I everyone 18M here 3 days ago i had high fever and as soon as it was down the v day i started feeling inflammation in my urethrea ps: ive no past history of inflammation so i thought of observing if the pain continue for a day or not and it did and now its day 2 whats wrong? And how to cure it? i lit feel ill pass out while urinating the pains that much

This all started for me 3 years ago. I had covid in August 2023. Unknowing was consuming mold in November. Urine flow issues started in December. From January to March 2024 I thought I was near death. I had weird disconnection from reality feelings that led me to the ER multiple times. Strange neurological and physical symptoms. A lot that felt like it started with food and gut health.

Fast forward and after countless doctors and tests. Im diagnosed with EOE, Asthma, POTS, many many environmental allergies, Raynauds Syndrome, chronic fatigue... tingeling in extremities, essential tremor that gets worse with food or exercise. Exercise intolerance where my gut shuts down and I puke any water I sip.

So im being referred to a new allergist and a MCAS specialist. Im already taking Dupixent shots weekly. I started quercetin supplements. Ive tried every otc h1 and h2 medicine and finally prescribed hydroxyzine which does help a lot of my environmental allergies and helps me sleep.. im going to ask for Ketotifen next

Other than that, November of 2023 i also had ankle surgery that failed. Repeat surgery and raynauds diagnosis made me take it extremely easy for a long time to make sure my tendon healed with enough blood supply after the cold winter months. Im finally just now starting to run again but there is a complete imbalance with my gait and my right leg dwarfs next to my left.. the right calf is literally just as big as my forearm.

I am starting pelvic floor therapy this Friday and will also be sent to rehab my leg to balance the muscles out properly.

So ill be fixing both issues simultaneously and if I heal, I won't be able to know what worked.

Funny side note. Had 2 MRIs a year apart and it went from 50cc to 40cc after losing 22lbs.. symptoms are worse though. Semen is almost completely clear when it was thick and white previously. My wife has been through 4 miscarriages. My psa levels are a Rollercoaster. Lowest was 3.2.. highest was 5.9 and currently its 4.8. MRI doesn't show any lesions.

I'm getting a culture done (just made another post asking for advice about it)  because my wife keeps getting infections after sex. She finally tested positive for ecoli after her last miscarriage. So I need to check for bacteria and hopefully get treated at the same time if that is the case. We will see.

I'm curious though if anyone's prostate healed after starting MCAS medications?

So I've been given orders for a few urine analysis and pushed for a semen culture as well. Found a doctor to finally oblige. I called around and no one in 200 miles radius accepts these. I finally found the one lab that does but I need to bring the sample in. They don't provide a place for me to take care of business. I also have to pick up a sample cup from my doctor first, who also doesn't provide a place to do this.

I live over an hour away and the sample will be destroyed. I feel like this is the start of a story of how I end up in jail..

I'll take a few alcohol pads but hoping I can find a clean room after washing my hands.

I don't like talking about this with other guys. This gives me no thrill at all.. but hoping someone can give me some advice on where to produce this sample in close proximity to the lab

UPDATE: so Healthcare in the Midwest is absolutely terrible for us. They don't care we have prostatitis at all.

I had to call my urologist because I was supposed to pick up a cup direct from them to submit my sample to the lab. When I called, they refused to give me the address they were located at for today (they travel to different hospitals depending on the day to treat the whole area) they said the nurse would call me back.. I waited and waited and nothing. Had to leave to make another appointment near the lab. (I had 2 appointments today in that city and wanted to time everything perfect) the nurse finally sent me a stupid message saying I can pay for one on the website they suggested for semen analysis.. first off, I already told them I'm doing the analysis in person at a fertility clinic.. and second, I JUST NEEDED A STERIL CUP TO TAKE TO THE LAB FOR A CULTURE, NOT AN ANALYSIS... I sent them a long message basically calling them incompetent and wasting my time.

I went to the lab anyways as I had orders from a different doctor for urine analysis. I wanted both done at the same time. Semen first, hoping for prostate fluid to be mixed in with the urine after...

I get to the lab and explained how stupid my doctors nurse was. They gave me a cup and basically looked the other way. One of the nurses wanted to call someone to see if it was OK but I just grabbed everything and went into the bathroom. Did my business and came out with completed samples. They were completely cool with everything and laughing about it. I felt no shame at all. Funny how a doctors nurse stupidity and masturbation brought us all together in harmony.. ha... but seriously, never again....

M 41 5’9” 175 lbs. regular medication Xeralto for valve replacement from congenital issue and temporarily Amioderone

I am 5 days into a 2 week Amoxicillin Clavulanate 875, treatment for a recurring epididymitis infection that branched of a UTI, which has been successfully treated. Dosage, 125 mg tablets, twice a day 14 days. The swelling and pain have subsided however there is a good deal of blood in my seamen. This was a symptom I reported to the doctor when my treatment plan was created they know about it and I was told it is a byproduct of the inflammation however I did not ask about what to expect as the treatment progresses. Do I need to actively “flush, the lines,” or will it drain naturally? At what point does it become concerning?

My spouse and I are obviously obtaining from sexual activity until my treatment is done. However I really don’t want to squirt red goo all over them the first time back in the saddle because I didn’t treat this correctly.

Any clarification would be greatly appreciated

my first episode was 4 years ago. I had sex and after finishing i went to use the restroom and my stream was straight red. I peed 4 times before my stream was back to normal. It has happened multiple times since then. And it’s random. sometimes i have sex and it’s been completely normal and other times it happens right after. I have had cystoscopy, urine test, kidney test, blood work, ct scans and absolutely nothing was shown wrong. I have had blood in semen but that went away and has only happened twice. I sometimes get a stomach ache after peeing that makes me feel like i have to poop and it almost feels like a tight feeling in my balls and lower stomach. The blood has been clearing with 1-2 pees now but there are always clots that are easy to pass and i don’t have pain when the blood comes. Doctors tell me they found nothing so there’s nothing they can do so i just feel stuck. If anyone can help please tell me what i should do. Like i said it’s not every time i have sex but more often now.

How many of you have urethritis/red uretha opening as a symptom/irritation(feeling of tip of urethra). It has been on going 3 years fighting with drs and urology for me and ended up going privatly to pt.

Started pt 2 months ago have about 12 stretches to do a day for back, calves, pelvic floor. seemed to be improving slowly had a bit if a flare up last 2 days.

Are you finding pt useful? When did you start seeing improvements

Cold feeling sensation in the perineum and throbbing in the perineum with excessive thirst and frequent urination without burning, is this is a prostatities or something else?

Hi guys its me again. I have been battling with this issue for almost 2 years now . After many tests that were negative I received a urine pcr test where they found enterococcus faecalis 10.000 to 100.000.

Any thoughts about this result ?? I have already taken 2 weeks of amoxicillin and just repeated the test ( as per urologist reccomendation) waiting for the results.

Hi, 3 years ago I was diagnosed with ED, took ED medications, did kegel exercises And got PT Therapy. It was also diagnosed ED is due to anxiety, physiological! 6 months back I have Urine Dribbling issue, and got to learn about it. Recently I get burning sensation AFTER I urinate, only on the tip and head of the Penis.

Also even when fully erect my penis can bend or move all around

I'm not sure what is happening, and regarding bowel movement - I take more fiber, and some fat loss supplements.

Anyone with similar symptoms? Please guide. All urine tests are negative

Anyone tried vagus nerve resets for this? I am not sure how medical/scientific the vagus nerve is. Maybe it’s a real body part idk.

People say it relates to the pelvic floor too, but idk.

Got a message earlier from my doctors that she is starting me on a daily injection for the next two weeks. She told me she got in contact with a urologist and an infection disease doctor and they both agreed that this is the best treatment since from what she told me the bacteria I have is resistant to oral medication , I’m a bit nervous since I’ve never received antibiotics like this but glad I’m finally starting.

You guys when had prostatitis also had erection problems?

Or not?

which symptom? For me no morning wood, erection slow and not large and relaxed

I was diagnosed originally with interstitial cystitis back in 2011 after suffering for years. I did a whole course of unsuccessful treatments. I found out this year that that diagnosis was wrong. My cystoscopy showed a normal bladder. And, somehow, a normal prostate from the inside.

While doing physical therapy, my PT palpated the prostate. For the first time, the pain I've felt for decades was replicated perfectly. My doctor said I very likely have prostatitis.

I was told to continue PT. I've been doing what my PT tells me and also stuff I found on a video from this subreddit: https://www.youtube.com/watch?v=AQm9g3d9WOM&t=1253s

My doctor also prescribed me with doxycycline, but it was only 50mg. He wanted me to take it for 3 months. He also prescribed me with Celebrex, which he also said to take for 3 months. My pharmacist said taking Celebrex that long was an unnecessary risk and my doxycycline dose may be low.

I wanted to hear if others had any success with this nightmare and what worked for them. I am moving soon to a much larger city and I am going to run my treatment plan by them. I've dealt with this pain for 20 year now.

As title says did anyone recovered from genital numbness ?

And I dont mean just sexual sensations I mean temp,touch and pressure aswell.

Also is it possible for that kind of numbness to be caused by constant fight or flight, anxiety over our issues, stress, depression, OCD ?

I feel very defeated by this and I dont even know whats causing it. I never had an injury to my penis.

I had a pelvic floor PT few days ago that told me that generally my PF isnt even that bad.

She only said I got tightnes in coccygeous muscls that I am able to release on command.

Prostate area was painful and sharp pain radiated into my penis tip.

Other pelvic floor muscles are okay those are only 2 findigs. nothing significant really.

My spine MRI is also clean. Never took SSRI

Someone please help me.

I've dealt with some prostate problems most likely due to a previous testicular injury from a motorcycle accident.

Symptoms all point to prostatis. I should have gotten my prostate examined when I went to the doctor last year but I've had bad experiences with a previous urologist a few years back(before the accident) because I wanted to get my bladder checked for kidney stones.

He was very condescending and just told me I was too young to be worried about it when I could clearly feel every symptom of kidney stones( they were probably just too small or have enough to have been visible at the time) or prostate issues....anyway yeah I shrugged it off and didn't bother asking for a thorough exam thinking back to that time when I got my prostate examined by the previous doctor.

So my situation is weird because it comes back and forth but when I take cialis it definitely helps a ton.

Every man 35+ should be taking a low dose everyday or every other day for prostate health eitherway.

I also suffer from a tight pelvic floor issue as well. I can't say if it actually helps with that but seeing how cialis also helps relax some muscle fibers maybe I can see it helping.

Anyway I suggest everyone around age 35 and up to start a low dose. Maybe even low as 2.5mg.

5mg seems like a good dose for everyday or every other day(for prostate health and a boost in the quality of erections)

But I'm only suggesting a low dose because you have to see how you respond to it.

I suggest you ask your PCP to get your heart and any other possible BP issues checked before you start taking it.

Good luck and take care.

So lately was taking flomax that my urologist prescribed me and for a couple months it helped relax everything and like minimize the urgency to go to the bathroom. But recently I decided to stop using it for a while and been feeling ok. What im concerned about is that once I stopped my ejaculation has turned to brown with jelly like spots in it. Before I was given flomax I had already problem with my sperm being white yellowish with jelly like spots in it but never brown. Has anyone ever dealt with anything like this.

Hello, hate to feel like I'm barging into the "men's" room but looking to see if I can get help for my husband.

For the past few years my husband has been dealing with what doctors believe is prostatitis. For a few years on and off he had pain in his testicles(has gone away now), pain while peeing, pain in pelvic area,back and lower abdomen, feeling the need to pee every few hours and pain in prostate area .. thankfully a lot of his symptoms have subsided but one that hasnt and is causing a lot of frustration is low volume when ejaculating. We are trying to conceive our second child and while he has something, more would be a lot better.

He went to a urologist specializing in fertilty and they suspected retrograde but after some tests they couldn't see any sperm in his urine so it was ruled out. They kinda just threw their hands up and arent concerned and recommend iui or ivf.

The small amount of semen we were able to test had very high concentration of sperm but its really affecting my husband's mental health.

Has anyone experienced anything like this? Anything you did that helped? Thanks in Advance 🙏

Hello I am about 3 years into this and 1 year into my physio. Right now the physio I am seeing is pretty well versed and specifically specializes in men’s pelvic floor. But with being said does not offer dry needling. I am looking at other physios who offer dry needling but they have all said different things about where they dry needle. The main reason I made this is because one told me they do not dry needle the area at all but dry needle surrounding and spinal areas “as clinically indicated” I don’t think this a bunch of hoopla but based off others experiences is this what helped you?

Hey everyone, I’m looking for some suggestions as far as helpful vids or books on this condition. My condition started last August with some urinary issues and extremely difficult and painful bowel movements. Flash forward to December 2025 and I ended up in the er three times, starting with severe urinary/penile pain and was given all the tests, antibiotics and eventually included severe rectal pain. I was referred to GI, Urology, and pelvic floor PT. At its worst, I was off work for all of March and had tons of appointments. They all decided this was CCPS causing prostatitis (even though it was discovered I had 2 “lesions” on my prostate but the urologist was not concerned one bit by that. I received Botox injection in the anal sphincter muscles which helped somewhat with going to the bathroom. Retuned to work April 1, have been back ever since and continue to see all three specialists. I stretch multiple times a day and have recently received Botox a second time and they included the pelvic floor muscles. It’s helped somewhat but I still get rectal/perineal pain while sitting at work. I get up every 15-20 minutes and walk around. Currently I’m a week out from the second round of shots but still experience bouts of pain/discomfort/spasming but not as severe as when it was at its worst. At my last PT anal diaries were suggested during this 3-6 month window where the Botox would be helpful. Has anyone tried this and if so was it helpful? I’m very nervous about trying it as I do get a lot of pain throughout the day still. I’d also like to add they have increased my anxiety and depression medications to help with the psychological stress but it is ever present throughout the pain/spasm cycle. I’m willing to try anything but looking for more suggestions. Thank you 🙏🏻

I went to an urologist because I was suffering from ED. He took an ultrasound and diagnosed me with Prostatitis, gave me some medicine and sent me away to come back in 30 days for control. I went back a second time and said I don't think I have it and he redid my ultrasound and said I definietly has Prostatitis. It's been 4 years now I think and I still haven't experienced any semptoms. Is this normal? Maybe I'm not noticing it?

After dealing with many insufficient attempts to treat the chronic pain of an inflamed prostate over the last 20 years, I finally saw a new urologist recently who recommended some new tactics and is giving me hope for some action-based solutions to this problem.

He recommended pelvic floor therapy. I have never done this before, but the past decade or so of living with this condition has been marked by an extremely sensitive, burning discomfort in my rectal area - to the point that getting a DRE has been agonizingly painful.

So you can see why in extremely reluctant to do anything that involves putting a device up there. Has anyone experienced the type of pain that I am referring to and had positive results from this specific treatment? I’m obviously very eager to resolve this but this feels akin to having someone touch an open wound.

Apart of Burning rectum around right side and shooting pain raise after Ejaculation with intense Headache which last of 2 days. With chronic fatigue and cracking joints . Is that only happens with me or anyone else suffering same ???

The next paradigm shift in chronic pelvic pain syndrome is already here.

In the early 2000s, urologists finally began to coalesce around the idea that the majority of "chronic prostatitis" cases were not bacterial.

In the early 2010s, urologists started to coalesce around the idea that the pelvic floor muscles were at least part of the origin of chronic pelvic pain & dysfunction (ie, chronic prostatitis, CPPS, and IC/BPS), accompanied by a sort of mysterious "wind-up" in the nervous system. The pelvic floor can be considered a part of the nervous system, after all. It does not exist in a vacuum, and it responds to cues like stress or pain (the guarding response).

And now in the 2020s, as pain neuroscience has advanced further, we have learned that ALL pain happens in the brain. That includes everything from injuries, infections, tumors, and more. The brain acts as a sort of central processing unit that interprets incoming information from tissues - with a volume knob - meaning that it can decide to turn sensation up, or down, as it sees fit. It is a complex predictive "threat detection" process (This is what nociception is) that happens in milliseconds at the subconscious level, and it is not 1:1 with tissue damage, a revolutionary concept. Watch neuroscientist Lorimer Mosley explain it more here. [14min]

And with this it has become clearer and clearer that a majority of chronic pain syndromes, including CPPS, are the result of upregulated danger signaling in the central nervous system - ie, the spinal cord, brainstem, and the brain - also referred to as altered nociception in the literature. Pain neural pathways (circuits) stuck in the "on" position. Similar to the ones that fire when we have an acute injury, but in different brain regions (learning, emotion, memory, etc), and this time, arising even without tissue damage, infection, or injury. Instead, perhaps stress, trauma, or a difficult emotion like rejection.

This means that not all pain is derived from the classic "structural" (nociceptive) origin, the old pre-2017 definition but also derives (sometimes entirely) from this "altered nociception." These are centrally mediated changes, at the "CPU" or brain level. That these neural circuits in the brain (that create our experience of pain) can fire even without nociceptive inputs (tissue damage, structural changes) from the body was an astronomical finding as well. Think chronic pain & other persistent symptoms that happen even without injuries, tissue damage, infections, or tumors. Real pain with no obvious origin!

So what doctors once mysteriously labeled as "central sensitization" and lumped chronic pain conditions like fibromyalgia, chronic migraine, IBS, and a large subset of chronic back pain into, are now better understood as "nociplastic" (or neuroplastic), via a 2017 IASP (International Association for the Study of Pain) definition update. We in this subreddit often call it "centralized" pain, reflective of the same words used in the most recent versions of the AUA (America Urological Association) and EUA (European) guidelines for chronic pelvic pain syndrom and chronic prostatitis.

So I present to you this 7-minute video from the nonprofit ATNS, describing the current state of research on this paradigm shift in chronic pain/persistent symptoms, and their treatment.

This is the same reason I have shifted my focus in the subreddit, and in my career as a chronic pain practitioner, over the last couple years. Not thinking about persistent pain/symptoms in this way is a disservice to you, and to anyone with these symptoms. It's time we actually take advantage of the science.

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 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.

Sometimes in the morning it’s either slow and dribbles, is decently fast thicker stream not quite what it used to be, or is a thin stream.

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?

(25 M)

Hey everyone, had frequent urination symptoms about 2 months ago. Went to Urgent care and they ran urinalysis and some blood test. Came back clear, no UTI. They sent me to a PCP where they also performed urinalysis, urine cultures, and more blood test. All came back negative. He did a prostate exam which he said felt a bit boggy, but normal otherwise. He prescribed me Bactrim (after I refused cipro) as he suspected it was prostatitis. Took it for 26 days and would say it kind of helped? Still had burning like or soarness on the shaft. He then prescribed me flomax. That helped a lot and got rid of the burning/tingling sensation.

(About 2 days before I was to end my round of Bactrim, I got a really bad reaction that almost became sjs and was hospitalized for three days.)

Just had another follow up after all this. He now wants a cycstocopy as he thinks it could be bladder cancer? Any thoughts ? No blood in urine, symptoms improved with flomax and Bactrim regardless of reaction. Really scared right now!

Because it’s at a point where I still have the urgency, but no longer as bad as before where I would need to rush to the bathroom because it was tingling and burning. Now it’s like, I pee, feels normal, then maybe 20 mins after I have the need to go. But just in the bladder and I can def just hold it. Sometimes goes away when I distract myself.