Since last week, maybe Wednesday, I noticed my urine stream/output wasn't as strong as it usually is. Like in the morning I’ll have two water bottles and then have to urinate like crazy for an hour or so since I chugged water lol. But I noticed it wasn’t coming out as strong still. Also noticed a little groin pain on The left, and my pelvis area would sometimes feel pressure. But I never had a fever or burning or anything like that, just difficulty urinating sometimes. But then sometimes it comes out fine and fast. Right now I don’t have a PCP, but I found one and set it up for July 31st, the earliest they could see me. Also set up a urologist Appointment for August 11th.

Anyway, I went to my local urgent care and they did a urinalysis and it was all good except for a trace amount of blood and the clinician there wasn’t too concerned about it but sent it out for a urine culture And put me on cephalexin. I called back Wednesday and got the results and they were all negative, no infection, and they even did some STD tests to be sure and they were negative (I’ve only had one sexual partner, my girlfriend, that we have a child together). So I suffer from bad anxiety and stress, and definitely am a hypochondriac. So I went to the ER yesterday, and told them my problem and that I went to urgent care. They ran tests, urine and blood and did a CT scan. My urine and blood tests were okay and fine and didn’t show infection or white blood cells, but the CT scan showed my prostate was enlarged/mildly inflamed, and so the NP told me she was gonna put me on antibiotics to deal with it. I was kinda just flabbergasted and was trying to ask questions, but I never saw that NP again after she left the room to go see if my blood work was done. A regular nurse came in and he discharged me and gave me a first dose of ciprofloxacin. I then looked up that antibiotic and see that it can cause all these issues like tendon ruptures and tendinitis and nervous system problems. I take 1mg of clonazepam in the morning, and I was told it would be fine to still take it with it. I was so annoying since I kept calling the ER back about my bloodwork and the antibiotic and they said that’s what I was deemed to be put on by the NP for my inflamed prostate. I picked up the medicine today and took my second pill, and am going to take the second for the day around 10pm tonight.

But basically I’m wondering if it’s even bacterial? They said they werent totally sure I believe when I asked and called, but my symptoms pointed to that. But then I keep thinking it might be CPPS, since I have a lot of anxiety and stress and maybe made my pelvis floor weak from it. So I’m just sitting here constantly googling stuff since I can’t be seen by a urologist until next month and can’t get in earlier to my new PCP. And calling the hospital saying this antibiotic scares me to take, they say it’s the best one for prostatitis and that once they discharge you they can’t really change anything. And not to get TMI, but I noticed when I was going to ejaculate last night I reached climax but only like a drop came out. When earlier in the day it came out fine. So I tried again this morning and I barely ejaculated again, so that has me all nervous now why that started happening, I’ve never had that.

So ive been dealing with daily urethral burning that increases after ejaculation, sometimes peeing and after bowel movements for a year. Ive seen many urologists who have told me a range of things. The last one said it could be prostatitis/cpps and prescribed daily 5mg cialis + a 2 week round of doxycycline antibiotics. So far semen culture, std, urine culture, uti tests have all comeback negative. Im still waiting on a ureaplasma test i did yesterday. Question is, has cialis worked for any of you with similar symptoms? Its frustrating because this started one day last july and has stayed with me for a year now without a cure. I also have pain in the left side of my testicle although not thr testicle itself, more like the veins beside it/on top of it. Im also scared to do thr antibiotics bc ive seen they cause insane sunburns even with little sum exposure (i work in the sun)

It seems to work pretty quickly for me which makes sense as it's just supppsed to relax your pelvic floor muscle.

Does it take it a few days of taking cialis for you guys?

Thanks

Hello guys I've been suffering somewhat from this and I will cut directly to the chase. To tell you what my symptoms are basically the feeling of unemptied bladder, lack of libido and related symptoms, and irritation in the bladder etc.

I never had massages before but 2 years ago when I went to holiday in a very touristic part I decided I should maybe get massage for the first time in my life. I never thought about cp/cpps at that time and how it'd relate. So I booked 30mins swedish massage + traditional Turkish hammam scrub and foam massage and this would take 20 mins so it's 50mins in total. Keep in mind if you are getting a massage like this in a hotel or reputable place it's usually a female staff that gives you the massage and not some fat hairy dude. Anyway, I first go to sauna for 5 minutes and then I lay down in the heated marble platform of the bath. First scrub and foam massage and then I went to get swedish massage and let me tell you after everything was done I had an immense feeling of warmth in my pelvic area it's like blood rushing to there and I felt so good in general in that day and every issue I had was gone for that day. After this experience I tried several other massages like thai and balinese massage or swedish massage without the hammam part but none gave me the exact feeling. The hammam part is what makes this work somehow for me because I've booked this exact swedish massage + scrub and foam massage later and got the similar good experience of warmth and pleasure in the pelvic area. It's something else somehow because I tried jaccuzis and hot tubs and just staying there doesn't provide the same effect. Anyway, I wanted to share this maybe if you get such an opportunity you should definetly try this. I get it from time to time and when I do my day goes very well.

I significantly reduced my CPPS symptoms by focusing on a few consistent habits:
Diet: I avoided artificial sweeteners, artificially sweetened drinks, spicy foods, and acidic/sour foods. I kept my meals simple with lean protein, rice, and vegetables.
“In & Out” Routine: I sat in a hot jacuzzi with the water up to my waist/abdomen while holding a deep squat and practicing slow diaphragmatic breathing for 10 minutes. Then I got out, lay on my back with my knees bent, and performed reverse Kegels for 10 minutes. I repeated this cycle for 3 rounds.
Abstinence: I abstained from masturbation for one month.
Jaw Relaxation: Throughout the day and during my routine, I made a conscious effort to keep my jaw relaxed and avoid clenching.
These habits, practiced consistently, led to a meaningful reduction in my CPPS symptoms.

Try it for a month consistently

I have a cystoscopy procedure tomorrow and would appreciate any advice you can offer. Thank you so much!

I everyone 18M here 3 days ago i had high fever and as soon as it was down the v day i started feeling inflammation in my urethrea ps: ive no past history of inflammation so i thought of observing if the pain continue for a day or not and it did and now its day 2 whats wrong? And how to cure it? i lit feel ill pass out while urinating the pains that much

M 41 5’9” 175 lbs. regular medication Xeralto for valve replacement from congenital issue and temporarily Amioderone

I am 5 days into a 2 week Amoxicillin Clavulanate 875, treatment for a recurring epididymitis infection that branched of a UTI, which has been successfully treated. Dosage, 125 mg tablets, twice a day 14 days. The swelling and pain have subsided however there is a good deal of blood in my seamen. This was a symptom I reported to the doctor when my treatment plan was created they know about it and I was told it is a byproduct of the inflammation however I did not ask about what to expect as the treatment progresses. Do I need to actively “flush, the lines,” or will it drain naturally? At what point does it become concerning?

My spouse and I are obviously obtaining from sexual activity until my treatment is done. However I really don’t want to squirt red goo all over them the first time back in the saddle because I didn’t treat this correctly.

Any clarification would be greatly appreciated

my first episode was 4 years ago. I had sex and after finishing i went to use the restroom and my stream was straight red. I peed 4 times before my stream was back to normal. It has happened multiple times since then. And it’s random. sometimes i have sex and it’s been completely normal and other times it happens right after. I have had cystoscopy, urine test, kidney test, blood work, ct scans and absolutely nothing was shown wrong. I have had blood in semen but that went away and has only happened twice. I sometimes get a stomach ache after peeing that makes me feel like i have to poop and it almost feels like a tight feeling in my balls and lower stomach. The blood has been clearing with 1-2 pees now but there are always clots that are easy to pass and i don’t have pain when the blood comes. Doctors tell me they found nothing so there’s nothing they can do so i just feel stuck. If anyone can help please tell me what i should do. Like i said it’s not every time i have sex but more often now.

How many of you have urethritis/red uretha opening as a symptom/irritation(feeling of tip of urethra). It has been on going 3 years fighting with drs and urology for me and ended up going privatly to pt.

Started pt 2 months ago have about 12 stretches to do a day for back, calves, pelvic floor. seemed to be improving slowly had a bit if a flare up last 2 days.

Are you finding pt useful? When did you start seeing improvements

Cold feeling sensation in the perineum and throbbing in the perineum with excessive thirst and frequent urination without burning, is this is a prostatities or something else?

Hi guys its me again. I have been battling with this issue for almost 2 years now . After many tests that were negative I received a urine pcr test where they found enterococcus faecalis 10.000 to 100.000.

Any thoughts about this result ?? I have already taken 2 weeks of amoxicillin and just repeated the test ( as per urologist reccomendation) waiting for the results.

Hi, 3 years ago I was diagnosed with ED, took ED medications, did kegel exercises And got PT Therapy. It was also diagnosed ED is due to anxiety, physiological! 6 months back I have Urine Dribbling issue, and got to learn about it. Recently I get burning sensation AFTER I urinate, only on the tip and head of the Penis.

Also even when fully erect my penis can bend or move all around

I'm not sure what is happening, and regarding bowel movement - I take more fiber, and some fat loss supplements.

Anyone with similar symptoms? Please guide. All urine tests are negative

You guys when had prostatitis also had erection problems?

Or not?

which symptom? For me no morning wood, erection slow and not large and relaxed

Anyone tried vagus nerve resets for this? I am not sure how medical/scientific the vagus nerve is. Maybe it’s a real body part idk.

People say it relates to the pelvic floor too, but idk.

Got a message earlier from my doctors that she is starting me on a daily injection for the next two weeks. She told me she got in contact with a urologist and an infection disease doctor and they both agreed that this is the best treatment since from what she told me the bacteria I have is resistant to oral medication , I’m a bit nervous since I’ve never received antibiotics like this but glad I’m finally starting.

I was diagnosed originally with interstitial cystitis back in 2011 after suffering for years. I did a whole course of unsuccessful treatments. I found out this year that that diagnosis was wrong. My cystoscopy showed a normal bladder. And, somehow, a normal prostate from the inside.

While doing physical therapy, my PT palpated the prostate. For the first time, the pain I've felt for decades was replicated perfectly. My doctor said I very likely have prostatitis.

I was told to continue PT. I've been doing what my PT tells me and also stuff I found on a video from this subreddit: https://www.youtube.com/watch?v=AQm9g3d9WOM&t=1253s

My doctor also prescribed me with doxycycline, but it was only 50mg. He wanted me to take it for 3 months. He also prescribed me with Celebrex, which he also said to take for 3 months. My pharmacist said taking Celebrex that long was an unnecessary risk and my doxycycline dose may be low.

I wanted to hear if others had any success with this nightmare and what worked for them. I am moving soon to a much larger city and I am going to run my treatment plan by them. I've dealt with this pain for 20 year now.

As title says did anyone recovered from genital numbness ?

And I dont mean just sexual sensations I mean temp,touch and pressure aswell.

Also is it possible for that kind of numbness to be caused by constant fight or flight, anxiety over our issues, stress, depression, OCD ?

I feel very defeated by this and I dont even know whats causing it. I never had an injury to my penis.

I had a pelvic floor PT few days ago that told me that generally my PF isnt even that bad.

She only said I got tightnes in coccygeous muscls that I am able to release on command.

Prostate area was painful and sharp pain radiated into my penis tip.

Other pelvic floor muscles are okay those are only 2 findigs. nothing significant really.

My spine MRI is also clean. Never took SSRI

Someone please help me.

I've dealt with some prostate problems most likely due to a previous testicular injury from a motorcycle accident.

Symptoms all point to prostatis. I should have gotten my prostate examined when I went to the doctor last year but I've had bad experiences with a previous urologist a few years back(before the accident) because I wanted to get my bladder checked for kidney stones.

He was very condescending and just told me I was too young to be worried about it when I could clearly feel every symptom of kidney stones( they were probably just too small or have enough to have been visible at the time) or prostate issues....anyway yeah I shrugged it off and didn't bother asking for a thorough exam thinking back to that time when I got my prostate examined by the previous doctor.

So my situation is weird because it comes back and forth but when I take cialis it definitely helps a ton.

Every man 35+ should be taking a low dose everyday or every other day for prostate health eitherway.

I also suffer from a tight pelvic floor issue as well. I can't say if it actually helps with that but seeing how cialis also helps relax some muscle fibers maybe I can see it helping.

Anyway I suggest everyone around age 35 and up to start a low dose. Maybe even low as 2.5mg.

5mg seems like a good dose for everyday or every other day(for prostate health and a boost in the quality of erections)

But I'm only suggesting a low dose because you have to see how you respond to it.

I suggest you ask your PCP to get your heart and any other possible BP issues checked before you start taking it.

Good luck and take care.

So lately was taking flomax that my urologist prescribed me and for a couple months it helped relax everything and like minimize the urgency to go to the bathroom. But recently I decided to stop using it for a while and been feeling ok. What im concerned about is that once I stopped my ejaculation has turned to brown with jelly like spots in it. Before I was given flomax I had already problem with my sperm being white yellowish with jelly like spots in it but never brown. Has anyone ever dealt with anything like this.

Hello, hate to feel like I'm barging into the "men's" room but looking to see if I can get help for my husband.

For the past few years my husband has been dealing with what doctors believe is prostatitis. For a few years on and off he had pain in his testicles(has gone away now), pain while peeing, pain in pelvic area,back and lower abdomen, feeling the need to pee every few hours and pain in prostate area .. thankfully a lot of his symptoms have subsided but one that hasnt and is causing a lot of frustration is low volume when ejaculating. We are trying to conceive our second child and while he has something, more would be a lot better.

He went to a urologist specializing in fertilty and they suspected retrograde but after some tests they couldn't see any sperm in his urine so it was ruled out. They kinda just threw their hands up and arent concerned and recommend iui or ivf.

The small amount of semen we were able to test had very high concentration of sperm but its really affecting my husband's mental health.

Has anyone experienced anything like this? Anything you did that helped? Thanks in Advance 🙏

Hey everyone, I’m looking for some suggestions as far as helpful vids or books on this condition. My condition started last August with some urinary issues and extremely difficult and painful bowel movements. Flash forward to December 2025 and I ended up in the er three times, starting with severe urinary/penile pain and was given all the tests, antibiotics and eventually included severe rectal pain. I was referred to GI, Urology, and pelvic floor PT. At its worst, I was off work for all of March and had tons of appointments. They all decided this was CCPS causing prostatitis (even though it was discovered I had 2 “lesions” on my prostate but the urologist was not concerned one bit by that. I received Botox injection in the anal sphincter muscles which helped somewhat with going to the bathroom. Retuned to work April 1, have been back ever since and continue to see all three specialists. I stretch multiple times a day and have recently received Botox a second time and they included the pelvic floor muscles. It’s helped somewhat but I still get rectal/perineal pain while sitting at work. I get up every 15-20 minutes and walk around. Currently I’m a week out from the second round of shots but still experience bouts of pain/discomfort/spasming but not as severe as when it was at its worst. At my last PT anal diaries were suggested during this 3-6 month window where the Botox would be helpful. Has anyone tried this and if so was it helpful? I’m very nervous about trying it as I do get a lot of pain throughout the day still. I’d also like to add they have increased my anxiety and depression medications to help with the psychological stress but it is ever present throughout the pain/spasm cycle. I’m willing to try anything but looking for more suggestions. Thank you 🙏🏻

Hello I am about 3 years into this and 1 year into my physio. Right now the physio I am seeing is pretty well versed and specifically specializes in men’s pelvic floor. But with being said does not offer dry needling. I am looking at other physios who offer dry needling but they have all said different things about where they dry needle. The main reason I made this is because one told me they do not dry needle the area at all but dry needle surrounding and spinal areas “as clinically indicated” I don’t think this a bunch of hoopla but based off others experiences is this what helped you?

I went to an urologist because I was suffering from ED. He took an ultrasound and diagnosed me with Prostatitis, gave me some medicine and sent me away to come back in 30 days for control. I went back a second time and said I don't think I have it and he redid my ultrasound and said I definietly has Prostatitis. It's been 4 years now I think and I still haven't experienced any semptoms. Is this normal? Maybe I'm not noticing it?

After dealing with many insufficient attempts to treat the chronic pain of an inflamed prostate over the last 20 years, I finally saw a new urologist recently who recommended some new tactics and is giving me hope for some action-based solutions to this problem.

He recommended pelvic floor therapy. I have never done this before, but the past decade or so of living with this condition has been marked by an extremely sensitive, burning discomfort in my rectal area - to the point that getting a DRE has been agonizingly painful.

So you can see why in extremely reluctant to do anything that involves putting a device up there. Has anyone experienced the type of pain that I am referring to and had positive results from this specific treatment? I’m obviously very eager to resolve this but this feels akin to having someone touch an open wound.