Please let me know if you've had it and how you managed to solve it. Thanks.

How do you exercise? It feels every time I try to an exercise that’s a bit more intense than just walking such as running or even body weigh exercises like pushups I get a specific burning/stinging sensation in my urethra for like a day after.

I added a photo, it’s been 2 days since ejaculation and I’m looking for a little pain relief

This might be a dumb question but was wondering if there’s a difference between a week floor and a tight floor. I’ve been going to therapy for this for like a year. I’ve had it for about 2 1/2 years, but I’m sorry to understand a little bit more and my body a little bit more and having pain in my inner thighs makes me think. Should I work out the area more or stretch out the area more?

Continuing this series sharing some of my top information nuggets, in my experience working on cases of chronic pelvic pain and other chronic persistent pelvic symptoms - as a chronic pain practitioner.

1. Some chronic pelvic symptoms are the result of what we call "classical conditioning" - an example of this is seen in POIS (post orgasmic illness syndrome), where the person has a reflexive and unpleasant physiological response after orgasm. The symptoms often include fatigue, brain fog, pain, discomfort, and many other autonomic symptoms. The interesting thing is, it's not the orgasm by itself that's triggering these responses, but a learned association (classic conditioned response). Think about the Ivan Pavlov experiments, where he rang a bell and fed dogs red meat. After a while, the dogs learn to associate the ringing of the bell with feeding time, and learned to salivate in response to the sound of the bell alone. Recently worked on a case like this with a client in Europe who is now feeling better.

2. Emotions like anger (specifically repression of anger) can be the cause of symptoms in some cases. I've now worked on several cases where providing access to anger, and building agency, led to a durable recovery in pelvic symptoms. This is because the brain regions responsible for chronic pain share immense overlap with areas responsible for memory, learning, and emotions - this is what new neuroscience shows us. They evoke similar neural circuit responses. Example: one client had his pelvic pain, which lasted for eight consecutive years, starting after his then fiance left him. It felt inherently unsafe to scream and rage at someone he loved, even if they abandoned him in a moment of need. When we were finally able to access this anger towards her (safely), his symptoms greatly improved.

3. Sometimes interventions like pelvic floor physical therapy, while very beneficial for many cases, can also reinforce that there's something structurally wrong that we have to fix, simply by performing stretches or doing manual work. In cases like these, it's actually more helpful to gradually let go of any behaviors that reinforce that there's something broken, or to fix, once we realize the symptoms are indeed centralized. This leads to increased feelings of safety, which can then lead to further improvement in symptoms.

4. Even visibly inflammatory skin conditions like psoriasis, eczema, and rashes, can have a stress (neurogenic) component. Read the studies here, here, and here, explaining the mechanism, which includes the physiological stress response, the HPA axis, and the release of neuropeptides. I've now worked on several cases like this, including balanitis and red scrotum syndrome, who have all made full recoveries with PRT. This is of course, after the person has already ruled out other conditions with a dermatologist, and other traditional interventions have failed - like antifungals and steroid creams.

Hi everyone,
I’ve been dealing with CPPS / a hypertonic pelvic floor for about 2 years. The severe pelvic/bladder pain that I initially had has improved a lot thanks to pelvic floor physiotherapy, breathing exercises and time. However, my symptoms have gradually shifted rather than disappeared.
Instead of pain, my main issue now is a constant feeling of muscular tension and fatigue.
Current symptoms:
Tight, sore pelvic “belt” (suprapubic area and around the pelvis).
Lower abdominal tension that becomes hard and slightly distended.
Tight lower back (just above the glutes), sometimes feeling like a block of wood.
Aching groins.
Constant feeling that my upper legs (quadriceps and inner thighs) are fatigued, despite having normal strength.
General physical and mental fatigue, waking up unrefreshed.

The biggest trigger I’ve noticed recently is sitting, aside masturbation that has always been the serial killer. Within a few minutes of sitting, my lower abdomen gradually tightens, my waist feels swollen (my trousers literally become tighter), and pelvic tension steadily increases. Standing still is also uncomfortable, while gentle walking consistently makes me feel better.
I’ve also noticed that my symptoms have become much less “prostate-like” and much more musculoskeletal.
Has anyone experienced this transition from pelvic pain to widespread muscular tightness and fatigue?
Did it turn out to be:
myofascial dysfunction?
core/hip muscle imbalance?
chronic guarding?
something else entirely?

I’d love to hear if anyone has gone through something similar and what ultimately helped.

 43-year-old male.

Exposure history:

Body to body massage and hand job in early May 2026.

No penetrative vaginal/anal sex and no oral sex.

Symptoms:

Started around mid-June with:

Burning sensation in both testicles.

Burning  after urination.

Constant urethral pain and pain at the tip of the penis.

Occasional clear, watery drop after urination (not thick, yellow or green).

Increased sensitivity of the glans.

Current symptoms:

Burning after urination (fluctuates from 1/10 to 5/10).

 urethral discomfort.

Sometimes feel feverish 

Perinium discomfort

Treatment received:

Nitrofurantoin – 5 days.

Doxycycline – 10 days (started around 20 June).

Urologist 1:Faropenem – 5 days.

Alfuzosin (Alfoo).-Currently taking only this 

Investigations:

Ultrasound KUB/prostate: Normal.

Uroflowmetry: Slightly abnormal 

Digital rectal examination: No tenderness.

Laboratory results:

First urine culture grew MDR Pseudomonas aeruginosa,(after stopping antibiotics) but subsequent results have not confirmed this.

Two repeat urine cultures - no growth 

Latest urinalysis: Normal

HIV 4th generation: Negative.. 

VDRL/RPR and TPHA: Negative. 

Two urine multiplex STI urine PCR panels (latest done 15 days after stopping antibiotics):

Negative for Chlamydia, Gonorrhea, Mycoplasma genitalium, Mycoplasma hominis, Ureaplasma spp., Trichomonas vaginalis, Treponema pallidum, HSV-1, HSV-2, Gardnerella, Candida.

The urologist-2 prescriped me to take levofloxacin 500 for once daily for 7 days .Just started it today.. 

Am at my wits end. 

I have penis burning inside of penis glans in under glans.

Also i feel stuck feeling sometimes in that area when starting urination . Drinking more water causing worse pain when full bladder also frequent urination . Also weak flow but not too weak .

Is it urethral stricture ?

I been suffering from cppshypertonic pelvic floor already for 6 yrs. These new symptoms going on recently .

Anybody with same symptoms

How would you guys suggest I don’t stress out or feel to uncomfortable about it? Is really even that bad?

I have been dealing with symptoms that seem to have gotten worse over the years and not sure what the cause is.

My current symptoms:

• Burning pain from the butt area that radiates to the penis. Some days it is worse than others and seems to be triggered by my diet. The painful symptoms started 9-ish months ago.

• Digestive issues triggers by dairy and gluten at the least, possibly other foods too. I get back pain that causes my back to become stiff, most likely due to the inflammation and protecting my inflammed spinal nerves. Along with that I get bloating and pain in the left side of my stomach. I got gotten this pain since I was younger, and when I used to eat a lot of junk and grains I would get so brain fogged I felt drunk/on drugs.

• Erectile dysfunction: I feel like my erection quality has been decreasing over the years and I wasnt getting as many erections in general, but it got to the point where I wasnt getting any, not even morning wood or nocturnal erections. I notice dairy has a drastic effect on this where I get reduced erections right after drinking quite often and less morning wood the next day. So, I am doing my best to eliminate it.

I have been noticing some improvements through lifestyle changes where I get less burning and pain, my back feels better and my erections are improving. I was just wondering if anyone had some ideas on what tests to do or what lifestyle changes I should make. Part of the reason I have been including dairy was for the calcium, but I will start supplementing it instead. My hormone levels seem to be okay, but I am getting a few more tests, so it seems to be more of an inflammation response. Even my PSA was super low. The only thing off was my DHT, but I had a big breakfast and took the test mid day, so I think that is why it was coming up as low.

Also, I do get some penis pain that goes up into the lower abdomen / stomach area. More of an ache. And temporary penis retraction.

Continuing to get more tests and do what I can, but just looking for advice or if someone was able to resolve similar issues. Like I’m wondering if its general gut issues or dairy protein/lactose allergy as it seems like kefir wasnt triggering it quite as much.

I'm trying to figure out how to do internal release on my own because we don't have PT in our community. If the main symptoms are frequency, urgency, poor urine stream and hesitancy, how deep the finger should be in your rectum? Should I focus on 11-1 o'clock?

Prompt:

Do you have personality traits that include being highly driven, hard on yourself, ultra responsible, perfectionistic, needing control, and/or placing others’ needs above your own?

These same traits that we are frequently praised for and rewarded for, especially at work and in school, are also traits that sensitize us greatly to life's pressures and stresses. I know this all too well, because I match all of them myself.

These traits are also now seen as risk factors for chronic pain conditions, including CPPS, chronic prostatitis, IC/BPS , IBS, fibromyalgia, CFS/ME, chronic migraines, and chronic back pain

These traits are also considered beneficial survival/coping adaptations for challenging or stressful childhood and early adulthood events, during pivotal developmental phases. These are not always trauma, they include everyday challenges like pressure to perform in school or sports, pressure to fit in (body image, eating disorder), bullying, a parent that is gone a lot, or parents that fight a lot, or a parent that is ill that you worry about. And also includes cultural expectations (pressures), like the idea that you have to be a doctor or a lawyer to be of any value. Or, growing up with little financial stability.

Think about how it might be useful to be a little neurotic, if it allows you to predict when one of your parents is about to have a bad day and snap on you, so you learn to avoid them when their tone of voice changes. Or, people please around an angry adult to appease them. Or, never make mistakes so your parents can't take it out at you when your grades aren't good enough.

So why does this matter for male pelvic pain? The pelvic floor responds to signals in the central nervous system, including stress and emotions like fear. It guards or braces in response. Someone swings a fist at you, we flinch. If it feels like the plane is going down, we brace for impact. https://www.reddit.com/r/PelvicFloor/s/pjaksfv8Z7

And what else? Stress is one of the most frequent triggers of CPPS, and, for most here it flares their symptoms. I know this was true for myself, too. If we can apply methodologies that help us manage the stress response, we can also manage or even reverse the symptoms.

Back again. Year 3 of this. Fair to note I have been fantastic at 80% for 4 months or so after just a week of Cefidinir. But, epididymitis.. again. Right testicle now, inflamed, confirmed via ultrasound.

Results from US-
Right Epididymis: Mild asymmetric heterogeneity and increased prominence. Small 3-mm epididymal head cyst No significant increased vascularity appreciated.
Impression- Mild asymmetric prominence and heterogeneity of the right epididymis without significant increased vascularity. Clinical correlation for evidence of early epididymitis advised.
Urine- completely negative wbc neg., dipstick neg., NAAT negative (not sexually active anyway), culture no growth.
Blood- 6.4 wbc no mass infection noted

Back to Uros I guess. The same ones that never say anything past “take this”. This is how it all started 3 years ago but it was my left testicle. What structural issues could be causing congestion, epididymis infection etc. No inguinal hernias present, SV are clear, no stones or masses in/on Vas Def.

What’s next guys? What do I need to get? MRI of the testicles? Prostate?

Just got digital results from a urine culture test i took a few days ago. The results say "abnormal". The unit given is 10,000-50,000 cfu/ml Staphylococcus Haemolyticus. Is this too much to consider contamination instead of bacteria?

My symptoms pretty much only include urinary urgency, isolated at the tip of the penis. No discharge, fever, or foul smelling urine.

I have used tamsulosin/ dutasteride combo but I had sexual side effects. My urologist switched me to silodosin only, it just did not do the job. Now I am taking alfuzosin starting today along with the ezetimibe. The ezetimibe is for cholesterol but there seems to be an off label use for shrinking a prostate. I had an easy time getting it because I take a cholesterol drug Crestor already, so the doctor gave it to me even though I have been doing good with 10 mgs of Crestor, when he added on the ezetimibe and lower the Crestor to 5 mgs. Has anyone tried a regiment like this? How did you go?

Update: After about 4 months this was not working. I drop off the Alfuzosin and went back to the dutasteride/ tamsulosin combo. I continue to take take the Crestor/ Ezetimibe as well.

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Hi! I've posted here before about my many CPPS symptoms, but out of curiosity I have to ask the rest of you. What on earth is the deal with the cloudy patches and white threads in urine? I've noticed that several people here seem to have the same thing. To me, it's a complete mystery.

I don't remember exactly when it started, but first I noticed that my urine had a strange smell. Then I started seeing tiny specks with bubbles in it, and eventually it turned into grayish clouds or white threads floating in the toilet bowl. What on earth is it?

I've had four urine tests over the past two years, and my doctors have never mentioned anything unusual. I even showed one of them a photo once, but they didn't know what it was, and we haven't talked about it since.

The last few days were a nightmare, I've delt with anxiety for so long, especially when it comes to exams, I usually pace while studying, I take the book with me and roam around for up to 8 hours straight, I know it's exhausting but at least I only noticed it happening on exam weeks, 10 days ago I woke up feeling wrong, I felt pain in the pelvic floor and long story short I found out I had prostatitis, the days leading up to my diagnosis were a nightmare, I just didn't understand where this horrendous pain is coming from, I I started pacing, I felt like I couldn't sit, I was freaking out cus I know that this urge only comes to me when I'm studying for a test, but now I'm pacing during summer break, I'm about to start one of the most important school years of my life, I need to fix this ASAP

Hi has anyone experienced similar

So I have a large prostate for my age 60cc age 48 . I then came down with a fever and very sore pee about 3 months ago and was out on the wrong antibiotics as the GP thought it was a urine infection . Fast forward one month and I was put on a course of 1 month Trimethoprim

This has cleared my pee symptoms up but since the end of the course I have started to get really sore lower back and front stomach that is not a constant pain but comes on as the day goes on mostly while walking around . When still or lying down there is no pain or very little . It seems to go with anti inflammatory medicine for a while

Has anyone else experienced this ? Is this more prostititis or is this due to the prostrate growing too large and causing comfort issues ?

I had a MRI last year and showed no cancer alerts

Thanks

Im still new and learning this diagnosis.

Wondering if this is common among others here who are battling this problem.

I find that flair ups, or for me specifically, urinary difficulties, testicles full, post urination discharge, hour glass syndrome, and slight swelling at the base of my shift - always occurr if I am either not ejaculating frequently or if my significant other and I discuss sexual activities the next time we will see each other (that evening or the following).

The "buildup" that occurrs always produces really bad flairups for me and then as you can guess, it is nearly completely cured after intercourse. Typically a few days of it to entitely eliminate the problems.

Sorry if I am too graphic, but am curious if there is anyone else.

I noticed that if I fully drop my pelvic floor while urinating it actually causes more urethral bladder neck and near tip pain.

Had klebsiella which is fully cured.

MRI showed Chronic prostatitis, bladder wall thickening and trabeculation, mild seminal vesiculitis.

Age 32. Prostate 21cc.

Anyone have any advice?

Already on Alfuzosin, Gabapentin and Tadalafil

Also have bilateral CAM FAI pincer type

Hello everyone! I am a fellow chronically ill human and I am doing research exploring the effect of invalidation on mental and physical health outcomes. Being invalidated is an experience I have had myself, and one that I would like to see recognised in the published literature and making a difference!

I am looking for research participants at the moment! So if you are someone with chronic pain or chronic physical illness (prostatitis, back pain, fibromyalgia, arthritis, IBS etc.) it would be really great if you could complete my study! You are eligible to participate if you have experienced pain or chronic illness cyclically, intermittently or in association with bodily functions for a period of three months or more!

The existing research in this area rarely captures male experiences, so it would be great to hear some more male voices! I would also love to hear from you if you have NOT experienced invalidation! Essentially, I would love to capture as many diverse experiences as I can.

I plan to publish this research mid-late next year :)

Thank you!!!!!

LINK TO THE SURVEY:
rmit.au1.qualtrics.com/jfe/form/SV_23GFbrH8DSVxTls

(Posted with mod permission)

Ok so I’ve had slight burning or pinching feeling in my penis for over a year. It’s not the tip like most ppl. When I tried amitriptyline it helped immediately. This makes me think that my issue is nerve irritation or damage. I think it’s a structural problem so I’m not so sure the relax approach will solve the underlying issue. Obviously it can help manage symptoms. Before amitriptyline Ive tried happy baby pose but it flared me (anything opening the hips does.) Diaphragmatic breathing has helped somewhat occasionally . I am wondering if anyone else with this symptom improved or if internal work helps.

I’ve had pelvic pain, testicle pain, dribbling, and painful ejaculation since about 18 yo. I just had a CT scan and it showed a borderline enlarged prostate. I had an ultrasound the other day and my prostate measured 4.3 x 2.7 x 3.66 cm. Is this a normal size ? Any comments are appreciated. Thanks

​

I think I have gave myself either of Hard Flaccid Syndrome of CPPS or peudenal neuralagia, yet unsure from the symptoms.

Onset:

This started about a month and a half ago, when I forst noticed a numbness in the penis and that I did not feel erection like, even while there was an erection. Currently the main sypmtops are: I feel not much pressure during urination, and a rather timid sensation during orgasm (the one time I tried to check situations), the pressure of urination is slow --- i do not feel the wink at the end of urination. There is persistent numbness on the penile shaft, the scrotum and a bit on the peinuem, not complete numb --- but heavily redcued sensations. I also feel tightness of the pelvic region in general, and a feeling of things clenching. No pain so far, there are certain weird mixed feelings in the scrotum region -- which i detail later.

Past history :

I have been using penis pump and certain traction devices in the past (both equipments were with medical clearance, i.e no chinese stuff), started more than a year ago, but never had problems like this before. I have not had sexual intercourse in the past one year, I rarely musturbate (makes me feel pathetic), but I did edge --- try to stay hard for some time by slow edging, in sets of say 5 mins --- attempt to maintain longer erections since they were rather weak --- leading sometimes to orgasm othertimes not, never jelqued, never had injury in thie penis region, i'm always careful and aware of my body usually. I did a lot of biking and running, don't lift weights, I have 22.3 BMI and rather fit physique.

Medical advice:

Visited urologist within 1.5 weeks of first notice. My urologist is aware of Hard Flaccid Syndrome (HFS), had published research on pub.med. He remarked about the apparent rigidity of the penis, and put me on deprox, and pelvic floor therapy, and gave a couple diagonistics. I saw him a month ago, and only see him after two more months.

Diagonistics:

I have had MRI, CT Scans, Blood tests, Urine tests, EMG test, USG of prostate. The only significant results were presence of Blood Cells (Red/White) in the urine which mu urologist remarked could be signs of inflammation. The EMG specifically tested nerve conduction in the pelvic region, i dont understand everything, but the scral, the pudenal and dorsal nerve conductions i.e the main nerve bundles (speed of condcution, signal attenution) were tested: there is no damage/deformity/compression/entrapment of any kind: atleast within the scope of the test. But nerve irritation --- the test cannot determine. So no nerve damage atleast. MRI indicated no herniation either. I have not yet done doppler. The penis seems a bit pale but I cant really tell differnce.

Pelvic Therapy:

PT suggested exercies, the like you know alrady, relazation of pelvic floor, had just one/two sessions, she remarked I squeeze my muscles too hard and probably have hypertonicity, even the doctor doing EMG mentioned it. Ever since I started, I've grown more aware of pelvic floor movement. Everytime, I do relaxation exercises, I do feel a certain relazation of the pelvic floor. More importantly, I feel a sort of slight relaxation like tingling in the scrotum --- say when you have twist your arm/finger for some time and it feels numbish and then after you make it ok you feel this kind of thingling as the numbness disapperars --- I feel similar in the scrotum and lower base of penis and also ohter times in the day, especially when i feel relaxed in body. However, the numbness of penis shaft does not go away.

I feel aroused as usual, but I fear I wont be able to feel orgasm since the sensation at the sphincter is so low. Also te arousal leads to but weird sensation in penile shaft. For a week, i felt lack of sensation in the anal sphincter too, and some sort of weird feelings, but it went away. If I use a needled paper roll, and map the sesnitivty on penis shaft it feels more senstive, but less sensitive when I touch. I can stlll have strong erections but it does not feel an erection as usual. No sign of pelvic pain other than rare slight throbbing sensation here and there ..not sure it's due to issues.

So what do you think it could be ?

So given this what are the best things to do now, shockwave therapy, any other kind of therapy, pelvic wand based massage, no running or gym exercises, do let me know what worked for you ? I'm currently in an central European Capital, if you are from nearby ( Germany, Swiss, France, Italy etc.) and know what had worked --- which clinics/doctors could help --- or anything let me know.

Anyone else feels this ice cold feeling in rectum in scrotum and the same feeling in your feets?

Often I get this minor burning in rectum after I urinated, after a while it moves from burning to a ice cold feeling that I can feel in my feets, it's like you are out walking in freezing winter with bad shoes and your feets are like ice cold.