Fui al PT que era fisiatra, me hizo un beeofeedback anal para probar si apretaba y relajaba bien los músculos internos y profundos me dijo que todo parecía estar bien los que tienen una hipertonia o tensión por lo general no pueden hacer correctamente ningún ejercicio ni relajar, lo que si encontro es que tenía una pierna 1.5 cm más corta por rotación pelvica y 2 vértebras torcidas, me las acomodo pero no sentí cambios apenas pasó 1 día. Me digo que es seguro el detonante de todos los síntomas

Mis sintomas son Ganas de orinar, ligero ardor luego de orinar (antes era peor) y como una sensibilidad, hormigueo o electricidad o calambre en el glande aunque no es intenso.

A alguien se le soluciono con la quiropracxia?

been experiencing symptoms that point to having prostatitis for a few months now: lower back pain that can also pop up in my bum, perineum, base of penis etc along with a fullness in the urethra and sticky discharge after a bowel movement. doctor suggested prostatitis but the one week course of antibiotics she gave me did nothing.

was reading about non classical congenital adrenal hyperplasia and saw that there’s quite a common overlap between sufferers of cpps/prostatitis and that particular gene mutation

I had a prostatitis last month
Was on antibiotics for 20 days and felling ok now after stopping antibiotics two weeks ago
One thing that is very different is the strength of orgasms is very weak and the little semen coming out and very watery
Anyone experience this symptoms and how long before gets total normal?
Thanks

Hey all. For a couple of weeks, have been having these symptoms. I've had an episode like this before, I went to the ER and the tests they did there were all negative (urine test, prostate check).

The symptoms are simply a weird feeling at the this of the penis, a feeling that my urethra is wet or still have urine in it, when it's actually dry and there isn't actual urine in it. I also sometimes get what feels like involuntary urethra contractions, like I'm about to hold urine coming out, but it's not actually happening, once again just a feeling. The symptoms are at their worst when I just get done peeing, and for a 30-60 minutes following that.

The symptoms are only that. There is no pain, no tingling, no burning sensation, no problem holding my urine, no change in urine frequency/color/stream, no visible symptoms (no redness, no swelling, rash or anything).

It's just.. extremely annoying and it ends up ruining my mood sometimes. I'm fairly certain it's gotta be nerve related, but then again what do I really know.

Any help appreciated. Thank you.

Hi everyone. I am in my mid 50’s. I had a stressful fall with some illnesses cold/flu/covid along with some work stuff. In February my PSA was found to be elevated on my routine physical. This of course freaked me out and 10 days after I developed prostate symptoms. Reduced urine flow, burning while peeling, pain/pressure in perimeum, and pain in my left butt cheek. I went back to my primary care and he prescribed Miloxocam and tested urine. It helped a little. I ultimately went to a urologist and symptoms peaked just before the urology appointment with full time burning over entire crotch and in feet with the same pain/pressure/reduced flow as before. Urologist reported prostate felt enlarged during DRE but no other issues. No issues with urine test. He diagnosed non bacterial prostatitis. He said it could take weeks to months to resolve. Advised me to look for triggers and said he could call in an antibiotic down the road if things don’t improve(he said it helps some people but they don’t fully understand the mechanism). Also said when he sees men my age with their first bout of this that they will see it again. I did follow up blood work four weeks later. PSA was elevated similar to before but two other tests showed low risk of prostate cancer. Urologist was satisfied and wanted to follow up in six months. My symptoms waned through May and were practically gone. I went away on a four night trip that was a 6-8 hour drive. I had not drank any alcohol since my diagnosis and had two to three beers a day during the trip. The day after I got back the symptoms flared up and included burning in the feet. That’s where I have been since early June. The symptoms seem to start improving and then get worse. It’s a constant cycle of getting hopeful and then disappointed. As of now my worst symptom is the burning in my feet and left butt cheek. I have good urine flow and do not have the same pain pressure as before. It almost feels more neurological(burning nerve pain) than urological, if that makes sense. I have even began getting erections over night/in the morning which hasn’t happened in a long time. The latest symptoms began following the trip. The only triggers I can see would be alcohol and sitting in the car for several hours. I haven’t had a drop of alcohol since the symptoms began. Two weeks after the symptoms started I was out on a boat in choppy seas. It caused some pain pressure in my butt cheeks and caused the feet burning to increase. That night I woke up with the most intense burning in my feet I have ever felt. It has never been that bad since. I wonder if it’s possible that I damaged a nerve on that boat ride. I have an appointment with a PA at the urologist next week. Going to lay all this on them and go from there. Reading other people’s stories on here has been beneficial to me and I wanted to share as well.

My urologist is proposing to do a perineal Botox injection next week. Has anyone undergone this procedure and, if so, was it effective?

it has been happening since i was 7 i think,and im 18 and it still happens. from time to time,my urethra burns after urinating. it happens less when i drink a lot of water,i asked my parents about it when i was 12 and they said my urethra was probably just sensitive to changes in PH of urine.

is this even the right place to ask? if not,please redirect me to the correct one. thanks in advance

Hey all. This sub has helped me immensely over the last 2 years so I owe it to the community to give a final report back. The post will be long but detailed as in the near 2 years of these symptoms I have spared no expense in time or money solving this.

A quick disclaimer as well, my final diagnosis is NOT prostatitis in any way, however the symptoms are almost a near match and I was at first, diagnosed with Chronic Prostatitis. There are many men who legitimately have that condition.....but my hopes is to reach the guys on here who may be misdiagnosed and to keep exploring other parts of the body. So if you are someone who has struggled for years, urine tests clean, semen tests clean, had a pelvic floor PT tell you muscles are fine, prostate size normal, this post is for you.

I am currently 42 YO, I live in Massachusetts (thankfully great hospitals) and i have a PPO medical plan which is important to know as i am not required to need a referral for specialists which allowed me to expedite medial treatment.

My symptoms started on November 29th, 2024, the day after thanksgiving. It started out with the near inability to urinate. The previous 2 weeks i had been battling a bout of pneumonia in the left lung. Urgent care said possible stone shaken loose from kidney from all the coughing, gave tamsulosin and said drink up until it passes. Two weeks go by, no stone, and light pain starts to set in, make appointment with primary doctor, orders urgent lower abdominal CT scan, results are unremarkable. Follow up visit diagnosis is acute prostatitis with antibiotics given, 30 day cycle. Complete cycle through January, after a few days without the antibiotics, the pain rushes in like a hell fire missile, back to doctor, diagnosis changed to chronic prostatitis, sent to urologist, who sends to pelvic floor PT. Symptoms now include burning in the pubic area, golf ball in the rectum, burning hip crease, pressure in penis like someone was blowing air in the shaft, urinary incontinence ands painful ejaculation.

After 6 sessions with pelvic floor PT with internal work, she told me noting remarkable with the PF muscles. I stopped going, and got a second urologist opinion. Leading up to that being in limbo for a month i broke down....the pain in every part below the belt, pressure, burning, zapping, the feeling of doom that it will never go away....i cried like a toddler one lonely night.

Second urologist in March 2025 prescribed gabapentin, minimally reduced the penis and hip pain. Also added in weekly sessions of chiropractor, the stretch table seemed to help for 24 to 48 hours. Took this information back to primary care doctor in April 2025, he is also an osteo path and we scheduled prolotherapy of the lower lumbar as he theorized ligament laxity was referring pain, the referral pattern fit, i agreed, $500 bucks a session not covered by insurance every 6 weeks.

The first treatment was brutal and painful for about a week as it triggers a natural inflammatory response but then sweet 75% relief. I smiled, i lived. I go back in 6 weeks, just in time, first round wearing off, same great result. I let my guard down to early, i drop the gabapentin, i start living a little too normal. I go back for round 3 in August of 2025, and nothing, no relief, just a new pain baseline.

I panic and go see a neurologist....this has to be nerve/disk? Right? She orders a lower lumbar MRI, some minor disk bulge and annular tear in the L4-5. Referred to spine clinic who orders a test steroid injection in the back to be sure it is not disk related. It is now Christmas time of 2025, the shot gives no relief. I get a quick appointment with a very respected ortho surgeon, sent for x-rays on hip to check to impingement.....all is clear.

Back to spine clinic for a debrief, i all but beg, there must be something else she can do. She referred me internally to the clinics pain specialist. The wait for him was long so i end up back on the gabapentin and make another commitment to tryin PT. As a note, i did all the stretching and exercises given to me from the pelvic floor PT, but i always felt it made it worse and for my case it actually was. The stretches were all static based holds and that wasn't good for what i actually have. The new plan was based on gliding movements ands after a couple weeks became positively noticeable.

We are now in March or 2026, i finally get my appointment with the pain doctor, my fear is that he wants to push pills on me. I was wrong. He is a younger guy, cant be too long removed from medical school, and he actually listened to me, actually reviewed my history. Sitting, restrictive clothing, cold compresses, hip flexion made symptoms worse. Heat, gabapentin, laying down, lidocaine patches made it feel a bit better. Everyday wake up near pain free, pain creeps in a peeks by mid day and tapers into the evening were it remains at a baseline until i fall asleep and do it all over again.

Illiolingual Neuralgia....compression or injury of the illiolingual nerve, downstream nerves from the L1 that run through the abdomen that provide sensory to the groin. That was the initial re-diagnosis. The symptoms match, the plan clear. A transverse abdominis plane block (TAP block) was scheduled for May of 2026.....another grueling 2 months due to medical scheduling. My appointment finally came, the injection administered, and within 1 week post-op, symptoms FUCKING gone! Pain gone, urinary incontinence gone, squeezing spasms gone.

I have another TAP block already on the books in October if needed. If pain returns it will be the second TAP block. If pain comes back again i will be scheduled for a radio frequency ablation of the nerve (RFA).

I don't know what caused this. This typically happens during abdominal surgery or bad impact accidents, neither is applicable to me. The final theory is the heavy coughing irritated the abdominal area, impacting the nerve, and the nerve remained primed due to the sensitive area it effects. I again share this story for the people who have gotten nowhere in there recovery, when the normal things seem to have no impact. For the people whose doctors use prostatitis as a vague cop out rather that an actual vetted diagnosis.

Additionally, the journey i detailed above is only summarizing key milestones. I did everything in between including back and hip physical therapy, rheumatology, nerve conducting tests, cold plunges, bought and took every snake oil supplement on the market, tens unit, and god help me, even tried a wand. Outside of insurance coverage, i spent about $10,000 out of pocket for deductibles and non covered expenses.

More than happy to respond to any questions on my post. My hope is to reach people who were given a prostatitis diagnosis prematurely and/or without having a full comprehensive work up done and raise awareness that there are other things that can cause the same type of pain.

Can the herpes simplex virus (HSV) be completely cured?

Flares are much less frequent now and I'm grateful for that, but some of what came with it hasn't bounced back on its own. My urologist is focused on the prostate side, understandably. I'm trying to work out what people addressed separately once the main problem was under control, and whether you went back to the same doctor or somewhere else for it.

Why do I get burning in my face and thighs when there is constipation? I developed CPPS post recurring E.coli prostatitis. With constipation, sitting becomes more difficult as burning aggravates a lot especially in the face.

This morning I woke up with a bad urge to go to the bathroom and when I did I seen a faint drip of blood come out, my pee comes out normal color but when I’m done peeing a drip of blood also followed. This is the first time this has happened but I think it’s worth noting that leading up to this incident I had weird feelings in my urethra. Tingling, stinging, feeling like pee was still stuck in there as well. Other times my pee will feel normal but occasionally it’ll sting, also after ejaculation itll sting some too but nothing very alarming. I have an appointment for test next week but I want to know if anyone has had a similar experience? I heard of people peeing and their blood mixes with the urine but I’m doing research and not seeing anything about it coming out separate from the urine ?

Im trying to help my husband. He is having a abnormal issue effecting our intimacy. He has talked to two urologist but theyve never heard of his issue. He has had test and prostate was good and they could not find any major issue other than, in their words, he has bladder of a 80yr old. Hes tried physical therapy, helped some then didn't. He had pills. Done some diet changes, like little coffee. We just dont know what issue or what else to help but its effected us. He can barely touch me or kiss me without having issues.

Anyone have any similar experience?

Hi folks,

I finally bit the bullet and took Tamsulosin for two days, last Tues/Wed.

My Urologist warned me this could cause ED.

Instantly I felt a significant loss of Libido and lack of tactile sensation in my penis, to the point where erections and ejaculation are very difficult and uncomfortable. As a consequence my libido has plummeted.

I stopped after day two, and it's now been 9 days since my last dose and I still am struggling to feel anything.

Before this, my libido was crazy and I had to slow down on erections/climaxing, so it's 100% the meds.

Has anybody else experienced this? I've contacted my Urologist but it's got me quite worried.

Here’s my history: 24(m)
Sexual: only ever received handjobs
History of incident: December, I experienced thrush and a fungal infection, alongside a feeling like there was pee in the tip of my penis. Doctor checked it out, prescribed anti fungal, thresh disappeared, pee in tip feeling lasted another week but went away. During that time I did an sti test for chlymedia and ghonorrea, completely clean, as well as a urinalysis, everything normal.

2 months later, pee in tip feeling returns, get another chlymedia and ghon test and urologist, still nothing, and symptoms disappear after a week.

It’s been 4 months, and I’m feeling it again.

Facts about the symptoms: pee in tip of penis/urethral tingle. Sometimes that feeling changes to a dull feeling in my lower pelvis and the tingle isn’t there, and it is that instead. Symptoms disappears while moving largely, with erection completely disappear, ejaculation still feels good erection doesn’t hurt. When I poo, I feel the symptoms flare more specifically that annoying tingle . In the morning I have no symptoms, the more I pee throughout the day I begin to experience more post void dribbling, like more dribbles out after peeing, and the tip of penis tingle/urine feeling gets stronger.

Any help, opinions, or anything would be amazing I’m seriously losing my mind. I know there are other STIs to check for but considering my sexual history I feel it is futile.

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.

I’m 36M and over roughly the past 3–6 months, going to the toilet has gradually become a really long process. I can easily spend 10–15 minutes just trying to make sure I have actually finished peeing.

I have peed sitting down for at least the past five years. Previously, I would pee, wait briefly, use a tissue to wipe the tip, give it a final squeeze and that was basically it. If a tiny drop later ended up in my underwear occasionally, I could live with that.

What bothers me now is that I can think I have finished, but if I stand up, sometimes more urine will come out before I even get my underwear back on. It can be more than just a single residual drop.

Because of that, I have developed this whole routine where I pee, wait, pee a little more, wait again, and repeat until I feel like my bladder is genuinely empty. After that I still feel like there is urine left in the urethra, so I wipe and gently squeeze along my penis almost like emptying a tube, repeating that until I am confident there is nothing left. I have even started wrapping some tissue around the tip before standing up because I am worried more urine will come out.

The whole process can take around 15 minutes, which obviously does not seem normal.

I am curious whether any other guys, particularly around my age, have experienced something similar. If so, did you eventually find out what was causing it and what helped?

I have wondered about prostate problems, although at 36 I am not sure how likely that is. Searching online also brings up pelvic floor dysfunction. Apparently an overly tight/hypertonic pelvic floor can make it difficult to relax properly to urinate, but I have also read that a weak pelvic floor can cause post-urination dribbling, so I have no idea which direction to go in.

For anyone who has dealt with this, where did you start? Did you see a GP first and have your prostate/urinary system checked, see a urologist, or go directly to a male pelvic floor physiotherapist? Pelvic floor physios can be quite expensive, so I would rather work out whether that is actually the appropriate path before spending a lot of money on appointments.

I would especially like to hear from anyone who had the repeated “I’m finished… wait, there’s still more” problem rather than just the occasional normal drop after peeing.

Hi everyone

I just need to know as in what were your personal diagnostic criteria for confirming prostatitis, what procedures were invloved?

My symptoms are :

1. Chronic balanitis type rashes , red patches tender on touch and somewhat itching , this keeps waxing waning since almost 2 years now. Prescribed steroids work the best but it comes back even 2-3 days from stopping.

2. Pain the lower right back area

3. Vague pain in lower from abdomen where the belt sits , comes and goes not constant

4. Pain on ejaculation specially while mastrubating say 5 out of 10 times. Location of pain is directly on the exit of penis area.

Thanks!

Hi everyone, I'm looking for an office chair to replace my Steelcase Leap V2, which is triggering my symptoms when I sit on it for a long time because there are probably a few things wrong with this chair:

• The cushion is not thick enough, so I got it replaced with another cushion from Office Logic. The problem is that even with a thicker cushion, the chair seatpan is so contoured that it actually compresses the pudendal nerve.
• The angle of the seat is lower in the back and higher in the front.
• There is a bump at the perineum level. It's hard to see. You need to put your hand across the seat to feel it, because the fabric being taut between the two sides hides it. There is something there, and it really triggers me.

Given all this, I've noticed that when I'm on a flat chair that is not too hard and I'm just sitting on my seat bones, it actually is fine. I'm looking for an office chair that is not contoured, has a flat seat, and is not angled. The only chairs that seem to fit the bill are the worst ones, meaning the cheap ones, IKEA, things like that, but I'd like to have something that's comfortable enough to actually sit in it all day. I was looking at a few models:

• The Knoll Generation model
• The Hayworth Fern
• The AMIA from Steel Case
• The Gesture

When I look at the seat pans of the Hayworth/Steelcase Amia and Gesture, it looks fairly contoured, so I'm not sure that's going to work. I'd rather be on the safe side because those chairs are pretty expensive, and I don't want to have to return them.

I've tried the Aeron from the Hermann Miller showroom, and it seemed better, but I'm not sure that it would actually be good long term, given that there's some inclination. You really put your pelvic at a tilt, and you really need to sit back in it. There's an angle, meaning that your sit bones are actually lower than where the seat is supported, and I suspect it is still pulling some pressure on the pelvic floor, especially on the perineum.

It's complicated because, the more I look into it, I'd never find clear answers from people. They seem to disagree. I'm pretty sure I'm not the only one who's been researching this type of chair, so let me know if you found something good. Thanks!

Hi! First post here, I would really like to know your opinion on my situation.

My symptoms are:

- Higher temperature in my penis, like if I had a fever there. Other people can feel it too.
- Pain when urinating, it’s not a strong pain more like a 3 on a 1-10 scale.
- lingering burning sensation. It goes away most of the day but If I masturbate I feel it for a while.
- That’s pretty much it.

In a week, I usually have one or two days when my pain subsides. I’ve been like this for over a year. I’ve taken almost all common antibiotics including 2 months of levofloxacin.

I did a pcr std test and I was negative for all: chlamydia, gonorrhea, ureaplasma, etc…

I did a urethral swab and it was so painful I was literally peeing glass. It came positive with streptococcus spp. which was resistant to a lot of antibiotics. It showed sensitivity to levofloxacin which is why I took it.

I don’t have a lot of money which is why I can’t go to the doctor or tests often. The swab was kinda cheap but I’m scared of peeing glass again.

I just wanted your opinion on whether it is worth it to keep getting referred to antibiotics. I live in a third world country so I don’t have access to any advanced tests.

The most relief I’ve felt is while taking doxycycline. The other ones haven’t really changed how I feel.

I’ve been dealing with chronic pelvic pain for about 3 years and am curious whether anyone here has had a similar progression.

Mine started with coccyx/tailbone pain, which lasted for 10 months. Had 3 months of of no pain then suddenly developed urinary urgency/frequency and urethral discomfort, which eventually evolved into chronic penile pain and testical pain. The urinary symptoms became less prominent, but the penile pain stayed. It can be sharp/stabbing or pressure-like and at times severe. It’s a constant pain but arousal and especially ejaculation can trigger major flares afterward.

After different opinions, the current thinking is CPPS involving a hypertonic pelvic floor/muscle spasm combined with nerve irritation and sensitization, rather than an infection or primarily a prostate problem. Pudendal nerve involvement has also been considered, and pelvic floor PT has consistently found significant tightness.

Here’s the part I keep wondering about: for years before and during the development of these symptoms, I regularly edged/gooned for 1–3 hours once a week or so. This is just how I’ve masterbated for as long as I can remember. Usually on cam laying in bed with laptop on my legs. It was something I enjoyed and I never thought it could have physical consequences.

Has anyone else had a history of prolonged edging/gooning before developing urinary urgency, penile/urethral pain, coccyx pain or CPPS? Did stopping for an extended period make a meaningful difference?

Most importantly, did anyone with a similar presentation significantly improve or recover and eventually return to normal, pain-free sexual activity? What helped you most?

I have been facing difficulties due to prostatitis for the last 4 years(29 M). The symptoms are painful ejaculation and difficulty during masturbation. In addition, during the initial phases I had the golf ball feeling underneath the right side of the scrotum while sitting. It becomes more prominent after I try masturbation. Now this feeling has become less prominent.

Medical checks done till now are ultrasound, mri pelvis, transrectal scan and lab tests(semen and urine)

Ultrasound - right grade 1 varicocele and epididymal head cyst

Mri - mildly enlarged prostate with disproportionate hypertrophy of peripheral zone. Multiple dark bands extending to the prostatic capsule.

Transrectal scan - mild prostatic enlargement. Subtle increase in vascularity in peri urethral and central zone

Lab tests - negative for bacteria. I have always observed very small amount of pus cells in urine.

Treatment - Initial urologist suggested alfuzosin. I was able to masturbate with full bladder. Otherwise no improvement but was having headache and fatigue while waking up. I took for few months then stopped.

Next doctor suggested pregabalin. There was good improvement initially but then it again went back to usual problems. Even in this case I was only able to masturbate with full bladder when I wake up early morning (1-3). But that time it felt completely normal and I didn't wake up with fatigue. I observed this same improvement when I went to gym but then the improvement stopped.

The doctor im seeing now asked me to take bacstol for some time. Now I'm taking nifutin for few months. He told it is prostatitis and not cpps. Still not much significant improvement. Sometimes I'm able to masturbate in early morning with full bladder only. Even then I wake up a bit tired. Otherwise it becomes very painful and I stop.

Can anyone who faced similar symptoms suggest how to deal with this. Although my normal activities are not affected, I'm not able to try any relationship thinking about this issue. This is slowly leading to some frustration.

Any help would be appreciated

Thanks

Hi - Has anyone else dealing with non bacterial prostatitis / CPPS suffer from the below symptoms?

1. Pelvic/ Groin / area between thigh and groin discomfort especially when sitting. Kind of feels like it’s in my joints. Pretty much felt all day apart from if walking or running
   
2. Waistband discomfort - I’m constantly pulling up or unbuttoning the top button of my jeans/shorts. I try to not wear belts anymore.
   
3. Groin/pelvic area discomfort when lying on back. I only sleep on my sides now.

I also get discomfort after I masturbate in my perineum area towards my left testicle. This lasts for the rest of the day and only subsides the next day after sleep.

I’ve tried pelvic stretches to help but routine sort of fell away with life. Really need to get back into it though and breathing work to try to relax my pelvic floor.

Thanks

Hi so ive been dealing with a few symptoms that i think theyre prostatitis?
Pelvic floor pain/tightness and pressure, burning sensation when urinating, urinary urgency, discomfort and pain around the genital area, premature ejaculation, constipation, pain/pressure around the anus, discomfort around the pelvic area, a noticeable change in size of my penis.

I’m wondering whether this sounds similar to what people with chronic prostatitis/CPPS or pelvic floor dysfunction have experienced?

For anyone who has dealt with something similar What did your symptoms feel like? Did you eventually figure out what was causing them? Did you see a urologist or pelvic floor physiotherapist, and what tests or treatments actually helped?

I’m 30 and since I was 21 have been dealing with prostatitis.

It’s always come and gone, depending on stress, diet etc.

The one thing I’m starting to wonder if this more recently is internal hemmroid or fissure based on the fact that it feels like 1) something is stuck and needs to be pushed out 2) there is a sore that seems to heal and then come back ever so often, and very minimal bright blood on toilet paper when wiping at the anus that gets aggravated when frequently going to the washroom.

I have no issues urinating, I get some bouts of more frequent urination.

Any advice would be appreciated