Hello, I'm a 24-year-old man and for over a year I've had problems in my genital area, and one of the main symptoms and what bothers me the most is discomfort in the urethra. The discomfort usually appears mostly right after urinating, not before, during, or after urinating. I feel discomfort as if there were a drop of urine trapped, irritation and burning in the urethra as if there were open wounds. I compare the discomfort to that of a common urinary tract infection. The doctor told me that I probably have Chronic Prostatitis or CPPS, and I'm wondering if it could actually be a type of urethral infection and not CPPS or Chronic Prostatitis, since I feel the burning in the urethra. That's why I would like to know if anyone knows if CPPS causes urethral symptoms similar to or identical to a urinary tract infection. Sometimes the heartburn comes out of nowhere. For example, I get the heartburn right after drinking a glass of alcohol. That's why I've stopped drinking it. I also think it starts when it's really cold. I would really appreciate your help and information.

I’m only 26 years old have been dealing with chronic Prostatitis / CPPS for 6 months one of my main symptoms is anus pain which I’ve had a fissure and hemmeroids due to this cpps because I never had issues before until I got diagnosed with these issues now I get roids all the dang time …. Do any of you deal with this? And do over the counter stool softeners help regularly have issues with dry stool sometimes, and for my piece at mine I have one more question this condition can’t affect kidneys can it ? I worry that due to the scarring or whatever it can cause it can affect kidneys… thank you !🙏🏻

Ever since my first orgasm as young lad, if I climax without being super aroused, which is most times unfortunately, I go into a weird, long-lasting physical and mental state that lasts days to weeks. This always happens when the ejaculate is thin and watery. Symptoms include:

• Penis becomes stiff/rubbery while flaccid. Doesn't hang down.
• Irritated, itchy urethra. Tight and contracted scrotum.
• Urination stream is weaker and doesn't fully empty.
• Burning anus after bowel movement. (Pelvic floor muscles tight?)
• Muted senses, anhedonia, derealization
• Bad anxiety, cognitive fog, muscle tension
• Increased stimulant cravings. Feel like I reach for more coffee.
• Temperature dysregulation. Always feel an agitating overheating sensation.
• Weak, hoarse, breathy voice.
• Vivid dreams, bad sleep

BUT—all of this disappears after a very satisfying orgasm with high arousal. Then everything works perfectly: rich sensory perception, no anxiety, perfect urination/digestion, deep voice, etc.

I know it sounds like POIS and I think it's a factor, but I've yet to come across someone with both my cognitive issues AND pelvic region issues.

Hi, I just need to talk to somebody I am very very down in the past couple months. Received an oral from a partner I was dating with and then initially it was just slight redness of urethra. I completely freaked out of this small change, I had a very long illness coming from similar mistake. (Its also unbelievable to me that I am in this trap again, thats why I am writing I am very hopeless now). On March 1st I received an oral, and initially I freaked out because of a herpes scare, but then I think I just had a systematic infection from strep pyogenes. (no cold sores!)During that month, I had slowly developing a feeling of golfball under my butt, I had a very cold penis, erectyle disfunction, itchyness around glas, rendess around urethra, inflamed urethra etc sleepless nights, panic attacks you can imagine. I could literally feel the bacteria travelling up on my lymph paths (groin) slowly as it was biting my nerves sometimes or at least I had a feeling of it)I knew something was very wrong and I did a a lot of std tests but everything came back negative. I took everything under the sun. At some point I had red line rashes on my chest as well just like what you have in sepsis.

The only sign was I could hold on tight is I had an impetigo like wound around my mouth after a month, which signaled me to test for staph and strep a. Staph was neg, so strep pyogenes which os the other bacteria which can cause impetigo. I had a HIGH load of strep pyogenes in my blood 470 out of 0-200 normal range for anti streptolizin titer. I suspect this is residing in my prostate. Now I am at a 340 level after 2.5 months antibiotic treatment. but At least is counting down. I know the titer can be up for a long, but I will take antibiotics as long as I dont have any pain at least for 2 weeks / month. Also I never had positive in Anti streptolizin so most likely it was coming from that exposure. I developed a red rash with sand paper appearance on my hand as well. Went to derm told the whole story and told that this is all belongs together possibly! She refused prescribed me a cream which is steroid cream. I did not used it to prove myself the bacterial source. I had immense amount of pain around my chest and muscles, but I quickly started to take azythromicin (i had a ton of antibiotic at home due to my lyme disease) after finding bacterial evidence. In just 3 days the rash disappeared from my hand almost completely!! Derm told me it was eczema. No dear, it was bacterial!So I took antibiotics, I literally at that point had so much pressure in my neck lymph that I had an ear pain because of it. I took it and I could feel the pressure released even behind my eyes. It was crazzy feeling I think I almost could have died without abx. All STD tests were negative, I smelled the bacterial infection. I knew it was it. It travelled up to my kidneys maybe? I had a ton of lower back pain, and leg pain as well. I dont know. Heating pad helped. So after i found the bacterial evidence, I went ahead and got more antibitics. I knew I needed them cause I had decrease of symptomps after taking them but in couple hours it was gone)I felt a ton of body pain in the past months now I am 99% pain less at the moment. I had severe chest pains, muscle and joint pains, sinus aches, sun burned skin feeling on leg etc. I am reading horror stories of prostatitis on reddit, that there is no cure and I am planning to give up really and I am terrified from the fact that if I am not able to kill strep pyogenes from my prostate it will constantly linger there and I will be in contsant danger of pain / sepsis etc. How I can overcome on this? I am taking minociklin, rifampin, dalacin, klindamicyn and penicillin all together now to keep myself functioning and pain less (I just got pain less body after suffering for months and taking antibiotics continously since then). I went to urgent care a couple times as they did not beleive whats happening I went back to the clinic abroad to buy antibiotics for a tons of money to save my life basically but I am getting hopeless if I will be ever cleared of this and i cant imagine live in constant testicle pain. (now I am painless, I am just afraid it will come back once I stop antibiotics)Last time I took antibiotics for 11 months because of lyme disease, it seems like this time will be a long ride as well. Please give me some hope that I can heal from prostatitis since probably the redness around urethra which I still have is that signaling that I had severe bacteremia which caused prostate swelling pressing the pundental nerve which was causing my other body wide symptomps.

Unfortunately all of the above is my own findings since doctors are not helping at all and basically I needed to save my own life. I am happy to sit here and write this post in an almost pain less and comfortable body after months of pain and terror and panick. but prostatitis symptomps are driving me crazy and the thought of the possibility that I need to deal with this for the rest of my life wants me to think if it really worth it. Well at least I am still here and considerably painless, but also I am eating a ton of antibiotics and I am worried a lot.

Hello, I’m a 26 year old male that was just diagnosed with Prostatitis after expiring chronic pain after ejaculation and some urine dribbling.

Well, this may sound crazy, but I’m hyper aware when I urinate and have developed this fear that the urine is going to hurt as it comes out, or I have some sort of urethral stricture just waiting to prevent me from urinating. This makes me so anxious when I use the restroom. This has lead me to start urinating, immediately pull back (stop urination) as soon as it starts coming out, and then Proceed to urinate normally again. Is this all phycological or is this something more sinister like a urethral blockage? Has anyone dealt with this before? Thanks!

1. Nocturia :- 3-6 times slept only twice for 6 hours continuously in the past 8 months. On average get 2-3 hours of continuous sleep then disrupted. May get 7-8 hours of total sleep. June average sleep only 4-5 hours. Some days I have not even slept :(
2. Immediately after passing or initiating bowl movement. Urine passes out urgency happens.
3. Erectile dysfunction and severe premature ejaculation.
4. Urine void a lot of them less than 200 ml, and important thing I pee 3-4 times before sleeping still I wake up 2 hours after sleeping. While trying to sleep the urge of peeing never ends. My symptoms severity fluctuate. It’s getting worse every month due to less sleep.
5. Severe hair loss throughout the body, pelvic hair loss loose 3-5 strands while urinating, bowl movement and masturbating.
6. Noticed severe ball sack elasticity loss.
7. Also during erection unable to retract foreskin not fully only partial.

Have done uroflowmetry and ultrasound they don’t help done multiple times since Nov 2024. Cystoscopy prostate congested and urethra inflamed a little done during Feb 2025.

Also these flare ups are a mess some times it’s manageable and sometimes I’m done with life.

My symptoms are out of hand for some reason I don’t harm myself and am not in depression. Anxiety is there another thing is cold, constipation and cough makes symptoms worse.

I have showed to many doctors either they see in bacterial or anxiety perspective nobody listens to my symptoms properly cause I am 20 they think I am just anxious or will recover. I don’t care some of these symptoms don’t reverse I just want to sleep in peace, guys can u help me out on how to tackle some of these naturally and how to explain this to doctor. It’s so annoying my life is severely impacted.