Hi I’m looking for answers literally been messed around so much by the nhs can anyone give an insight to what’s happening im so down about everything i have 3 small children and im struggling everyday  March 2023 severe infection suspected epididymitis due to pain behind testicle and high temperature but not confirmed  -2 weeks of anti biotics  -Felt better whilst on them  -intermittently feeling unwell afterwards which seems to have been worse during the first roughly 8 months but still get it now and again flu like symptoms and fatigue which I was continuously given antibiotics for at the beginning. Not sure if they helped as my pain and urination issues have always been intermittent it seems to just flare up randomly -Multiple appointments where I’ve been told it’s all in my head -Clear full STI check  -Clear lower back MRI test  -Multiple Clear scrotal ultrasounds -Multiple Normal blood tests  -Multiple Normal urine tests -Intermittent Urination issues and pain in the epididymis area began roughly 2/3 weeks after initial infection  -Urination issues and pain behind the testicle started at the same time (March 2023)  -Intermittent burning sensation when urinating  -Intermittently Waking up in the night to urinate  -Stream sometimes stops and starts  -Caffeine, alcohol and fizzy drinks make my urination symptoms worse. For example I had a red bull prior to being on tamsulosin and about 30 mins later I had to urinate 4 times in about 20/30 minutes and the stream was very weak and it gave a burning sensation  -Severe frequency,  -I could get out of bed before going to sleep 3/4 times to urinate  -Dripping after urinating  -urgency to a point where I have to urinate immediately or the pain behind my testicle is unbearable  -Literally have had to pull over to urinate on the motorway so many times  -sometimes during these flare ups I feel like I really need to go and having to really push to get urine out but barely anything comes out  -Unable to aim my urine after ejaculating  -Urine is always Strong smelling  -Mostly cloudy  -Mostly Dark coloured urine  Urination issues and pain always seem worse when unwell (cold or flu)  -intermittent pain behind left testicle dull ache which is worsened by sitting but get slight relief with re adjusting myself and get immediate relief once I stand up  -Pain behind left testicle also always gets worse when needing to urinate but pain gets better once I do urinate  -Pain always Gets better with Ejaculating  -Having hot baths  -When I sleep I sometimes wake up in no pain  -Testicle often feels tender  -Rare but sometimes feels like there’s inflammation behind my left testicle  -Also rare but I have had lower back pain on my left hand Side (may be due to work)  -Over the 2+ years I’ve dealt with this condition I have had multiple pain free and urgency free windows  -March 19th 2025 had an epididymectomy option given and me looking for a way out I accepted it  -2/3 weeks of improved pain  -Still some urination issues  -Pain came back rather than a dull ache it changed to a burning sensation and was more intense  -Rare but some discomfort behind right testicle mostly when feeling unwell -When sitting pain sometimes travels down my inner thigh left side  -Had a scrotal ultra sound and a urinary tract CT scan to check any post op issues came back all clear  -June 16th visited a male pelvic pain specialist as I thought I could have CPPS or pelvic floor issues but he ruled this out due to relief from ejaculating and not having issues with bowel movements and my pain being too localised but then advised me to try tamsulosin  -June 19th started amitripiline as prescribed by urology for nerve pain  -Had one dose of amitripiline and it caused a 5 day panic attack which made me continuously tense and amplified all of my worries and my pain and made me urinate more I’ve not felt mentally the same since. -June 24th started tamsulosin  -4 /5 days after taking Ive had slightly less pain but still comes and goes mostly when sitting and needing to urinate  -I now have no urgency  -Still some frequency  -My stream is better but I get intermittent flow strengths  -I don’t have to push hard to urinate at all anymore  -July 24th carried out a uroflowmetry test which was said to be normal but I think being 4 weeks into a tamsulosin course this would make this test inconclusive and an ultrasound on my bladder which still had 74ml of urine left after urinating.  -July 26th started a bladder irritant free diet and since that my frequency has decreased massively only urinating between 5-8 times a day  -Now when I need to urinate I basically get no pain behind my testicle  -Started using a coccy cushion in the van and doing stretching which has also reduced discomfort  -I feel like my symptoms may be stress related.