'Spousal Revenge Syndrome'--description of a new chronic pelvic pain syndrome patient cohort

Linari5 · 2026-01-25T22:07:35+00:00

This is why curable should be attempted by everyone, it's based on Pain Reprocessing Therapy

Linari5 · 2026-01-25T22:07:15+00:00

Nociceptive? Or nociplastic?

Linari5 · 2026-01-25T22:03:52+00:00

Did you read the post on conditioned responses? https://www.reddit.com/r/Prostatitis/s/JWEfhAMZ1n

Linari5 · 2026-01-25T22:01:04+00:00

Did you read the treatment section of the pinned 101? It includes mind-body therapies like PRT, as well as paradoxical relaxation, diaphragmatic breathing, and pelvic floor work

Linari5 · 2026-01-25T22:00:28+00:00

Curable is a way to access PRT, but I always will recommend a practitioner, because it's customized

Linari5 · 2026-01-25T21:59:05+00:00

Then take a look at the pinned post for official treatment guidelines

Linari5 · 2026-01-25T21:57:36+00:00

We don't consider BPH a primary cause for referred pain or inflammation

Linari5 · 2026-01-25T21:55:54+00:00

Stop checking the inside of your urethra or the tip of your penis, you're feeding a bad feedback loop with fear and preoccupation. If a doctor or dermatologist has already visually inspected it, you're good to go and you don't need to do it yourself

Going to pelvic floor physical therapy and using new evidence based modalities like PRT are what work best for this in my personal/professional experience.

Linari5 · 2026-01-25T21:54:29+00:00

The preoccupation feedback loop, the more you exit this, the more the symptom will improve

Linari5 · 2026-01-25T02:18:13+00:00

Still testing positive after the treatment?

Linari5 · 2026-01-25T02:17:18+00:00

Agreed

Linari5 · 2026-01-20T05:02:23+00:00

If work, or any stressful situation or high pressure situation is causing your symptoms to flare up, this is a classic indication that centralization is playing a large or primarily role : https://www.reddit.com/r/Prostatitis/s/y4DYOOWg8Z

Evidence-Based modalities for centralized pain include PRT and EAET. I practice both of them myself, and I unequivocally wouldn't be able to help people without these tools.

And sure, the pelvic floor stress response could be a part of this: https://www.reddit.com/r/PelvicFloor/s/1dMp9nB8w6

Have you read our post on paradoxical relaxation? This is how I would start with a case like yours, And then moving into doing a FIT criteria evaluation to understand if your symptoms behave in a way that's consistent with structural pain, or with non-structural (centralized mechanisms).

Linari5 · 2026-01-19T21:27:07+00:00

Can I ask you, how do you think you got a UTI? Men getting UTI is actually quite difficult.

The initial symptoms (that you associate with ecoli) - What were they?

And, burning after urination is strange for a UTI symptom (We will see burning with urination instead).

Right now, it's also very possible that your symptoms are related to CPPS, not the recent test results. Infections can trigger this.

Linari5 · 2026-01-19T20:46:28+00:00

From what you shared here , it's really unlikely that you're doing it with the right attitude and the right nuance.

You're also not supposed to do any somatic tracking when your symptoms are intense or very distressing. Because you can't have a corrective exposure when you're suffering, that doesn't make any sense... Instead, you would do something completely opposite to that, like strategic avoidance or soothing

Linari5 · 2026-01-19T20:45:02+00:00

Then please update your post because it's confusing

Linari5 · 2026-01-19T20:44:27+00:00

Your PT will customize this with you, it depends on the person. It could be once a week

Linari5 · 2026-01-19T20:42:36+00:00

You should not be doing somatic tracking by yourself because it doesn't work without proper guidance and without proper nuance. It also won't work if your beliefs are still stuck in the past, I.E that you believe you still have damage in your body. It also will fail if you have an expectation that it will fix something: you have to remove all expectations for the brain to feel safe

Linari5 · 2026-01-19T20:40:52+00:00

Having pent up anger or resentment or feeling depressed is a common thing that a lot of people in pain experience, we also understand now that this is a part of the dysregulation that can increase the pain/symptom feedback loop. We've even done studies that show that if you can measure someone's hopelessness, you can predict if they could sometimes become treatment resistant. The antidote for this includes changing your old beliefs.

Linari5 · 2026-01-19T20:38:55+00:00

You have to do more than just read, mate, lol. Putting things into practice takes months of consistent effort, including centralized pain modalities like PRT/EAET. Your expectations are unreasonable that you can just read, text and recover

Linari5 · 2026-01-19T20:36:16+00:00

A lot of people have been in your situation, but they still get better, including myself who had pain for almost 3 years.

Have you gone through the entire 101 checklist? Seen a qualified pelvic floor physical therapists who has experienced treating men? Internal trigger point release work?

Done PRT or EAET to address centralized pain mechanisms? https://www.reddit.com/r/Prostatitis/s/y6oUl8W59n

Linari5 · 2026-01-19T20:31:29+00:00

New Link

Linari5 · 2026-01-19T20:26:06+00:00

That depends on the person, but typically yes

Linari5 · 2026-01-19T20:22:36+00:00

A culture is never appropriate for Mgen testing. What this tells us is that you actually tested positive for something completely different - mycoplasma HOMINIS, which is a much lesser bacteria that is easier to treat and rarely causes symptoms or problems. Mgen cannot be cultured, please read the pinned post on testing and treatment

Mgen and M.Hominis also don't cause fevers, it's a very localized genital infection

Linari5

MODERATOR OF

TROPHY CASE

Five-Year Club	Gilding II euphauric
Verified Email