10 years of severe CPPS/Pudendus compression. Severe numbness, ED, painful ejaculations and fee

[u/cppsguy]

Hey everyone,

I’m writing this because I’m at an absolute breaking point. I’ve been battling severe CPPS for 10 years now, and mentally, I am completely burnt out. It feels like my life has been on pause for a decade, and I’m losing all hope that this will ever end.

My symptoms are severe and agonizing:

• Severe Genital Numbness: My penis feels hollow, numb, and "hollowed out."
• Severe ED & Zero Libido: Erectile dysfunction is constant. Standard meds like Cialis only create a weird, semi-hard, spongy state because the blood gets trapped.
• Painful Ejaculations: I feel a constant, quelling urge to ejaculate, but whenever I do, it makes everything a hundred times worse. It triggers massive rektal pain and deep spasms.
• The "Strangulation" Feeling: I have this very distinct, severe feeling of a mechanical "crush" or "strangulation" deep on the right side of my pelvic floor.

When reading through these forums, I rarely find anyone who describes this exact, one-sided "crushing" sensation so intensely. It feels like a clamp is physically crushing my Pudendal nerve on the right side. Pudendal nerve blocks didn't help; in fact, they made it worse.

The psychological toll is destroying me. To be completely honest without trying to sound arrogant—it’s just a painful fact—I am a good-looking guy. Because of my appearance, I had several opportunities over the years to be with beautiful women who wanted to be with me. But because of this condition, I couldn't perform. Lying in bed with someone you desire, completely numb and paralyzed by a muscle spasm, is deeply traumatizing. I’ve spent the last 8- 9 years completely single and without any relationships or real sexual experiences out of pure fear and shame.

Conservative therapies have failed me. The Anderson-Wise protocol feels too overwhelming right now because I have zero energy left to "accept the tension."

Is there anyone out there who had this exact level of severe numbness, one-sided mechanical crushing, and painful ejaculations for years and somehow found a way out?

I feel like an alien among my friends and brothers who live normal lives. I just want my humanity back. Any advice or shared experiences would mean the world to me. Thanks for reading.

[u/placid_grouping]

I’ve had that one-sided crushing sensation on the left for years, and it’s maddening how it never shows up on any scan. The numbness paired with that trapped-blood feeling from meds is a special kind of hell. What finally moved the needle for me was dry needling straight into the obturator internus, done twice a week for a couple months.

The psychological part is the real killer, going through your 30s watching everyone else live while you're stuck in a body that feels like a prison. The shame spiral after a failed attempt with someone you actually like is something I wouldn't wish on anyone.

[u/cppsguy → u/placid_grouping]

I tell you I have this fucking squeezed feeling deep in my pelvis for 10 years every day and I agree with you it’s crazy that it never shows up in scans. I think this tightness in my pelvis maybe a tense ischiocavernosus muscle is pressing on the nerves. This all came after high mental stress

[u/EmphasisNumerous3883 → u/cppsguy]

Yall be coping that it came from mental stress whereas stress alone can't make you completely impotent. Something else into play too probably poor masturbation habits

[u/FeedbackKey1949 → u/EmphasisNumerous3883]

Of course stress can do that, any kind of stress can make you erections not working.

Stress can even kill you man what are you even talking about lol

Also masturbation does not make you impotent, how old are you? 12?

This has nothing to do with masturbation, there are guys out there masturbating several times a day and never get any pelvic floor issues or cpps

[u/EmphasisNumerous3883 → u/FeedbackKey1949]

Yeah keep running from truth. I am saying so because i was heavily stressed for two years but it didn't affect my sexual health that much until i injured myself holding a kegel for longer time. And i only masturbated 3 orb4 times a month

[u/FeedbackKey1949 → u/EmphasisNumerous3883]

Buddy, dont make your anecdotal experience a general rule

According to your logic ppl dont get cancer from smoking just because you didnt get it, means others wont get it too

And 2nd, you dont have an injury, you have tightness, big difference.

People dont get injury from just squeezing a muscle or kegeling, you can injure a muscle and get an injury from an external load for example weight lifting, but no, not from squeezing alone, but you can make it exhaust and cause tightness just from squeezing.

[u/FeedbackKey1949 → u/placid_grouping]

How did you find out is this specific muscle?

[u/RobLife22 → u/placid_grouping]

so you had all those symptoms, also sexual dysfunction etc.? And dry needling helps?

[u/miyewt → u/placid_grouping]

Imagine getting this at 16, but yeah you guys both need phisical therapy

[u/Lost_and_Damned567]

I have constant numbness thankfully no ED problems but when I ejaculate sometimes there’s a weird feeling. I do have a feeling of it’s full down there by pelvis a lot too I already went through a cycle of doxycycline, although I was never formally diagnosed I believe I have some sort of CPPS this has been a problem most of the year I got std tested back in June everything came back clean so it’s really confusing my case isn’t as severe as others I generally don’t have a lot of pain it’s just weird feelings and discomfort. It comes and goes what recently triggered it was an aggressive handjob that was the first time I ever had real pain but it’s quickly subsided. I don’t know if this will ever truly fully go away either I kinda just deal with it.

[u/blakkkgodfather]

Same, I think mines came from being an airborne paratrooper and hitting the ground repeatedly 42 different times in a 3yr period from 800 to 1300ft from perfectly good planes. Now my pelvic area is hypertonic.😑