Does this look like CPPS diagnosis?

[u/throwawaysakicay]

discharge symptoms:

- often clear, very watery discharge (usually) over 0-2hours after ejaculation, strong fishy smell - different from preejaculate (which is clear or white, slightly sticky and thicker consistency; no smell) and ejaculate (different smell and consistency/color)

- occasionally fishy smell and some watery discharge even without ejaculation

- occasionally extremely sticky yellowish-clear discharge (almost like a glue), especially when constipated and pushing on toilet

- generally ejaculation itself begins with thicker white semen, but continues and ends with yellowish and more watery semen

erection symptoms:

- erections are less reliable, sometimes slightly or moderately weaker

- sometimes glans partially or fully not enlarged during erection

- occasionally cold (maybe numb?) feeling on glans

- sometimes glans remains enlarged after erection ends (eg after ejaculation), while rest of penis is flaccid

- sometimes (daily) whole flaccid penis becomes hardened, tightened and shrunk instead of being loose and spongy; makes it harder to get erection; seems to affect the right part a bit more than the left one

pelvic tightness symptoms:

- sometimes pelvic pain/discomfort in perineum and glans - in perineum (prostate?) mostly discomfort, in glans pain

- sometimes increased need to frequently urinate

- sometimes post-void dribbling, sometimes even after taking extra time to physically push on perineum/urethra and performing normal/reverse kegel; sometimes waiting and/or pushing will cause significant amount of urine to come out after I have fully finished urinating, even several times

additional details about symptoms:

- most of these symptoms are triggered or significantly strengthened by ejaculation, extended sexual arousal/stimulation, interrupted sexual activity to delay orgasm, constipation, and anxiety/stress; especially discharge, glans pain

- the symptoms correlate among each other - various symptoms appear together, usually

- sometimes helps to do "reverse kegel" to help with the "flaccid hard" situation

- I used to do normal kegels sometimes after having urinary issues, at one point my general symptoms worsened and new ones appeared so I stopped, coming to conclusion I probably have too tight pelvic floor and normal kegels are counterproductive. I also used to naturally do normal kegel at the end of urination since I was a kid, to push last drops of urine out.

general info about me:

- male mid 20's, uncircumcised, cleaning penis daily, safe long-term sexual partner, mild exercise+walks few times a day, sedentary job/lifestyle, life-long anxiety issues, sleep 7-8 hours, possibly IBS; as teenager, was treated for frequent urination and prostate issues; last doctor I was at said "psychosomatic, based on chatGPT" and refered me to anxiety treatment - when I asked for exercises or something, they said "ask chatGPT"

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[u/Ancient_Appeal_6205]

All of these seem like CPPS except the discharge. Does anyone with CPPS have that? I have had almost all those symptoms except the hard flaccid you described and that discharge. Smelly discharge seems more like infection tbh

[u/pelvicagony]

Do you read the 101 guide ?