphilis (just last month, this is unrelated to my cpps). I was given bicillin shots. The very next day my tight anal sphincter was GONE. I’m talking about 99% GONE. My urethritis was 95% GONE.

I changed nothing in my lifestyle. It had to be the shots. Slowly my symptoms started coming back as the days progressed. Maybe in my case it is bacterial but the dosage of penicillin meant for syphilis is not the correct treatment for wtvr bacteria is causing my symptoms.

I’m going to try high dose long course amoxicillin to see if it might work. Even the PT thinks it’s likely bacterial if the penicillin had such a dramatic effect in my case. I’m talking I felt 99% normal. Literally thought it went away for good, was so happy.

I swear I’ve been trying everything since Dec 2023. Nothing has changed until the penicillin in my case. Hopefully it’s actually bacterial but it’s difficult because regular tests have never picked anything up, or if they have it was passed off as contamination bacteria and I was given doxy, ceftriaxone, levofloxacin, and sulfamethoxazole (none of these worked).

Also tried amitriptyline and other things, nothing worked, which is y I was 100% focusing on PT. But tbh I think my suspicion was right and this recent reaction to penicillin had to be considered

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u/oldlifeoldname — 2 days ago

Male uti i think not sure

Help, please. It all started in December this year. I had a pain in my tummy and thought I had a hernia, as I had one before in the same location. I had this checked via scan, and it was nothing. Then things progressed, hurting when I urinate and experiencing stabbing pain in my penis. I went back to the doctors and was given antibiotics for a UTI. As soon as they ran out, the symptoms returned, but now worse—with back ache and testicles feeling full and sore and i keep leaking wee. I've had four rounds of antibiotics, a cystoscopy, and a CT scan, but all showed nothing. I'm now urgently referred to a nephrologist, but not until July. I'm in pain every day. What could this be, please?

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u/No_Reindeer3283 — 2 days ago

Cpps does not resolve. Tried everything

I am at a lose. I have tried everything from physio, ran every test possible. Nothing helps. It’s been years. I’m tired of being in pain and don’t know what to do. Pressure on my “gooch” helps pain and anal dilators take pain away until I take it out

Burning urethra, especially after sex, pee burns, redness, sore penis,

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u/PracticalQuote4066 — 3 days ago

Any Help Appreciated Please

Prior to Jan 2025 no history of any Urology issues.
Then in Jan 2025, I was diagnosed with Grade 2 Bladder Cancer and the tumour was removed, the following month February I had surgery to untangle a strangulated bowel, which resulted from post operation effect of the Bladder surgery, then to top it all off in March I was admitted to hospital after feeling ill and shivering and after being hospitalised for 4 days on intravenous drips, received MRI Ultrasound and Rectal Internal was diagnosed with Sepsis, Prostatitis, severe inflammation of the prostate.
I was given six week course of Ciprofloxacin.
Thereafter I was prescribed a 6 week prescription of Trimethoprim, and a 4 week prescription of Ofloxacin, urine/blood tests showing no bacterial infections.
However my consultant has confirmed that I almost certainly have CPPS, which may have developed from after the initial Bacterial infection.
So for approximately 1 year now, I have suffered from pain around anus, perineum, penis every day following passing stools.
This ranges from uncomfortable 3/10 pain to nauseating 9/10 on pain threshold and is making my life a misery.
The current medication being used which I have been taking for 6 months now is Gabapentin 6 x 300mg daily, Alfuzosin/Cialis daily, and Lactulose (Stool softener )I have tried a wide range of pain killers without success, I have also tried PT, Massage, Acupuncture, Chiropractor without any success.
Hot baths ease some of the pain, and although I go to sleep with pain (sometimes with hot water bottle around the painful area) every morning after muscles around this area have relaxed no pain/uncomfortable feeling at all, as soon as I pass stool, the pain cycle starts again.
Has anyone else experienced similar experience, and the feeling around anus does feel like the golf ball feeling described by others.
I do not suffer with any urinal issues.
My current Cancer status is clear after the original diagnosis and surgery and I continue to have a cystoscopy on a six monthly basis which I absolutely hate and find very painful.

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u/LIMPIT1250 — 2 days ago

Need some advice regarding prostatitis or something worse.

Been having issues since February regarding pelvis and testicle pains. Urologist thinks I have prostatitis, so he put me on Ciprofloxacin for two weeks. After the two weeks were up, symptoms came back so he put me on a higher dose of Cipro for three weeks.

After the three weeks were up, I was still experiencing issues. I was supposed to have a follow-up appointment the following Monday. They called me two days later and said that they had to cancel the appointment because the doctor was going to be out of the office 'for a while', and said that I won't be able to see him till my next appointment in August. Any other Urologists I can see can't see me till around the same time.

Today I was having sharp pains in my pelvis after eating lunch. I think it's related to stool about ready to pass, as it happened again after dinner. I'm worried that my prostate is enlarged, and makes it difficult for stool to pass through my colon.

It could also be related to masturbation as well. I've previously had issues where I would feel a pressure sensation in my pelvis later in the day after masturbating, and it felt very similar earlier (kinda felt like something was borderline about to rupture).

Seeing as how doctors have failed me, I need advice from internet strangers. Does this sound like Prostatitis? I'm worried it could also be prostate cancer, which has me even more mad that they're making me wait this long to figure out what's going on. If it is prostatitis, is there anything I can do to help alleviate the symptoms/make it go away (since antibiotics didn't work)?

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u/Mr_Rotch_61 — 3 days ago

Giving up soon, still E.coli present

I visited my urologist today, the latest urine analysis still shows e.coli present.

Last time I got Bactrim which made me much better, now he prescribed Cipro, this is the second time I am taking it

He also said it's one of the more kind e.coli variant

Why doesn't it go away then? This has been going for one year now and they can't get rid of e.coli, despite being the more easy one.

My symtoms are still burning and feeling something in rectum, also the burning can travel sometimes thru the penis and burning the tip.

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u/Informal_Taste_2891 — 4 days ago

M23- tingling/leaking/dripping feeling on the underside tip of penis (only symptom)? Need help.

I’ll try to keep this brief.

Hi all, looking for help on what is wrong with me. About a month ago, i had a sexual interaction with a random girl. We didn’t have sex because i wanted a condom but she did rub my penis near her vagina. A week later, I started to feel the tingle/leaking/dripping feeling on the tip of my penis. Sometimes my underwear feels wet but when I check there is nothing there.

I have be really paranoid and don’t know what it could be. I have been tested for chlamydia, gonorrhea, hiv1 and 2, syphilis, hep B, and trichomonas. All resulted negative. I don’t know if the sexual interaction actually caused this issue or not. I also was drinking a lot of water (over a gallon a day) for a month or so leading up to this issue and was peeing very frequently, at least once an hour.

I have no other physical symptoms and no discharge, just this weird feeling of leaking from just the tip of my penis.

I have an appointment with a urologist in about 2 weeks but just trying to not go crazy in the meantime… does anyone else deal with something like this?

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u/WashComprehensive482 — 3 days ago

Does night sweat point toward bacterial infection?

Hi all. I have all the classic symptoms of cpps/ prostatis. When I am on bactrim I was feeling very good, occasionally pain when sitting is all when I am on bactrim. But after 11 days i have skin allergy so I stop. After I get off, I am getting more and more fatigue. And night sweat is a stable of my problem throughout this ordeal. I have done all test. (2 times 2 glasses test, 3 urine/ culture, 2 blood test) All negative except Leukocytes-UA, POC. I am just wondering if the fatigue and night sweat a pointer that I have active bacterial infection. Thanks

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u/No-Buffalo8587 — 3 days ago

E. Coli Chronic Bacterial Prostatitis

Sorry for my English first of all.

My story I had back in 2023-2024 August, UTI was not get treated right and raised to prostate.
I had
- pee burns like hell
- fever

They found 100.000 Kbe/ml enterococcus fealis.
After several antibiotics I end up in hospital for iv
3 weeks(invanz). After that almost everything was gone, except the feeling there is some Urin left in the tip.
No ed or smth
Where I get it from idk. It came out of no where very fast with fever. I had a girlfriend from January 2025 to July and there was no boner problem at all.
July - November every routine test negative

In November I had sex with a girl every day for 8 days.
(No boner problem)
And
In December I meet a new girl an noticed my boner don’t last long and I need to concentrate. I tought maybe I’m nervous. So I tried Testosterone and Viagra and it didn’t worked. The feeling of Last Urin in the tip got more aswell. So I decided to check again. It turns out 3,8 PSA and e. Coli 100.000 KBe/ml in sperm. And high inflammation round cells. I got again 20 days amoxi and my boner was for 5 days normal and then I finished amoxi and the problems came back, then docxy for 14 days and not worked. I tried fosfo for 4 weeks and it improved slowly worked but I ran out.
So I took new test and the bacteria showed up again with a new one klebsellia. They send me again to hospital. STI negative and mycoplasma.
It’s fucking annoying I feel you guys.

But now my question after I finished fosfo my symptoms came slowly back and at day 6 off, I got even muscle pain everywhere and feel very weak. And my tendons hurt. Does anyone ever experienced that?

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u/Rare-Standard2891 — 3 days ago

Should I extend my Levo course?

I am diagnosed with chronic bacterial prostatitis. About 6 weeks ago I started peeing a lot of blood. Rushed to the ER, got tests and IV antibiotics, and got put on a few antibiotics for UTI's. Urine sample from ER showed 60,000 to 100,000 E coli. Symptoms came back 3 days after ending a 7 day long course from the ER doc and that's when I saw a urologist. I got another urine test 3 days after when the blood in urine came back but there was 0 bacteria detected in my urine. The urologist did say that my prostate felt inflamed and it was likely the prostate that bled into my pee. Now I'm on Levo prescribed by the urologist. Original script was 4 weeks but I got it extended by another 2 after seeing the horror stories on here. I felt totally fine a few days after starting the Levo. I'm 5 days away from finishing this 6 week long course and don't have major symptoms but I'm really worried about this coming back after I finish the Levo. I do have some slight symptoms like precum and my prostate gets sore after sitting at work all day. I never in my life saw precum and prostate was never sore before. If I still have these symptoms would it be fine to ask the urologist to extend by another 2 weeks or is it pointless after a 6 week long course? I'm taking 1,200mg of NAC every single day and 600mg of ibuprofen. With this much ibuprofen, my prostate still gets sore after work so clearly something else possibly bacteria is irritating it right?

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u/FentBandit — 3 days ago

1.5 years of penis/perineum/pelvic pain + weak erections. Prostatitis/CPPS or nerve issue?

Hi everyone,

I’m trying to figure out whether my symptoms sound more like prostatitis/CPPS, pelvic floor dysfunction, pudendal/dorsal penile nerve irritation, or something else.

Main issue:
I’ve had on/off, sometimes mild, sometimes worse, but persistent penile/pelvic/erection problems for about 1.5 years. The pain is usually not severe, but it is irritating, distracting, and has affected my erections and confidence a lot.

Timeline / possible triggers:

  • Around 6 months before the penile symptoms started, I had chronic lower back pain from heavy deadlifting. When this started I was on testosterone 300mg/week, 20mg anavar for 6 weeks, and 15mg accutane day + arimidex low dose (to lower estrogen). Went off and did PCT and regained libido and erection a few months later without doing blood test to check hormones. Stopped accutane 3 months before these symptoms started. Lower back pain has persisted for 2 years, been better in periods but is currently bad again. Been to physios, and MRI and they think it is muscular because no obvious structural injury. Comes and goes in severity.
  • The penis symptoms began the day after several possible mechanical/irritating factors:
    • Did 30min cycling early in the day.
    • Did 15min bathmate penis pumping(but much less force than what i normally did) few hours before sex.
    • Drank some vodka and almost a bottle of wine.
    • Probably a bit stressed and anxious since it was first date in a while and first time sex in 6 months.
    • Had sex, without any obvious injury.
  • I don’t know exactly which one triggered it, but the symptoms and pain started the day after I had sex.
  • Did STD-test, nothing found.
  • Later, I heard about vacuum therapy for nerve injury and tried a low setting LeLuv vacuum penis pump, but that seemed to make symptoms somewhat worse.

Symptoms:

  • Mild constant aching pain, mostly along the left side of the penis+base+perineum area
  • Stinging/stabbing type sensations comes and goes.
  • Mild ache on the left side near the penis base. Sometimes mild ache in the whole penis and area around base.
  • Mild perineum ache/pain
  • Pins-and-needles feeling in the penis, especially when erect or masturbating
  • Penis feels more numb / reduced sensation compared to before
  • Weaker erections than before
  • Harder to get and maintain erections, even when relaxed, aroused, alone and with or without porn.
  • Sometimes small muscular spasms in pelvic/glute area.
  • Symptoms can flare with masturbation/sexual activity
  • Low libido
  • If I stop masturbating for 2 weeks, the penis sometimes feels even more numb, and erections do not clearly improve. Then when I start masturbating again, the pain comes back more or less as usual.
  • Hormonal: Blood test showed that testosterone went from 30nmol pre starting low dose steroids+accutane to 16nmol 1,5 years post stopping,SHGB went from 60 to 52. And free testosterone went from middle of reference range to now bottom of reference range. When I took the last bloods I had mild depression, low libido, stress from being unemployed and slightly worse diet, a bit less strength training etc. Vitamin D was normal/high, I was on supplements like: tongkat ali, shilajit, vit d, zinc, magnesium etc when I took the blood test. But I've had many periods with higher libido, better erections and less depression in the 1,5 years since stopping testosterone so I think I can raise it more naturally and that this is not the main cause.

What I do NOT have:

  • No urinary symptoms or problems.
  • No burning when peeing
  • No obvious bladder/prostate pain
  • No classic infection symptoms.

Tried this with barely any improvement:

  • Pelvic floor stretching 5-30mins a day. No huge improvements, maybe slightly better when consistent, but struggle to stay consistent with it.
  • Nerve supplements: b complex, Vitamin b12, benfothiamine, Acetyl l carnitine, alpha lipoic acid, PEA, magnesium, multivitamin,taurine, l carnitine tartate, l theanine.
  • Peptides: bpc157 + tb500, mk677, ghk-cu.
  • Mindfulness meditation, stretching, walking more etc.
  • Reverse kegels, relaxing, trying to unclench pelvic area.

Urologist visit:

I've seen two urologist.

  1. The first one just felt the penis and testicles with his hands, said that it doesn't look there is any issue, and that it is most likely just because of stress and tension. So no help here.
  2. The second one did a quick ultrasound of testicles/prostate + fingers on prostate and asked if I felt any pain and I said no. But he said that my symptoms sounded like prostatitis, and wanted to prescribe medicines. I asked if there was something on the ultrasound he saw which caused this. He mentioned possible mild calcification/swelling or something like that, but I did not fully understand it and he didn't seem convincing. He still thought it could be prostatitis and prescribed:
  • Doxycycline 100 mg for 10 days
  • Vimovo (500mg Naproxen, 20mg Esomeprazole)- anti-inflammatory
  • Tadalafil/Cialis 5 mg

He said I should book a new appointment if it didn't get better.

I’m unsure whether to take the antibiotics because I don’t have typical infection symptoms and I’m worried about side effects/gut flora, especially if it’s unlikely to help. The last thing i need right now is more health or mental health problems. I'm currently 6 months unemployed, and I already struggle with some mild depression/anxiety and need to be sharp and healthy for possible job interviews, summer plans etc.

I have also already tried tadalafil 5 mg for a long time + occasional use, but it gives me stuffy sinuses and makes me more prone to headaches, and the effect has not been amazing.

I also am not convinced Vimovo/naproxen is a good long term solution, and NSAIDs also has side effects and can damage the gut.

Questions:

  1. Does this sound like prostatitis/CPPS even without urinary symptoms?
  2. Is the antibiotics necessary? Since it is anti-inflammatory it might give temprorary relief for 10 days, but does it make sense to take this antibiotic right now will help my symptoms long term? I feel like it might be good to take it just to exclude bacterial infection, but am scared of possible side effects/gut/mental health/new health issues from taking it, which would have really bad timing right now.
  3. Did oral antibiotics help anyone long term with similar symptoms when there was no confirmed infection?
  4. Could this be pudendal nerve or dorsal penile nerve irritation from sex/pump/cycling/mechanical trauma?
  5. Feel like I have tried almost everything. Starting to lose hope since there is no improvement for 1.5 years. What do you recommend as my next steps?

Not looking for a diagnosis, just trying to understand what direction makes most sense before I take meds that may not be necessary.

Thanks.

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u/stopscrollingfocus — 3 days ago

Do your symptoms seem to depend on the quality of the your ejaculation?

Sometimes it feels like the symptoms come on and spike when the orgasm feels weak or incomplete, almost like the muscles never fully relax. On the other hand, a mind blowing orgasm seems to alleviate the symptoms completely for days. Like a switch.

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u/ycwhysee4589 — 4 days ago
▲ 8 r/Prostatitis+1 crossposts

Interesting experience with deep tissue massage

Hi Everyone, hope you are all surviving well and working on your road to recovery. I want to encourage everyone to stay positive and on track with their recovery. I have had my ups and downs in my own recovery and wanted to share an interesting experience.

So I have been dealing with this issue for 7 months now and I have started to slowly buy into the idea that this issue maybe not 100% related to pelvic floor muscles. I know we hear it all the time that we need to take a holistic approach and to look beyond the pelvic floor. Im sure we hear other treatment options like meditation and mindfulness and some alternative treatment methods like foam rolling and massage. I have always brushed these aside as methods that people prescribe because they are generally good for your overall health when they don't know how to fix your specific issue. Well the truth is slowly sinking in that cpps maybe not caused by a specific issue. for example, i have seen 2 PTs for this, both recommended me a cookie cutter set of routine exercises that I could have researched on youtube and done them at home. why do i need to pay 150 bucks for someone to tell me to do glute bridges? When I asked them what specifically is wrong with me, they both gave generic responses like you have a tight core or you have tight hamstrings. well.. i guess i could have figured out that myself. Most PTs are just doing their jobs for a paycheck and follow a standard procedure for how to treat patients with pelvic issues. So the only solution for us is to cover the entire body and hope that by fixing every major muscle group we can solve 90% of the problem.

Well as I was in the middle of my monthly deep tissue massage my masseuse started working on my calves. I knew i had tight calfs but never thought too much about it and never realized why i needed to care. As she was digging in, i felt the pain of the tightness in my calves and instantly felt pain in my pelvic floor because ironically the painfulness of her diggin her forearm into my tight calves caused me to tense up my entire body. When i tensed up my entire body, the tension was felt prominently in the perineam. This made me think that a normal person without cpps would not feel this. They would feel a pain in their calves and that would be it. Why am i feeling pain in my pelvic floor when the pain is in my calves?

I am starting to truly believe CPPS is an entire body issue. It just so happens that we feel it in the pelvic floor because that is probably where the muscle tightness impacts us the most in daily function like sitting, peeing, pooping and sex. It probably doesn't help that there are alot of nerves in that area as well.

I have ordered a foam roller and massage ball and plan on daily rolling out my upper back neck, calves, quads and glutes daily. I hope you all take this bit of experience and try this logic in your own road to recovery. thanks all see you at the finish line. I am optimistic this issue is not permenent.

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u/Brilliant-Magician10 — 4 days ago

Does this sound like prostatitis?

I am 22 and have had this issue for 7 years curious if it’s prostatitis and if there are any recommendations? So basically if I don’t ejaculate every day my semen turns darkish yellow and becomes clumpy gel like and it’s hard to pass. The ejaculation becomes painful and I have a burning sensation for hours afterwards and urination stings too. The pain feels like it’s internal. It’s been getting worse as of late and I’ve have been doing things like making sure I am staying really hydrated but nothing is helping. I’m still a virgin so not an STD. This didn’t start until I was 15ish and it was more of an intermittent issue but now it’s constant. Not sure what I should do.

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u/InflationObvious8468 — 4 days ago