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Old 06-10-2012, 10:15 AM   #1
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Flare ups - advice?

I'm 24 and have been suffering with prostatitis symptoms on and off for almost 4 years (within a week of starting Roaccutane/Isotretinoin tablets for severe acne, and I maintain that this was the trigger). I've never had any problems with urination at all, the main issue has been pain after ejaculation. When I first had this problem it was agony, and every time I ejaculated it burned right underneath in my perineum, and in the tip of my penis.

I was on various antibiotics (norfloxacillin, levofloxacin) which at the time didnt seem to do much, but after did clear it up a bit. But every now and then it would ache after ejaculation. This was the main symptom, however I did also experience lower back pain.

I've seen various urologists and my scans were all fine, urine sample fine and flexible cystoscopy showed up nothing. In 2010 I was on and off of Ciprofloxacin for short 3 week bursts and it did seem to help a little with the aching I was experiencing underneath in my perineum area. The most effective tablets I was given was a combination of cipro and diclofenac together, and this worked pretty well. Each time though it was difficult to tell whether the tablets had done anything or whether it had naturally calmed down for a while. I also provided a semen sample which showed up a small amount of "common bacteria" for which I was prescribed flucloxicillin for a week. Until about 18 months ago the pain (mainly achiness/soreness) would re-occur fairly frequently, however luckily it is now far far better than it was and I have a good sex life with my girlfriend.

We have sex about 3 or 4 times a week and mostly I am absolutely fine. However I still experience some soreness occasionally and there are certain things which seem to trigger it which I am keen to find out more about ...

We tend to have sex every other day rather than too many continuous days and I have found previously that any more than 2 days in a row will cause my perineum to ache on the third day (sometimes immediately after the second day ejaculation).

However on the flip side if I leave it too many days (4 for example) I can sometimes experience some aching down in my perineum because I need to ejaculate!

Another interesting thing is that when we have unprotected sex (which is only perhaps once every few months), 9 times out of 10 I am sore afterwards. Not on my actual penis from any possible friction, but mainly right underneath and on the tip. This has lasted a few days on a couple of occasions. I do tend to orgasm very quickly when it is unprotected so wondered whether this has anything to do with it? Or is anything physically travelling down my urethra to cause irritation?

This really hasn't been a problem in the grand scheme of things, however when I do get these flare ups, maybe once a month, depending on the things I mentioned above, I tend to be feeling sore for the whole of the following day, so avoid any sex for a few days.

I am sore today and my girlfriend has given me a nice long massage around my perineum, and I find that holding a hot flannel on there really helps while it is there, but the feeling is there still after.

Does anyone have any suggestions as to what this is and why I am still experience problems? I was only 21 when this all started and had not had a regular partner before this and so I don't have anything to compare this situation to re how many times I can ejaculate etc. Any comments would be gratefully received!

Thank you

 
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Old 08-27-2012, 01:39 PM   #2
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Re: Flare ups - advice?

It's been a few months since my post and no replies ... Just a quick update and I would really appreciate any suggestions.

Since I posted I saw my GP and was put onto 4 weeks of ciprofloxacin which I don't think really did much, but the flare up did subside after a while (whether or not this was due to the tablets I'm not sure). Since then I have been mostly ok and have been keeping a diary of when symptoms have flared up. I saw a doctor at the sexual health clinic (all clean, just went for a second opinion) and he said that he believes it is not prostatitis and is instead prostatic congestion. He said the best thing is to have lots of foreplay and not to ejaculate quickly.

I am not convinced as this has been going on for so long, however today I had unprotected sex with my girlfriend and ejaculated immediately upon entering her. This happens a lot when we do it without a condom and I felt my perineum ache straight away, so I think perhaps when ejaculation is very sudden is when I get symptoms.

Is there anything I can do to prevent this and last longer/become less sensitive?

I'm sure this is not the only factor, however, as there have been other times when it will flare up randomly for no reason, but relating to unprotected sex this definitely seems to be part of a pattern.

Thank you

 
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Old 08-29-2012, 05:02 AM   #3
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TKIGuy HB User
Re: Flare ups - advice?

Sorry no one has responded to you. I posted something recently and no one responded. Doesn't seem like people here are very interested in helping.
Sorry I don't know more to help you.
The obvious is if you last longer with condoms, then try to wear them more often.
Best of luck.

 
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Old 02-15-2013, 11:28 AM   #4
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Re: Flare ups - advice?

Did either of you find out the cause and a course of action to take to solve the problem?

 
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Old 02-15-2013, 11:52 AM   #5
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Re: Flare ups - advice?

I'm still pursuing things. I went to see a prostatitis specialist for a second opinion, he looked at my history and without examining me he said I had pelvic floor dysfunction and needed physical therapy. He was surprised no one had told me this yet. I said all they do is tell me to take Advil. So I am scheduled to see a physical therapist in 2 weeks and see if they can help. I'm not thrilled because the therapy is "internal" trigger point release. Without spelling it out, they have to massage the inner lining of your pelvis - it's supposed to be somewhat painful, but supposedly for a number of people it can cure the problem. I guess we'll see how it goes.

 
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Old 02-16-2013, 06:01 AM   #6
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Re: Flare ups - advice?

Thanks for the feedback. I am also currently seeing a pelvic floor therapist to see if it helps, and while it's uncomfortable at times it is definitely worth trying at this point. I've only gone once so far but the therapist said it may take up to 2 months before results are seen. Let me know how it goes for you. Hopefully this will solve the problem.

 
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Old 02-25-2013, 10:13 AM   #7
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Re: Flare ups - advice?

Hi, Sometimes an inflammation of the prostate is misdiagnosed as an infection thereby making antibiotics useless. Go to the health food store and buy a prostate formula. The prostate needs certain vitamins and minerals to function properly the most important one being zinc. When you have a flare up take double the recommended dose for a few weeks and then go down to the regular dosage. You should take these the rest of your life. Also when you have a flare up do not have sex, let the prostate rest and heal up. If you need more info just ask, be glad to help out........lenvegas

 
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Old 03-08-2013, 11:12 PM   #8
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Re: Flare ups - advice?

I agree lenvegas.
I had all sorts of flare ups in my 20's and beyond.
My best cure was pumpkin seed oil capsules.

And yes a lifetime committed to a healthy prostate, it doesn't take a lot, and believe me you want to avoid more serious pain in the future.

 
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Old 03-19-2013, 11:25 AM   #9
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tiger3110 HB User
Re: Flare ups - advice?

I wanted to follow up on my prognosis. I have seen the physical therapist for pelvic floor exercises a few times. She thinks I'm in great health but did have a little bit of tension (probably caused by stress) around my prostate. My last session is coming up and my symptoms have not improved. I also continue to have yellowish and clumpy (like rubber cement globs) semen when I ejaculate. They can't seem to find an infection in my urine samples however so this is a little strange. Anyone experience this part?

 
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Old 03-20-2013, 10:08 AM   #10
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Re: Flare ups - advice?

Hi, easy on your prostate, let it rest and do not ejaculate for a few weeks. Since you ache after ejaculation, it makes sense to just take prostate vitamins and lay off sex. You probably have inflammation and antibiotics are useless but nature will heal your prostate if you just let it rest. You could take extra zinc also. Years ago I saw many urologists and the ones that treated me did not know what the **** they were doing, put me through painful tests and almost killed me with levaquin and susequently had to get the information on my own to get rid of my prostatitis. Good luck.

 
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Old 03-20-2013, 01:14 PM   #11
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Re: Flare ups - advice?

Quote:
Originally Posted by lenvegas View Post
Hi, easy on your prostate, let it rest and do not ejaculate for a few weeks. Since you ache after ejaculation, it makes sense to just take prostate vitamins and lay off sex. You probably have inflammation and antibiotics are useless but nature will heal your prostate if you just let it rest. You could take extra zinc also. Years ago I saw many urologists and the ones that treated me did not know what the **** they were doing, put me through painful tests and almost killed me with levaquin and susequently had to get the information on my own to get rid of my prostatitis. Good luck.
lenvegas is a wise man.

everyone I think goes through semen discoloration, so unless it returns over and over I wouldn't worry.
But stop sex until it heals, this may be 2 or 3 weeks, but a small time to wait for returning the prostate to a healthy condition.

 
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