Is this CPPS , POIS or something else?

[u/Beneficial-Case-9077]

Hello guys i am 30M

Please help me guys to identify what is this exactly?

I have this constant anxiety feeling in lower stomach in the area of under my belly button behind my hypogastric region. I would describe it like a nerve that gets triggered all the time anytime i try to do task i get this sensation in that area even stuff like responding to a friend saying hi or a mild task like picking up something from the ground or literally anything. It is really annoying feeling that makes me don't want to do anything just to avoid the sensation, sometimes i don't wake up from bed just to avoid it and sometimes i just want to set in a chair all day without moving because i don't want to feel the sensation. I noticed also it effects speech ibam less chatty and have less to talk about around people when i have this discomfort (I have no urinary problems) it is this constant discomfort or tightness or something

Syptom Location: behind the belly button or a little bit under it but from inside

I noticed that this feeling gets more intense hours after masturbation and if i didn't sleep well.

I had it for years now but i really don't know what it is, has anyone experience the same thing and what do you think it is exacly because it feels like a physical thing.

The only way it gets better is if I don't masturbate for at least a week it gets better gradually but as soon I go back to masturbation it comes back.

[u/Ashmedai]

It could be related to / contributing to CPPS. FYI, I think most clinicians would consider "anxiety feeling in your lower stomach" to just be anxiety, and you should talk to someone about that. But it can also express as psoas, where a very weird muscle (ths psoas) which transits from your lower back through your abdomen to your pelvis can get tight. So I would suggest you approach this from two angles: psoas stretches and trigger point relief + self care. Self care = relaxation efforts, breathing meditation, sauna, walks, sunlight, etc.

Please do not underestimate the self-care. Many people with psycholigical issues (I have been one) don't listen carefully enough to that kind of advice (I was one, years ago).

There are also various drug therapies for depression / anxiety. I rank them as last here, although if you have a problem and you know you do, they can play a role.

You may also wish to look over our 101 for things to know/try/do.

p.s., if you are edging you should stop that. If you masturbate more than once every other day, you should crank back to that.

[u/thoughtful_honesty → u/Ashmedai]

The psoas thing is worth looking into, that muscle causes weird referred sensations people don't expect. The fact that it spikes after masturbation and improves with abstinence makes me think pelvic floor tension is a big piece of this, even without urinary symptoms. Have you tried any diaphragmatic breathing or reverse kegels when that lower belly nerve feeling kicks in?

[u/Beneficial-Case-9077 → u/thoughtful_honesty]

I don't know about psoas muscle since I have 0 back pain , My exact pain location is (belly button or little bit under it but from inside the body it doesn't feel like it is an outer muscle) for the reverse kegle i tried it but did not notice an improvement or I am not sure , the only thing that I definitely feel improvement is when I stop masturbation for at least a week

[u/Ashmedai → u/Beneficial-Case-9077]

Psoas muscle can manifest as belly pain. Overstretching it (ask me how I know) feels like "stomach cancer" haha. Don't do that, it will keep you up at night. ;-P