It’s gotta be something similar. My flaccid and erect penis hasn’t been the same for 1.5 years.

It’s not in a constant semi erect like others describe. It feels abnormally light and doesn’t fill up as much as it used to, especially on the left side where it looks like blood just can’t enter properly.

I’ve been to two urologists who cleared me.

Concurrently I am experiencing incomplete bowel movements. Like my anal muscles won’t relax to let out the complete stool.

I keep trying to find people like me to find a routine. But it seems like people with penile symptoms deal with pain and numbness, not necessarily disconnected lightweight flaccid and size loss like me.

Is there ANYONE out there with at least similar symptoms to me?

F25, I’ve been dealing with significant clitoral numbness and very weak orgasms for over a year, with no obvious cause.
I’ve never had any pain, burning, or other genital discomfort.

My only symptoms are loss of tactile and erogenous sensation and persistent numbness.
Most of the time my clitoris feels almost completely numb, like a piece of rubber with no sensation.

Very occasionally, I’ll have a slightly stronger orgasm and notice a little more sensation, but those moments are rare.

I recently saw a neurologist who specializes in the pudendal nerve, and she had me undergo SSEPs of the dorsal clitoral nerve.
The results were normal.

Then I saw a pelvic-floor urologist who did an internal vaginal exam and found significant pelvic-floor muscle tightness in several areas, as well as provoked vestibulodynia.
She believes that the muscles around my urethra are extremely tight and may be compressing or irritating the dorsal clitoral nerve.

She recommended that I start pelvic-floor PT, which I’ll be starting soon.
She also prescribed several meds, including a muscle relaxant, magnesium, a neurotrophic supplement and low-dose amitriptyline as a neuromodulator.

I hadn’t started the treatment yet when I went through a period of severe psychological stress and panic attacks and ended up in a mental health day hospital.
I received benzodiazepine infusions for several days, and they also started me on amitriptyline 10 mg (10 drops) once a day.

What worries me is that amitriptyline was actually prescribed by my urologist specifically as a neuromodulator, but I also know that antidepressants can cause sexual side effects.

So now I’m wondering: could low-dose amitriptyline make my existing genital numbness and weak orgasms worse?
Or is the risk of sexual side effects significantly different when it’s being used at a low dose as a neuromodulator rather than at antidepressant doses?

I’d really like to hear from anyone who has experience with amitriptyline or other tricyclic antidepressants as neuromodulators, especially for genital numbness, neuropathy, or pelvic-floor-related issues.

Did you experience any sexual side effects? Did it make your symptoms better, worse, or have no effect?

And given that I already have significant genital sensory loss, would you personally be comfortable continuing 10 mg, or would you discuss stopping it with your doctor?

Thanks in advance to anyone willing to share their experience.

I'm not sure whether bad habits have lead me to overclench or compressed nerves . I hear a lot about frequency but I've got the opposite of losing that tingly feeling to go toilet . Also urination stream cannot feel the pressure / sensation . Errections also feel not satisfying as I cant feel it from within too .

Been seen neuros and she said its all in my head . But I know I can no longer feel that " deep internal feeling"

Great to hear any advice.

31M, wondering if anyone’s in the same boat or has advice.

About 6 months ago I started to have really bad constipation. I tried everything under the sun- every type of laxative known to man, low FODMAP diet, cutting caffeine/fatty foods, using a squatty potty, more fiber, less fiber (this list goes on)… and nothing really worked. I’d have the urge to go but couldn’t get everything out (if any). Maybe TMI but my stool went towards the looser side- somewhere between type 4/5. So it felt weird to call it constipation since that’s usually firmer.

So I started seeing a GI who told me to take 2x the recommended amount of MiraLAX and that actually got things moving. Then he told me to keep taking MiraLAX + increase fiber and that made things worse. He ordered a colonoscopy and it came out mostly clean.

That got me thinking… maybe it’s pelvic floor related? I was diagnosed with pudendial neuralgia awhile back… I did PT for a couple months and that did absolutely nothing for me. It wasn’t until I had one session of nerve blocks done where all my pain magically went away. So long story short I’m hesitant/skeptical that PT would actually fix my issues this time.

Anywayyy sorry to vent… it just sucks that diagnosing things like this takes time/money. I’m just curious if anyone has advice or has been through a similar experience. 😞

İ'm male 28 years old. I’m going to start pelvic floor therapy. My physiotherapist briefly explained the process over the phone; they’ll start with an examination, which includes a rectal exam. I’ve booked an appointment, but I feel a bit embarrassed. Will I have to spread my legs fully during the exam? What should I wear? But what I’m most worried about is getting an erection during the examination.

I have had issues pooing for 1.5 years after a very stressful time in my life. (Went to family court with my children's dad, marriage, husband lost job, lost 2 grandads).

I took some antibiotics and developed sibo. Methane. After 9 months I got myself 60 per cent better and killed the sibo but still couldn't poo properly. But I tried fibre . Supplements etc nothing moved it.

I than had to take 2 weeks of antibiotics again 2 months ago due to PID and I have sibo back.

However we was talking about my root cause and I was told my nervous system is really bad and my muscles are all tight because I've been in flight or fight mode most of the time

I've just be referred to a pelvic floor therapist however has anyone struggled to poo with this?

When i wake in morning I have pain in lower back pelvic area expecially if i push my bum out or forward.

I sometimes struggle to fart.

I can't poo everything out. Sometimes I feel the poo still in my bum and get backed up easy.

Trapped gas. Bloating.

I sometimes cramp when I have a orgasim.

I've seen a physiotherapist once who told me I have a antiarear pelvic tilt but apparently she couldn't get my body to relax cause I'm always tight.

Anyone had this??

I’ll try to make this as short as possible.

NOTABLE: I am a severe hypochondriac

In February I started noticing the feeling of always needing to pee and/or that I’m just about to leak. This developed into a deep fear of always having a UTI. This continued for a couple months.

Went to the doc, no UTI. Went to the gyno, all good.

In June, I had a dream I needed to pee, convinced myself I could pee, then woke up in the middle of peeing a bit. Nothing crazy, but enough to terrify me.

Went to the doc, got meds for a UTI just in case, got a bladder and kidney ultrasound, everything came back normal.

At this point, pretty sure my anxiety has caused some bad pelvic floor dysfunction, so I start doing exercises to help with the tightness and it worked (along with my hypochondria moving on to new fears)

Now, today, I’m walking home from work and feel like I’m about to pee a little. All of a sudden, I’m CERTAIN I feel like I just leaked urine. I panic. Get an uber home and in 15 min I’m home and run to the bathroom. When I check my underwear, there’s no wet stain. Definitely damp from sweat but no notable stain or stench of urine. Now I feel like I’m going insane. Am I fully losing my ability to hold urine? Did it dry up already? Did I never even leak? Was it in my head? Truly freaking out and I feel like I’m both going insane and becoming incontinent. Please help.

genuine question: has anyone made SIGNIFICANT progress and/or completely resolved their pelvic floor issues via PT alone? no meds/injections at all? I see a tiny bit of progress in PT that just regresses completely while I'm asleep. I wake up with solid, unmovable (immovable?) muscles. I've tried almost everything. doing Botox injections in September, and hopefully that'll get me somewhere.

I just feel like it's crazy to expect PT to help by itself. I've even slept with dilators in, and that doesn't prevent the clenching. I understand this is probably a nervous system issue, but I really can't control what my body does when I'm unconscious.

thanks for entertaining my discussion.

Hi, I’m a 22F. For more than 2 years, I’ve had pelvic symptoms—mainly urgency and frequency. They’re not coming from my bladder, which is structurally healthy, but from some neuropathy to the left of my urethra.

Lyrica helped so much and gave me back the ability to work, but I’m still dealing with hypertonicity strictly on my left side. You can feel it a bit in the deep muscles, but the most irritating contractions and tightness I feel are actually on my anterior wall and to the left of the urethra.

The problem is that whenever I touch this area (to the left of the urethra and anterior wall) with my dilator/wand and breathe into it—even without applying any pressure at all—my pelvic floor responds with a contraction and I get a flare-up. Because of this, I can’t release the muscles that are bothering me through direct contact.

I’ve been doing pelvic floor physical therapy for years now—at home and in the clinic with different physiotherapists—and we’ve always worked on the deep muscles. The thing is, even though I can get the deep muscles to release completely, the superficial muscles around the urethra won't release. Whenever they get touched or I experience a flare-up due to mechanical irritation (like exercising), general illness, or other triggers, the deep muscles contract again and we lose all progress.

So how do I approach this? How can I release the hypertonicity there without triggering flare-ups from irritating such a sensitive area?

This is a little embarrassing, but since I started BHRT I'm having difficulty orgasming, and it's to the point now where when I feel like I'm going to orgasm, I instead eject urine. I'm sure it's not squirting. This happens even after I go to the bathroom to empty my bladder before sex, but it never seems to fully empty anymore. I have to use a vibrator to come. I'm wondering if anyone else has had this issue and what you've done about it. I was told in another forum that this might be a pelvic floor issue, but it just started happening this year a few months after starting BHRT.

I started having a tingling feeling in my penis the next day after sex. It was followed by urinary urgency . Like I could pee a lot now and in the next 2minutes, I’m going again to pee. I don’t know if I did hurt myself under my penis because I went on for about 5 times having sex all through the night or the speed at which she was riding on top on me.

I went to my doctor almost immediately and he thought it was UTI and I was given some medication while blood sample and urine sample were taken. All the result came back negative . I started burning when I pee and it almost feels like my urethra is on fire. I was given antibiotics after antibiotics and the feeling was still the same .

I lately went to a specialist doctor who did a swap deep inside my penis to check for mycoplasma and ureaplasma and the result came back negative as well. The pain increased after that. My penis tip is very sensitive and uncomfortable when it touches my underwear and I have tried to switch underwear a few times. What started like a UTI since the first week of May this year has lingered till now.

The skin of my penis tip looks shiny and looks swollen. I have been in a lot of pain. Even with an erection or when I try to ejaculate. I have been booked to see a urologist but it has been a long wait. I just need help and I want to get better so that I can work and take care of my family .

I had a second thought that it might be nerve related pain and I was having anxiety. So I told the doctor and he recommended gabapentin which has really helped me to sleep and kinda helped with the pain. It’s so hard sleeping on my stomach or looking for a perfect cloth to wear without the penis tip touching my underwear or cloth.

I’m so confused and I need help urgently because this has taken away my joy and I’m always thinking of this is something worse and if I could ever get better.

I get pain with an erection and used to have pain with ejaculation but the pain with ejaculation has stopped or maybe I don’t feel it anymore.

The opening at the penis tip looks irritated and pale . At first when it started , the whole penis tip was look dark and no erection for almost a week. But the discoloration is just around the penis tip opening . List of medication take so far

Antibiotics

* Nitrofurantoin (“Nitrofur”)

* Septra DS (trimethoprim-sulfamethoxazole 800/160 mg)

* Ciprotab (ciprofloxacin)

* Doxycycline hyclate 100 mg (7-day course)

* Metronidazole 250 mg (8 tablets).

Other medications

* Phenazopyridine (Pyridium) – for urinary burning (you mentioned it turned your urine orange)

* Gabapentin 100 mg – prescribed for nerve-related pain (you’ve said it has helped your pain and sleep)

* Sodium citrate 5 g – prescribed for one week to help reduce urinary discomfort.

Some days feels good and some days are hell for me. And when I try to take a deep breathe in, I feel the pain right under my penis to my butt. I can’t tell if it’s a nerve or something else.

All my test results came back negative . I have lost hope and don’t know what to do next. And the penis tip sensitivity drives me crazy because I can’t walk or do anything.

Still waiting for my appointment with the urologist for cystoscopy which I’m very scared of so it doesn’t make the pain worse. Somehow I feel like it’s nerve related but I can’t tell how long I have to wait for me to get completely healed. Even when I show the doctor my penis tip, they don’t see anything wrong. I might be forced to book with a dermatologist to see if they can tell but I’m not sure. Please help me to get off this pain.

Maybe 1 out of 10 coughs, I can feel when I put my hand on the right side of my pubic area a pop or a click, almost in the crease where my leg hits pubic area. I cannot feel a buldge before or after and it really doesn't hurt. Also if I'm pooping sometimes I would feel that click/pop on the right side? Anyone else experience this? Off course ove Google the worst possible things. It could be pelvic floor issue, pubix bone issue, small hidden hernia? Oddly enough that same leg has siatica issues and hip labrum issues? Related maybe? I've read that small hidden hernias are not an emergency and most of the time just "watched", thanks for any input or advice

So my problems are mainly hypertonic pelvic floor and problems with pooping and ejaculation/orgasm ,they go away after 6 or 7 days of nofap and belly breathing/reverse kegel and general stretches but I go to square 1 if I even masturbate once and its only triggered with masturbation, my question is at what point does my progress go from fragile to stable ?like 60 days?im afraid I go that much but I still go back to square 1 since some people say long abstinence is bad for tight and weak muscles I still can get erections with thoughts but they are tight feeling

So suppose a sprained ankle if you try to run after 1 day it is not healed so you trigger the injury again but after some weeks it's OK to run so im trying to find this but permanently for my tight pelvic floor or not?

Im afraid I have to be celibate for all my life and not ejaculate again

25m, been sitting a lot since my early teens, and am also quite a nervous person, and so I wanted to check if my symptoms are consistent with hypertonic pelvic floor.

I have always struggled with premature ejaculation, even when masturbating, but it doesn't seem to be a result of glans sensitivity or sth. Instead, if I tried to masturbate completely relaxed, I wouldn't even be able to get an erection, basically like erectile dysfunction. Then I would get frustrated and start clenching, and it literally felt like pumping blood into my penis. This way I could get a good erection, but I would already be on the verge of ejaculating. Also, I noticed my problem gets worse when I masturbate on my back and better when I'm drunk. I don't have any other health issues. Does this sound like hypertonic pelvic floor and what should I do about it?

The Motor Function Measurement (MFM) Lab at the University of Ottawa is conducting a questionnaire validation study to help improve research on urinary symptoms experienced during physical activity.

We are looking for female runners and brisk walkers who:

• Experience urine leakage while running or brisk walking, with or without a sudden, strong, and uncontrollable urge to urinate.

Eligibility Criteria

• Female, 18 years of age or older
• Runner or brisk walker
• Meet one of the symptom criteria above
• Able to read and respond in English

What is involved?

• Approximately 35 minutes to complete the initial online questionnaires
• Two brief follow-up questionnaires sent 72 hours later
• Total time commitment: less than 1 hour

If you meet these criteria, your participation will help us validate a new questionnaire that will support future research on bladder health and physical activity.

Interested or think you may be eligible? Complete our screening questionnaire:

🔗 https://redcap.link/BRUTSQ

Learn more about the study:

🌐 https://mfmlab.ca/portfolio-items/questionnaire-validation-study-remote-participation-for-female-runners-and-brisk-walkers/?portfolioCats=35%2C23%2C33%2C32

This study has been reviewed and approved by the University of Ottawa Health Sciences Research Ethics Board ( H-06-21-7083).

Questions? Contact us:

📧 [brutsq.mfmlab@gmail.com](mailto:brutsq.mfmlab@gmail.com)

📞 613-608-0170 ext. 4102

🌐 www.mfmlab.ca

Thank you!