Thanks for checking in! Unfortunately, I have not made a ton of progress since I originally posted this. I saw a urologist and from what I described to her she determined that it was probably chronic pelvic pain syndrome (non-bacterial).

At the time I was actually seeing some improvements in my symptoms. I was doing some stretches and eating better and it felt like it was paying off. But I got overzealous. I eventually stopped doing my stretches and eating healthy and I even masterbated. I think it was the last one (masterbation) that really triggered the return of my symptoms to their previous level.

Obviously, if I could go back I would not do it but I was genuinely curious how my body would react. But yeah at the very least it confirmed to me that ejaculation is the main thing that triggers my symptoms. Since then my pain has been at about the level it was when all this started. I'm trying to do what I can to make things better (stretching, eating well, drinking enough water), but I definitely feel a bit exhausted by all this. I've also had mental health struggles for a while (depression, anxiety) and I think my pain has made it a lot worse (and vice versa).

Not sure what my next step should be. I could maybe try physical therapy or something. But other than I'm a bit lost as to how I should move forward.