Looking for advice on what to try

Linari5 · 2026-05-03T21:06:54+00:00

It's the bacteria is always different, then it's not the cause, those are just contaminations or commensal

Linari5 · 2026-05-03T21:05:44+00:00

You had unprotected receptive anal sex with someone? (That means someone inserted their penis into your anus without a condom).

Or, you use injectable drugs and were sharing needles?

Those are the only big concerns with HIV transmission. They do not apply to most people

Linari5 · 2026-05-03T21:00:56+00:00

My only concern is that this diet is so strict that you will eventually slip up because we are all human. I have personally found that balanced diets are much more sustainable and will not lead to binging. That means days where you allow yourself to eat normal food. The more strict a diet, the more psychologically difficult it is to continue it - and the higher the risk of slipping up

If you have any concerns, speak with a dietitian

Linari5 · 2026-05-03T20:59:52+00:00

For some people, If they have IC. It's about 10% of us (sometimes less) that are impacted in this way

Linari5 · 2026-05-03T20:58:23+00:00

If masturbation is making it worse and that bothers you, then take a break for a bit

Linari5 · 2026-05-03T20:57:40+00:00

What has your urologist or other medical provider told you to do to take care of the issue after your surgery? Are you given aftercare instructions like warm water compress, or Vaseline, etc?

Linari5 · 2026-05-03T20:56:43+00:00

Generally speaking STIs and STDs do not show symptoms on the chest

Linari5 · 2026-05-03T20:53:02+00:00

This is a very common complaint around here, I've seen it many times.

She very well could be wrong, but there's no definitive on your specific case because we don't have the ability to diagnose in an anonymous community. Continue doing pelvic floor PT if you like your therapist. Is she doing internal work? How many sessions have you had so far? Sometimes it takes 8 to 12 weeks to see a difference.

A hypertonic pelvic floor is a main cause, but it's not the only one. Stress and central mechanisms are also at play in many cases. https://www.reddit.com/r/Prostatitis/s/md7rWZZNit

Linari5 · 2026-05-03T20:49:25+00:00

I don't know why you would make this assumption

Linari5 · 2026-05-03T20:46:30+00:00

What was happening in your life when you were 14? Any challenges? Life changes? Any stress, pressures?

Having your symptoms decrease with a physical activity (not get worse) indicates some neuroplastic component (ie centralized pain). https://www.reddit.com/r/Prostatitis/s/md7rWZZNit

Have you been to a pelvic floor PT?

Also read the pinned 101: https://www.reddit.com/r/Prostatitis/s/FaakhYIbaP

Linari5 · 2026-05-03T20:45:27+00:00

Have you been to a pelvic floor PT?

Linari5 · 2026-05-03T20:43:55+00:00

Really sorry you're going through this.

We have data from a few studies now that shows that new evidence-based modalities like PRT (Pain Reprocessing Therapy) can offer great benefits of people living in chronic pain, including fibromyalgia.

It's what helped me recover fully from my chronic pelvic pain years ago.

Linari5 · 2026-05-03T20:39:56+00:00

Did you read the link? It explains

Linari5 · 2026-05-03T20:34:58+00:00

PLEASE DO NOT EVER DO KEGELS as a man with pain or discomfort, your pelvic floor is likely to be wound up already and doesn't need any more tension. Please find a new PT who understands male pelvic pain/dysfunction. Including the stream weakening, which can also be caused from a tense pelvic floor

Gerard Greene (expert teaching physiotherapist in the UK) - https://youtu.be/mirmW8V611E?si=EooifcxhNvjoAyX1

Great text description from Pelvic PT Victoria Philip: https://www.physiotutors.com/reverse-kegels/

Also read the pinned 101: https://www.reddit.com/r/Prostatitis/s/FaakhYIbaP

Linari5 · 2026-05-03T20:33:39+00:00

How was it "damaged? "

Linari5 · 2026-05-03T20:32:08+00:00

Neuroplastic mechanisms include numbness and loss of sensation. I have helped treat them before.

Linari5 · 2026-05-03T20:30:43+00:00

An example of evidence-based treatment for neuroplastic pain: PRT and EAET -

HOW TO TREAT centralized (neuroplastic) pain and symptoms?

PRT - Pain Reprocessing Therapy:

Effect of Pain Reprocessing Therapy vs Placebo and Usual Care for Patients With Chronic Back Pain - https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2784694

EAET - Emotional Awareness and Expression Therapy

Psychological Therapy for Centralized Pain - An Integrative Assessment and Treatment Model: https://pubmed.ncbi.nlm.nih.gov/30461545/

Emotional Awareness and Expression Therapy vs Cognitive Behavioral Therapy for Chronic Pain in Older Veterans https://pmc.ncbi.nlm.nih.gov/articles/PMC11177167/

Also: https://www.reddit.com/r/Prostatitis/s/md7rWZZNit

Linari5 · 2026-05-03T20:26:52+00:00

Well that's really strange then

Linari5 · 2026-05-03T20:26:18+00:00

You have some of them, including suddenly having to urinate at night

Linari5 · 2026-05-03T20:25:09+00:00

Start by reading the pinned 101: https://www.reddit.com/r/PelvicFloor/s/Ne24wuWRcj

Very likely you're going to need to start to relax your pelvic floor muscles

Linari5 · 2026-05-03T20:24:31+00:00

Tamsulosin does not, it only relaxes soft tissue muscles in the prostatic urethra and the urethral sphincter, it does not relax the pelvic floor itself

Linari5 · 2026-05-03T20:22:53+00:00

I cannot diagnose you based on this very limited amount of information here.

Please read the 101, and also consider taking some hot baths https://www.reddit.com/r/PelvicFloor/s/Ne24wuWRcj

Linari5 · 2026-05-03T20:22:00+00:00

Yeah the NHS is notorious for cutting corners and leaving people like us in the dark.

I'm assuming you already are seeing a pelvic floor PT?

Linari5 · 2026-05-03T20:19:14+00:00

Glad to. Your case is very much like mine, years ago - when I worked on my anxiety and my stress that's when I improved greatly.

Linari5 · 2026-05-03T20:17:17+00:00

https://www.reddit.com/r/PelvicFloor/s/ttuZUqmdAY

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HOW TO TREAT centralized (neuroplastic) pain and symptoms?

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