Prostate pain after ejaculation

The Definition of Chronic Prostatitis Chronic Pelvic Pain Syndrome

The "prostatitis" diagnosis is assigned to 8% and 1% of patients by urologists and primary care physicians, respectively. There are an estimated 2 million outpatient visits for prostatitis per year in the US. There are more outpatient visits for prostatitis than for BPH or prostate cancer. Dr Nickel (2001) found a 9.7% prevalence of prostatitis-like symptoms in the community. The most conservative study puts the incidence at around 3%, which means at least 4.5 million men in the US and 90 million worldwide. In 2002 a lot of research emerged to show that IC and CPPS are one and the same, and Dr CL Parsons from UC San Diego has suggested both conditions should be renamed as Lower Urinary Dysfunctional Epithelium (LUDE).

Chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) has a wide range of symptoms, with some confusion at the moment due to possible overlap with other conditions. For instance, some men report frequent urination and others don't. Some report sexual dysfunction and erectile difficulties, others don't - they can have intercourse daily. In addition, men with sterile orchialgia, epididymitis and urethritis are usually excluded from chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS), but recently some experts have said that these men also have CP/CPPS, which not only targets the prostate. Many men who are told they have prostatitis are misdiagnosed. Inflammation may be centred in the bladder. This condition is called Interstitial Cystitis, which features painful, frequent urination, although IC expert C. Lowell Parsons says only 15 % of men with IC have frequency and urgency.

Roughly speaking, when cultures are negative, chronic prostatitis/chronic pelvic pain syndrome (CP/CPPS) can be described as persistent relapsing pain or discomfort in any of the following areas:

  • Urethra
  • Between rectum and testicles (perineum)
  • Tip of the penis (not related to urination)
  • Below the waist, in your pubic or bladder area
  • Testicles

Some of the functional symptoms are:

  • Pain or burning during urination
  • Pain or discomfort after ejaculation
  • A sensation of pain in the lower back and upper legs
  • A sensation of pain in the groin and above the bladder
  • A sensation of pain or burning high up in the penis (urethra)
  • A sensation of not emptying the bladder completely after finishing urinating
  • Lowering of libido (sexual desire)

Other often reported symptoms are:

  • Fatigue, sometimes to the point of being bedridden
  • Discolored semen (yellowish, from dead white blood cells - a sign of inflammation)
  • pain after ejaculation, lasting from hours to days
  • Impaired memory, find it hard to concentrate
  • painful lymph nodes
  • catch colds easily

Many people believe that the disease is a generalized, whole-body disorder, not merely isolated to the lower genitourinary tract. This idea has been proved to be true in BPS/IC recently.

The condition is notorious for waxing and waning. The pain can recede for hours and even days, then return inexplicably with force. In addition, people experience remissions which can last months to years, then have another flare-up.

Easier Said Than Done
TV Series Episode Video on Demand ()

I can't imagine your discomfort

by menotomyhope

I had enough discomfort with my singleton and then twins. The difference was notable even prior to my first prenatal appointment. I had so much pressure/pain just at and above pubic bone that I started wearing my maternity pants about ten days after first missed period. I lost 20lbs by the 6 week mark and it took until about 26 weeks to regain the weight. After about 30 weeks I had difficulty walking due to pressure felt in perineum. I was able to ride my bike because it did not jar my pelvis. It was very difficult to get on and off the bike though (men's bike with a short child seat on back)

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