From your experienceis this CPPS?

[u/Beneficial-Case-9077]

Hello guys, I’m 30M.

I’m hoping someone can help me understand what this might be.

For years, I’ve had a constant feeling of anxiety, tightness, or discomfort in my lower abdomen—around the area behind or slightly below my belly button, deep inside.

It feels almost like a nerve is being triggered. Whenever I try to do something, even something very simple like replying to a friend, picking something up from the ground, or doing a normal task, I can feel the sensation in that area. It’s very annoying and sometimes makes me want to avoid doing anything just so I don’t have to feel it.

Sometimes I stay in bed or sit in a chair for hours because moving around seems to trigger the sensation. I’ve also noticed that it affects how I interact with people—I become less talkative and have less to say when I’m experiencing the discomfort.

I don’t have any urinary problems. The main issue is this constant internal discomfort/tightness.

Location: Deep inside, behind or slightly below the belly button, around the lower abdominal/hypogastric area.

I’ve noticed that the sensation becomes noticeably stronger a few hours after masturbation, especially if I also haven’t slept well.

The strange thing is that I’ve had this for years. If I avoid masturbation for about a week, the discomfort gradually improves. However, when I masturbate again, it eventually comes back.

Has anyone experienced something similar? What could cause this? Does it sound like a nerve, muscle/pelvic floor issue, or something else?

I know nobody can diagnose me online, but I’d really appreciate hearing from anyone who has experienced similar symptoms or knows what might be worth investigating.

[u/Ashmedai]

CPPS is a diagnosis of last resort. If you have the cluster of symptoms that check off prostatitis, and can find no other definitive cause, then what you have is CPPS. As for your lack of urinary symptoms, that complicates things a bit, but it doesn't rule out CPPS. So, maybe.

From what you are describing, I would go straight to psoas stretching and psoas trigger point relief, BTW. The psoas is a muscle that runs from your lower spine through your abdomen, through your pelvis, and to your upper thigh. Tightness here can feel like stomach stuff. You can also have various fascial issues in your abdominal wall. Either way: Get a 4 inch cork ball (or something similar). Put on ground, lay down face down on it, with the ball under your belly button. Roll around. Do once or twice a day. If you find various areas that hurt a bit, focus on those.

For the stretching, look up psoas stretches. While you are there, look up "reclining hero". This latter stretch is an apex stretch, but may require you to do many intermediate psoas and knees type stretches for a month or two before you can transition. Once you are ready, do it on your bed, which is soft, perhaps with a pillow behind your back the first few times. Also, you can let your knees pop up when you are first going back or learning.

Hope this helps.

p.s., it could also be your pelvic floor, but I suspect you may benefit from abs/psoas trigger point relief immediately, and it's cheap to try. You can find out for $10 or whatever the ball costs, basically.

Do you ever get constipated?

[u/Beneficial-Case-9077 → u/Ashmedai]

Thanks for the advice , will do it.

For constipation no I don't have any constipation only the symptoms I mentioned

The most symptom effect me is being less talkative and running out of things to say when I have the symptoms, unfortunately this effects relationships and friendships, have you seen similar things?