Hey, I’m 25 and currently in Hong Kong. I’ve been experiencing occasional burning when urinating (roughly every other day), but no constant pain for over 10 months.
2 months ago I visited a doctor in Germany. He did a swap test and found enterococci. I took 5 days antibiotics but the symptoms remained.

I visited a urologist in Hong Kong who performed an ultrasound and found my prostate was slightly enlarged (23 mL - It’s supposed to be less than 20). He diagnosed me with chronic prostatitis without doing any urine or bacterial tests. He said it happened because I didn’t drink enough water.

He prescribed:
Levofloxacin 500 mg twice daily (1,000 mg/day)
Celebrex 200 mg twice daily
Both for 14 days initially, potentially extending the antibiotics to 4–6 weeks.
He explained that a swap or urine test is useless because there’s a lot of bacteria in my pee anyways.

I’ve already taken my first dose.
Does this treatment sound reasonable? Especially the antibiotic dosage and diagnosis based on ultrasound alone? Has anyone had a similar experience?
Would appreciate your thoughts!

So I’ve been experiencing this weird crawling, hair sticking up feeling around and on top of my anus. I’ve been experiencing it for a while now (a year) and it’s pretty infrequent and I just thought of it of just having a rogue hair or lint somewhere. Recently I’ve been thinking if I have pinworms or some sort of parasite. It doesn’t really itch and it doesn’t really happen more at night even though I feel like notice it more when I’m laying down in bed. I’ve checked my anus after waking up and going to bed especially when I feel the sensation but when I do, I don’t see anything. Maybe I’m not checking fast enough and the worm goes back in lol? I don’t see anything in my stool. I feel like if it was pinworms it would only get worse and I would definitely tell cause it would itch pretty bad. I’m leaning towards it being nerve irritation due to tense pelvic floor but I have no idea. Has anybody experienced something similar? Or those who have had parasites, is this common? I’m planning on going to doctors next week.

I am concerned. Following a traumatic experience—my brother died in a motorcycle accident 15 years ago—I have, on several occasions, experienced discomfort or pain in the pelvic region, scrotum, genitals, perineum, and anus. These episodes have varied in duration, with periods both with and without symptoms; about 70 percent of the time, I am symptom-free. The issues often flared up following periods of stress, excessive alcohol consumption in the evening, or a lack of sleep. I have had my urine tested a few times, suspecting a bladder infection, but usually, nothing was found, and the symptoms would eventually resolve on their own. For the past year, however, the symptoms have returned. They began after an intense orgasm while using cannabis—the cannabis made the sensation particularly powerful. Subsequently, I noticed a small amount of blood in my semen on a few occasions, which cleared up within two weeks after a few further ejaculations. Currently, I find myself in a situation where, a few hours after an orgasm—achieved through masturbation—I consistently experience pain in various areas, including the pelvis, anus, scrotum, penis, and lower back. This lasts for a day and then disappears completely. If I do not have an orgasm, I have no symptoms at all; however, every time I reach orgasm through masturbation, the exact same symptoms return. It is worth noting that masturbating with lubricant seems to result in less severe or shorter-lasting symptoms compared to masturbating without it. Furthermore, the symptoms appear to be much worse when masturbation involves erotic film material. During regular sexual activity with a partner, the symptoms also seem to be less intense. Unfortunately, the symptoms now appear after every orgasm, though they always fade away after a day, only to return with the next orgasm. I have not yet sought a medical examination, partly because there have been long stretches—years, even—where I was completely symptom-free and the issues resolved on their own. Does anyone recognize these symptoms?

3 years ago, also a week of “golfbal feeling” in the perineum area. Only once.

52yo

No bacteria, growth or wbcs from urine or semen but urologist wanted me to give cipro a try but im too scared to risk it just to test

Hello brave men!

Feeling a bit better, amytriptaline seems to just be soothing me but hasn’t taken any pain away.

Anyway

Symptoms:
Post infectious pain
Tests clear
Sharp, dull pain in left testicle and epydidimitis
Stinging tip
Ache in abdomen

I’ve become alcoholic because of this and am missing my best friends wedding because of the pain and what’s happened during the drinking.

Lost my job and my house and moving to a dry house.

I’m from a good family and this thing has been close to killing me at times and I no longer want it to ruin me.

Plan:

No more alcohol obviously! Massive trigger / short term relief. but makes pain worse right.

No masturbation to let nerves settle. Max once a week.

No more ruminating on the pain, make plans that don’t involve pain and do them.

No more talking about the pain, as much as I want to and feel like it helps I shouldn’t.

No more checking bits

Eat a clean diet, rice, protein, leafy greens

Fast one day a week on water

Start running again and don’t be scared of the pain.

Watch nice movies but try and watch at the cinema to be around people.

Organise to catch up with friends

Keep a gratitude journal - people are going through harder things like war, end of life, etc

Keep a journal that is focused on the positives

Forgive myself for not getting the sti treatment more quickly.

Supplements - zinc and magnesium. That’s it.

My story is a little bit complicated, so thanks to everyone reading and trying to understand my case...

Male, 29 years old, married foe 3 years, no kids, due to a mild varicocele in left testicle (very mild, like it's not even a problem for the doctors) 2 years passed, i am 1m80, i used to eat a lot of everything, so unhealthy food and no activity, i work in an office, sitting all day and work all night at home sitting also facing computer, max 5 hours or 4 of sleep, sex was not that great max 3 times a week or 2, i don't last much, in a personal view it was okey to be overweight, although i had some pain in the testicle and my colon, then 5 months ago the tragedy happened, i had genital warts in my penis, i dont know from where, my wife did a frotti she was clean no high risk and not a single wart in her (i envisage for her to do anal scanning in the futur) had my warts eliminated by electrocution, since then my life went downhill with paranoia and i check my penis every second, its okey no sex for 4 or 3 months, only edging and masturbating, then 2 months ago i ejaculated, i felt my penis got enflammed the day after, like a little bit bulky, with no pain, then one day i felt some burning, didn't pay attention to it, and then when i ejaculated again i felt a horrible pain in my meatus and my urethra, like electricity and frequent urination for all night, i didn't sleep or anything, i saw a doctor, he checked me, nothing bad, although i had a constant feeling of burning in my meatus, i did all std tests, urine test, meatus swab for chlamydia and gonhorea etc..., spermoculture, all came up negative, did echography, prostat not enlarged, he gave me anti inflammatory and anibiotic and some cream, felt nice for 5 days, then symptoms returns everytime i masturbate (bear in mind that i always edge ans touch myself) consulted another urologist, he told me its prostatitis, gave me doxyciline, nothing changed, i saw another urologist, redid all the tests and examination, he told me there is nothing, he gave me Ceprolon, last week, saw another urologist, he told me stop thinking about it and dont take ciprolon its just an irritation or mild inflammation, i ignored and still take ciprolon with another anti inflammatory, i suspect a balanitis, because of small decoloration and small bump in the head, saw another urologist, he checked me again (i forgot to mention that i told every other urologist if i have balanitis, they said no) this time i told the urologist about all my concerns and what i did and everything, and that i still feel something in my meatus, i told him mybe i have intra-meatal wart, although my pee stream is normal, a little bit week but no split, he checked my meatus and told me we dont have to use the camera because you have nothing bad and no symptoms, i told him what if i have cpps, he told me no, you dont have pain when you sit, although i feel a mild burning in my asshole sometimes, and told me this "with all my respect go see a psychologist"

Today i feel my penis weak, i cant get really aroused, when i press my the head of my penis and the meatus i feel a little mild sting inside, erection is very hard to maintain, constant burning, i am in a big paranoia, i suspect i have all the disease of the world (two months ago i did keggel exercice so harshly i wanted to improve my lasting time) to the point i suspect mybe i ruptured the muscle of my meatus but when am erect nothing hurts, am afraid to ejaculate, sometimes i test myself that mybe am good, but no, i feel something there (i stopped sugar and unhealthy food 2 months ago and i hit the gym 3 times a week) i wanted to improve, yes my varicocele is not hurting and my colon also, i feel great, but my penis no, 5 urologist said am good there is nothing there, but i can't agree, i have this burning, this urge to see what's inside, am taking all the medicines that exist, i cut off coffee and excessive smoking, i drink only water, what can i do? Where is the problem? I cant feel relief, is that a classic prostatitis? Does the prostatitis makes the meatus burn? Can a prostatitis be without enlarged prostat? Should i wait and not touch anything for like 15 days and do the camera? Do i have stenosis? Am in so much pain and big spiral.

Am very sad and concerned.

Hey! I’ve posted here before. I have a lot of strange symptoms that I think are largely due to central sensitization. For example, I have chest pain, ankle pain, and a clicking sound when I swallow.

I also have pelvic issues. Typical CPPS symptoms.

Weak urine stream, pain after ejaculation, increased urinary urgency, etc.

But I noticed something after reading a random Reddit thread.

I almost never wake up with morning wood anymore. I actually sleep really well, through the entire night without waking up.

I sleep from 10 PM to 6:30 AM without waking up, but as soon as I wake up, the first thing I have to do is go to the bathroom.

It suddenly hit me that I don’t get morning wood anymore.

Other than that, I have no problems with erections.

Anyone else experience this?

Hello,

Me and my wife are experiencing difficulty TTC. My semen analyses keep showing bacteria and excess cells. I had a sensitive semen culture that found E Faecalis that is thought to be of the prostate/male accessory gland.

I have no symptoms, no pain, other than infertility. My understanding is that infection of the male accessory glands can affect semen quality.

I took 4 weeks of antibiotics, twice per day, and had a repeat semen culture, and the infection is still present?

I appreciate I’m not in pain but we believe this is be affecting my semen quality. What do I do?

Before I leave Reddit (I’ve become addicted)

I’d like to ask for anyone’s best tips for relieving pain, and eventually curing pain.

This has gone on way too long and I feel incredibly hopeless.

Anything you did heal these conditions

I want no negativity.

I am diagnosed with PBNO problem in Dec 2024. Doctor conducted urodynamic study and explained me that I was diagnosed with PBNO and needs a minimal surgery of BNI - Bladder neck incision surgery.

For now doctor told to use Alfoo 50 mg, Megatas 50 mg and gave me Urimax T medicines and in Jan 2026 doctor changed the medicines to Alfoo 50 mg, Mirago 50 mg said no need to use Urimax T if I am not getting ED.

I am getting erection but right after getting erected it starts going back to normal in front of my eyes and only if I give it a push it again erects. Right after ejaculation in just seconds it goes back to flaccid nature.

I started getting pain near liver, right abdomen. I keep getting urination feeling for every 1.5 to 2 hours. I am getting good sleep but I generally wake up between 3 to 5 AM to urinate. If I fail to wake up I will get burning sensation in abdomen and it is a big discomfort.

I am married and my wife recently had a miscarriage and Doctor advised me to take Ejaculation sparing BNI. I am thinking to go to surgery after having my first child but this problem is causing a great deal discomfort. I am not sure on how to proceed here. If I take BNI, its highly difficult to have kids. If I get ejaculation sparing BNI surgery I am not sure if that works out or it is a risk that I have to get full surgery in future.

Can anyone help or guide me in proceeding to surgery is better or not.

Hello people,

Male 37 here

1.5 month ago I had an episode of bacterial infection. The symptoms were fever for two days, fatigue and frequent urination. I took doxycycline (due to an episode of unprotected sex I had) for ten days and since then I started feeling better day by day. In the meantime the ultrasound showed enlarged prostate 35.6 ml. The only symptoms persisting were frequent urination and nocturia. After a month though and while everything was going better the pain returned in my genitals area and the frequent urination got worse.

Am I dealing with chronic prostatitis? I'm waiting for my culture results and I have a cystoscopy scheduled.

Have you dealed with something similar?

Thanks for the attention in advance.

M32. Semi-active. Not overweight. Moderately healthy. Health conscious.

There’s a slight percentage that I could have prostatitis, but need to do a Post Residual test first to check bladder’s emptying ability. Doc referred me to urologist as well to get better expertise on that area.

I’ve done STI, Trich, Culture Sensitivity, Uirinalysis, etc. all normal other than indication of inflammation somewhere. At this point, it’s annoying to not know what’s causing it…

My question is, if it is, can I treat it at home? What’s your experience?

Wow. What a hectic year. Since around April February 2025 my world was turned upside down by this condition, but also the catastrophic back injury I suffered 6 months prior. Baffling to doctors, my prostate slowly became dysfunctional after the back injury (which scared me that I may have Cauda Equina). By Feb last year I was basically just dribbling/drops to pee and it felt like someone was constantly lifting me up by my groin- pulling me up by my insides. After multiple visits to the Emergency over the period of a few weeks, I was pushed to the brink. The pain, pulling, no sleep and mental toll was too much and on a Saturday in March I was in a very serious place until my partner and friends intervened and told me to go back to Emergency and not to leave until more was done. That it was unacceptable to just keep checking for Cauda Equina and UTI's without helping much more than pain relief. So I did, and was given a course of steroids, plus other anti-inflammatories, plus a litany of other things. It took the edge off but not much more.

Well consistently now for a few months my urine flow has returned a lot more. Sometimes I'm close to having the flow I had before the injury while other times I still feel a lot of pressure just need to be patient at the toilet and wait for it to allow a flow. But way better than before. Erections are still painful at times and I may never have one that's more than 80% but my partner is patient and kind and she loves me, so that helps with anxiety over sex. The pulling feeling still exists but a lot more manageable for the mind to navigate. I take Prostate Suppliments and drink water regularly but have trained my brain to not overly exert to try to pee. So every morning I pee and go on live life until I feel the need to pee again and relax into that. It took months and months to not always rush to the toilet to empty out drop by drop. I do regularly reverse kegels and massage the prostate area. I did get a cystoscopy done and they did find a high bladder neck but no stricture, which was baffling as I'd had incredible urine flow before the injury. My theory is that the back injury changed the musculature in that area but I'm no doctor or urologist. Just a very alarming mystery. Curiously enough, haemorrhoids made the situation infinitely worse, which is actually why I'm posting now, as I've had a haemorrhoid flare now but mentally am in such a better place that I'm riding through the discomfort much better.

And so I want to thank everyone on here who have posted encouraging posts, the mods who are always engaging and helping..and I also want to encourage anyone who is going through this or who have family members going through this, that with time, patience and dedication to improving, even if it's slow and tiny step progress, you will get to a much better place. Also with the right professional help (here in Australia I found a wonderful guy who helped with relaxing that whole downstairs area of my body) you can navigate the whole muscular side of this condition, which for me obviously plays a massive part.

Take care

Hi all back in 2024 I was diagnosed with prostatitis.

Last year I had to go get scans for my kidney as they thought I had kidney stones with the discomfort I was in

I had been given antibiotics, and it clears up the discomfort.

So last couple of days , lower back pain, sore left flank when pressed, and slightly tender bladder area when pressed - that's it

No pain when I pee, no burning, everything else is fine. No fevers or anything else.

Was at the gym today did my work out no bother, and I'm walking 10k plus steps every day Was out and did a 15mile mounting biking session yesterday

I feel perfectly normal apart from this discomfort

Is this a sign of prostatitis being back. Id rather not go on antibiotics if I really don't need too

I am having scortum pain with normal ultrasound but mri says thickened both spermatic cord .does anyone ever diagnosed with this?

I feel like the last week has been a nightmare that I keep expecting to wake up from.

I'm 37 years old and was diagnosed with BPH last year. It was impacting my urination to the point where I had mild hesitancy and very prolonged dribbling at the end. Occasionally this would result in wet pants.

My doctor suggested urolift. I read through studies online and it sounded good. Exactly like what I needed. I wish I had cancelled and just lived with urination issues for the rest of my life.

On Wednesday, I had the procedure and was told it was a success. I was able to urinate so they didn't give me a catheter. Sent me home without antibiotics or any further medications.

Every single time I went to the bathroom it felt like I was pissing daggers. I was screaming. 10/10 pain. That was day one. Day two, I begged for pyridium and my doctor prescribed it. It did not help.

The next day, I could no longer urinate. I was getting droplets. I called my doctor's office and they had me come in for a catheter an hour later. They took a urine sample but I won't know if the pain was from an infection until Monday because the labs are closed on the weekend.

The entire day I was unable to get comfortable. Couldn't walk without tugging on the head of my penis. Had horrible bladder spasms. They prescribed my Norco and a medication for the spasms.

The following day was even worse. I had my first bowl movement and had a decent amount of blood leave my urethra outside the catheter line. My penis was covered in blood. I called and they said: 'that isn't typical but it is normal'

What in the hell does that mean?!

I just need someone to tell me if this is something they experienced and if it really does get better. I'm going crazy. I can't even sit because of the pressure from my prostate. Everything is infinitely worse than it was pre op. I can't find a comfortable position in which to sleep. I can't walk about. I'm fucking stuck in bed and the Norco is only doing so much for the pain.

I feel like I was tricked into some bullshit surgery.

Hi guys new to this sub and really need everyone’s help! I’m a 20yo male that has been having extreme trouble urinating for the last 2 months after taking a 20mg dose of Amitriptyline and it has honestly ruined my life I can’t use the bathroom!! And when I do empty my bladder I have this Constant sensation and uncomfortablity in my penis . When I went into hospital they said my urethra looked inflamed but that’s about it. Could this be prostiritus? Has anyone here experienced this and how long has it taken for them to recover and will I ever recover ? 😭

In late September, I suddenly developed high fever, chills, severe lower back pain and burning urination. My urine test showed elevated white blood cells, but the culture came back negative.

I was prescribed nitrofurantoin for 7 days, followed by trimethoprim for another 7 days when my urinary symptoms returned.

Thankfully, my fever and urinary problems have now resolved. My urine flow is strong, and I still get normal erections.

However, my ejaculation has changed significantly.

My semen is much thinner and watery compared with before. Ejaculation is still forceful, but the stream is extremely narrow, almost like a syringe.

Most concerning, I can ejaculate but feel absolutely no pleasurable orgasm sensation.

These changes started around the illness and have continued despite improvement in my other symptoms.

Has anyone experienced watery semen, a narrow ejaculation stream or ejaculation without orgasm pleasure after a UTI or prostatitis?

Did you recover fully? How long did it take, and what actually helped?

My wife and I are hoping to start a family, so this has been really upsetting and making me depressed.

We have a gp appointment booked for family planning but in the meantime I would especially appreciate hearing from anyone who experienced similar symptoms and recovered. Please help me thank you 🙏

Hi everyone,

I’m posting here because I’m getting really anxious that I might have developed CPPS, and I’m looking for some advice or similar experiences.

For the past few months, I’ve been dealing with two main symptoms:

• A constant feeling of tightness/contracture in my perineum.
• Post-void dribble (some drops of urine always stay trapped and leak out right after I finish peeing).

I am almost certain this condition started after a period of doing frequent and prolonged edging sessions. This has been going on for months now, and I suspect it hasn't gone away because I never truly stopped masturbating (even though I am much gentler now and my sessions are shorter).

My questions for this community are:

1. Has anyone else developed these exact symptoms (pelvic floor tightness and trapped urine) specifically from edging?
2. If you were in my situation, did completely abstaining from masturbation give your pelvic floor the time to heal and resolve the issue?

Any advice or success stories would be really appreciated. Thank you!

My pain won’t stop, I need to live my life I’m only 30.

What have people done to stop testicle pain, I’ll have any of the other pain just not testicle.

I’m on amytriptaline.

Diagnosed with CPPS/prostatitis at 22 after stupidly being drunk and putting in wrong hole, condom broke and felt fever. Now I’m suffering eight years

Tried so much why this hell not right at school so we can get antibiotics straight away.

Hi, I have noticed a weird recurring pattern that has happened thrice now for the last 3 months. I usually masturbate regularly but whenever there's a big gap in between, then on the day i masturbate again, once I ejaculate, after a few seconds, there's a sharp cramp/pain in urethra which lasts for few seconds and than disappears. If I masturbate regularly, it doesn't happen, after a gap of 2-3 days also, it doesn't happen, for a long gap like 5+ days, it happens. Anyone knows what's cause of this and how do you fix this?

Hello, I am fairly confident that I have bacterial prostatitis, but am unsure how to test for it. My symptoms include persistent dehydration and foamy, smelly urine. These urinary symptoms have been coming and going every few months since I had mycoplasma genitallium about a year and a half ago. I have experienced CPPS symptoms as well and understand it is common to be paranoid, but am pretty confident something else is wrong or else my urine would not smell and I would not be so dehydrated all the time.

I saw a urologist earlier this year because I was also experiencing hematospermia (blood in my semen) during sex. He assured me it was highly unlikely I had bacterial prostatitis, and that was likely the mycoplasma still working its way out (nearly a year later). Said that if it was an issue he would’ve been able to tell from my urine culture. Said that doing a semen culture would be pointless would not be able to tell anything.

After a seemingly normal summer I am back to having these urinary UTI symptoms again yet testing negative for a UTI. I am currently on a week of antibiotics for BV but it should not be causing these issues.

Is four-glass or two-glass test what I am looking for? I have been trying to figure this out nearly two years now and just been robbed by doctors and lost in loops of searching for a solution on Reddit. Can somebody please tell me how to test for this so I can get piece of mind (I’m in the US)

Has anyone been able to lift weights again after being diagnosed?

For me personally, lifting something off the ground or "farmers carrying" even my lunch pale from work will cause immediate urge to urinate which is obviously difficult and light stream or causes a full blown flair up.

Ive always been skinny so lifting weights is a confidence thing for me and ive lost allllllll my gains.

Im contemplating just lifting again, slowly obviously and lightly, and if I piss a bit then so be it. I dont know. Anyone with advice?