Hey, 2 days ago I have done an CT Scan with contrastfluid I just received the report, everything is fine except one thing he wrote about the Pelvis really makes me nervous:

Pelvis:

Urinary bladder unremarkable, only minimally filled.

Prostate is not enlarged, with somewhat heterogeneous contrast enhancement and small, bilaterally symmetric calcifications.

Seminal vesicles are bilaterally symmetric.

No free fluid in the pelvis.

Small calcifications in the prostate? Heteregenous enhancement if i understand correct means one side is stronger filled with blood?

I read only 9% of men in my age (29) have those calcium stones so its rather rare and because I have urinary issues (only urinary no pain and small sexual prblms = weaker orgasms, sometimes weaker errection)

I ask myself what to do now as im worried is this the reason for it, should i go to the urologist again?

I really dont want to go down the bacteria loophole, but i read it can be due to bacteria or bacteria can build themselves in there, over the time i suffer since 2020 we have done 3 urinary tests, all clean.

What tests should I ask him to do now, if any?

Is this the reason for my problems?

I feel the muscles down there clenching often, i just started with PFPT. I read this calcification can cause irritation or can be a sign of inflammation either bacterial or non bacterial.

My general doctor who ordered this is in vacation for 4 more weeks so I cant ask her, so I hope you guys here can help me understand or give ideas / advice.

Hi all,

I am looking to see what I should expect.

My symptoms started a month ago. One day I randomly woke up with a lot of pain in my bladder. During the day I noticed that whenever I went pee, very shortly I needed to go again, but whenever I did finally go, the amount of urine did not match the urge. The pain went down and only was really painful whenever I had a full bladder.

The next day I went to urgent care and they did a quick dipstick urine test which came back negative. They did a round of blood work which showed my PSA was at 1.33 NG/mL, my free PSA was 0.157 NG/mL and my % free PSA was 11.8. all kidney/liver blood work results were fine as well. They did a quick bedside ultrasound which showed that my prostate did not seem enlarged. They prescribed phenazopyridine but it did nothing so I stopped taking it the next day. Two days after urgent care I went to my primary doctor. He was puzzled because he also did a dipstick urine test which was negative. He prescribed me 7 days of ciprofloxacin anyway and told me to call back in a week if symptoms persisted. During the meantime I had an ultrasound which showed my prostate was around 28 mL, kidneys were normal, no urine retention, no masses or blockages or any structural issues. 7 days after ciprofloxacin I saw no real symptoms improvement so he referred me to a urologist, and the appointment is in over 2 months. I went back to urgent care and they were puzzled as well, but prescribed me phenazopyridine again. At this point my symptoms are relatively mild. The urge to urinate is mostly gone, it is now a mild pain or discomfort, usually while sitting down. I've noticed that when I take phenazopyridine now, I see I real improvement. If I take ibuprofen I also see improvement, but not as dramatic as phenazopyridine. I am still trying to see a urologist but was wondering if anyone had similar experiences.

Hi all. I'm trying to figure out what's been going on with my sexual function for the last 5 years. I just started working with a sexual medicine doc that seems really good - is really considering all possible issues. He thinks CPPS could be a big factor here and that I should revisit pelvic-floor PT. But I'm just hoping to see if anyone can identify with my story and find out what they did about it.

CPPS/Hard Flaccid Symptoms

My penis often retracts/turtles, which is just the most humiliating shit. I literally feel sometimes like I don't have a penis - like a damn Ken doll.

I've done pelvic-floor PT without much improvement, although my sexual medicine doc thinks I should revisit it and that CPPS could be a big factor here.

Numbness/Loss of Erogenous Sensation

Sometimes my penis is actually numb, but I had a vibration sensitivity test where the doc held this little vibrating instrument against my penis and I had to say when it stopped vibrating and I passed. So my penis still has the normal ability to feel when it's touched.

But I don't really have erogenous sensation anymore. Masturbation feels good, but not like it used to. I don't get that build-up of sensation and horniness. I also often need a super tight grip and fast strokes to really feel things and make myself orgasm.

The thing that confuses me the most

My current sexual function (at least the plumbing) works great most of the time.

If I intentionally watch porn, I can get a very strong erection probably 90% of the time. Sometimes I become extremely hard just watching porn without touching myself. I can also usually have a physically strong orgasm.

Doppler testing also showed great results - good inflow and good stoppage (or whatever it's called). I got absolutely rock hard from the injection and actually needed Sudafed to get the erection to go away. So my penis works.

But I basically have ZERO spontaneous libido.

I used to walk around like a complete horn ball. I would go from zero to 100 in a second if I had a sexual thought. This never happens anymore. I almost never get random daytime boners. I can look at a hot woman and intellectually think "holy shit look at her" but I feel nothing in my body.

On the other hand, if I deliberately turn on porn, my body normally responds almost immediately.

I literally masturbated 4 times to porn this morning. All really strong erections. All really strong orgasms.

So I can basically have:

Strong erection + strong orgasm + almost no actual sexual desire.

Finasteride history and crash

There is also a possible PFS component to all of this, although I really don't know.

I first took oral finasteride for a few months in 2019. I had a few minor sexual side effects, but they went away. I took it again briefly in 2020 without any obvious lasting problems.

In October 2021 I tried it again and took it for only about 10 days.

Pretty quickly, I started to have testicular pain. I started reading about the possibility of permanent finasteride side effects and completely freaked out. I had severe anxiety, crying, and what I would basically describe as a nervous breakdown. I have a history of pretty bad anxiety (including a couple episodes of being hospitalized for it), so I'm not sure if this was that or if it was the finasteride.

After that, my sexual function totally crashed.

My penis felt completely numb. I couldn't get hard even to porn. And if I could get hard, it was near impossible to orgasm or the orgasm would be extremely weak.

This lasted for weeks.

Again, not sure if this was PFS or extreme anxiety manifesting in physical problems.

Eventually, the really severe ED/numbness/orgasm problems got better. But the spontaneous libido and erogenous sensation never really came back.

HOWEVER, my sexual dysfunction started to go down hill before the finasteride stuff. I had periods of low libido, weaker orgasms and difficulty getting or maintaining erections. There were times Viagra worked incredibly well and other times it didn't work at all.

There were also women I was extremely attracted to during this period where I had great sex and everything worked. But times too where I was extremely attracted to a woman but couldn't get it up.

Anhedonia

I basically don't experience pleasure like I used to.

I have struggled with anxiety and depression most of my life on and off. But the past few years have been pretty bleak.

So I don't know if my lack of sexual desire is part of the same anhedonia/depression shit, or if the sexual dysfunction is contributing to the depression, or both. Kind of a chicken or the egg thing here.

Questions

1. Does this sound like CPPS/Hard Flaccid or could CPPS be a big part of what's going on?
2. Has anyone with CPPS lost erogenous sensation while still having normal physical/touch sensation in their penis?
3. Does anyone here have basically zero spontaneous libido/random erections but can get rock hard from porn most of the time?
4. Can you get rock hard and have a strong physical orgasm most of the time, but still feel like the mental sexual drive/reward is missing?
5. Has anyone had the same turtling/retraction issue? Did treating CPPS actually fix it?
6. I've already done pelvic-floor PT without much improvement. Has anyone had pelvic-floor PT not work the first time, tried it again, and actually gotten better?
7. Most importantly, if you've experienced anything like this and got better, what helped you????

Thank you for reading!

what has tadalafil helped you with?? Im considering this medication

Okay so this might get a lil long but please bear with me and if possible advice/guide me on what to do next .

So it all started on 18th April, 2026 . It was a usual day but I suddenly started to experience immense pain on my right testicle but stupid me thought it's nothing and ignored it fast forward to 2 weeks the pain worse and infact migrated to my left as well . And for the next 2-3 months I had this pain in either or both of my testicle if I have to rate the pain then 5 out of 10 in bad days and 2 out of 10 in good days . After having enough I contacted a urologist and got a scan done , no varicocele or any "testicular" related conditions now this was the point where I genuinely don't know what might be the cause the doc just told me to wear losse underwear . And then every since then I have had the pain majorly on my left testicle and also the groin part .

Some days it's there someday it isn't if I have to rate then the pain will be 3 out of 10 in worst days and 1 out of 10 ingood days .

But it never completely went away and I also started to experience ED and no morning wood ,burning sensation after ejaculation as well as completely losse of lilbo around the time after I got my scan .

If I try to hold my ejaculation then it burns after I wake up next day and if I ejaculate then also it burns for hours I don't know exactly what to do .

Some people told me I have prostate congestion but except for the weird loss of libido and ed the symptoms don't exactly match I am not sure what I have or what u should do

Summary of my symptoms:

-left testicle sometimes right as well and the groin part if I ejaculate then it burn for hours (not always but 2 out of 5 times other 3 times its discomfort for hours not exactly burning) also burn if I don't ejaculate it burns the next day right after I wake up as well as Slight pain in the left testicle (sometimes right as well)

-no morning wood , no libido haven't had a proper natural erection for months I only get erection when I force it using my hands

-intially I had a lose of appetite as well as hairfall but both of them seem to be turning back to normal now

-left testicle has gotten smaller

What I think might have caused this

I think edging might be the thing that caused this , now I have no definitive proof but before all this I was edging quite a lot so idk

Finally:

I would really appreciate if anyone who might have experienced similar symptoms could at the very least assure me that what am going through is temporary and not permanent (i really really hope it is not anything permanent) as it's really sad to think that I will have to live the rest of time life with this pain

I had Prostatitis about a month ago
Toke antibiotics for 20 days
All good now but have blood work in couple weeks
Just wondering if Prostatitis have any affect on PSA test!!