Differance in men with CPPS and PE and those with only PE?

Male pelvic pain, prostatitis, IC
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Pelican
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Differance in men with CPPS and PE and those with only PE?

Post by Pelican »

I've been wondering if theres any differance between PE sufferers who also suffer from CP/CPPS and those who dont. Why do many of us with chronic prostatitis / chronic pelvic pain syndrome suffer from PE while others dont and what causes it?
If CP/CPPS is the cause can regular "cures" given to men without it still help those of us with CP/CPPS. So basically can techniqes like start/stop, PC control, breathing and squeeze method actually help us in the long term or are they only helpful for men without CP/CPPS since the cause isn't physical?

All of you who have suffered from premature ejaculation, how did it get better? Obviously I guess it gets better when other symptoms do but what I'm wondering is if anyone got "cured" using techniques only used for treating PE? I've tried holding off ejaculations by tensing the pc muscle but it feels very uncomfortable when the semen gets pulled back in and my erection also gets soft.

I know I've had the subject up in a previous thread but this is a different question and it really matters a lot to me since almost most of my anxiety comes from this.
Age:25 Onset age:20 | Symptoms: Bladder/rectum pain, heartburn, sexual dysfunction, urethra and perineum pain, IBS, chronic fatigue. Makes worse: bad diet, poor sleep, alcohol. Makes better: positive thinking, good diet, drinking lots of water, internal/exernal stretching
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Post by Pelican »

Just thought that I should post my own discoveries while fighting both chronic prostatitis / chronic pelvic pain syndrome and PE. Let me start by saying that I have tried most of the common treatments for both of them.
My pain has stayed the way it is now for a while, it does wax and wane a lot. Whats gotten worse is libido, erection and premature ejaculation.

I've benefitted from kegels in two areas, my erection has gotten better I've even gotten a higher angle when erect and pre cum is no longer an issue for me, what I can't understand though is why people say that it helps with PE, yes you can hold off ejaculations by tensing it but the moment you let go and start over the urge to ejaculate comes right back. Another thing is that my PE actually has gotten even worse since starting. The pain in my bladder sometimes increases while doing them and sometimes not.

Well after reading several books and e-books about curing PE they all say the same PC-EXERCISES!! Before yesterday I thought that this was the only way to go but now I'm doubting it and heres why. Yesterday night I did my usual 30 mins of paradoxical relaxation and this was one of the few times I really felt that feeling of warmth and heavyness, I felt really relaxed and after my pain went down a little bit. About an hour later I had sex and I actually lasted for more then 10 secs, dont get me wrong it was over in a minute or two but it was still better than before.

Maybe I'm finally getting through my thick skull that PE in people with chronic prostatitis / chronic pelvic pain syndrome can only be helped by relaxing the muscles that control ejaculation. It seems that in people with chronic prostatitis / chronic pelvic pain syndrome these muscles are already tensed at the start of intercourse and thus ejaculating almost immediatly while in healthy men this tension doesnt exist. It really does sound simple but I've somewhat refused to believe that kegels wasn't the answer, maybe it still is and I'm wrong but I think I'm on to something. The downside is that if I stop doing them my erection won't be as strong anymore.

What do you guys think, should I only concentrate on relaxation and give up both kegels and weight training or should I throw in an extra 30 mins of relaxation per day and keep on going to see what happens. Maybe just do the exercises prior to relaxing?

Just thought I should share my thoughts a little.

Thanks
Age:25 Onset age:20 | Symptoms: Bladder/rectum pain, heartburn, sexual dysfunction, urethra and perineum pain, IBS, chronic fatigue. Makes worse: bad diet, poor sleep, alcohol. Makes better: positive thinking, good diet, drinking lots of water, internal/exernal stretching
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Post by TJ88 »

hey pelican. Sounds similar to whats going on with me. I used to last forever in bed until I got CPPS. Now its very hard to fight it off. I havent actually had sex in awhile but I can tell from masturbating its much more difficult not to get the urge to ejaculate. a lot of it seems Mental as well if you change your state of thought. For example not focusing on having sex while your having it. Think about something neutral(kind of space off). Helps sometimes. But I also weight lift which sometimes makes it worse. Hopefully we can discover something to help us out some. I'm worried about ti when I do get my next girlfriend. I'm going to start with oral on her first obviously lol. Let me know on your findings. I'm going to start doing kegels and see my reaction and let you know.

Also, one thing I consider to be possible culprit is the inflammation of the prostate. I read a example somewhere; Pressure on full bladder increases the urge to urinate, where as possibly inflamed pressure on the prostate increases the urge to ejaculate. So in theory perhaps inflammation could be what is causing our problem.
Age: | Onset Age: | Symptoms: | Helped By: | Worsened By:
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Post by boulder »

Guys, others can probably back me up on this- I would definitely NOT recommend kegels to anyone with CPPS. For me at least, I started doing kegels in the early stages of chronic prostatitis / chronic pelvic pain syndrome and it made things MUCH worse for me. Our PC muscles are already going haywire, we need to relax and stretch them, not aggravate them. Learn from my mistake!
Age: 36 | Onset Age: 29 (Summer 2005) Main Symptoms (all intermittent): penile/anal/rectal/perineum pain/numbness/tingling/coldness, LUTS, ED | Helped By: duloxetine (Cymbalta), topical benzocaine, occasional benzodiazepines, hot weather, hot baths, understanding friends & family, pushing myself to be more sociable and active, psychotherapy (mostly CBT), diaphragmatic breathing, relaxation, meditation (concentration and mindfulness), adequate sleep | Worsened By: cold weather, stress, inadequate sleep, prolonged sitting or standing in place, walking uphill, heavy exercise, erection/ejaculation (sometimes)
Last But Not Least: I am not a medical/health professional of any kind. This is not medical advice.
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Post by cjt »

I would have to agree with Boulder on this. Definitely avoid the kegels. They only increase tension in an already very tense area. Right before all my 'classic' symptoms revealed themselves, I was doing lots and lots of kegels. While I'm sure the chronic prostatitis / chronic pelvic pain syndrome was brewing for a while, I'm convinced that all those kegels only helped bring things to a head much more quickly.

Pelican, you mentioned some concern about losing the strength of your erection if you stop the kegels. Actually, I've found that since making a conscious effort at relaxing my pelvic floor, and muscles around the perineum that my erections actually feel somewhat stronger than they did when all of this hit me. And with consciously trying not to tense up when ejaculating, I find orgasms are no less intense, I have a bigger load, and that pain in the perineum and penis afterwards is noticeably reduced. Sometimes, there is nothing more than a mild tightness. It takes some doing since tensing up is almost involuntary when ejaculating but it's worth trying. I still come pretty quickly, not quite sure how to work that out, but relaxing all the muscles seems to be helping with some of the other troubles so perhaps duration, too, will come in time... (no pun intended).
Age: 35. Age of diagnosis: 33. | Symptoms: dull pain in testicles, usually the left side, dull pain in perineum, occasional 'golf ball in the rectum' feeling, general tension/tightness in the whole pelvic region, pain/discomfort after ejaculation. Helped by: acupuncture (slightly); exercise; stretching. Worsened by: ejaculating; alcohol, somewhat; anxiety & stress
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Post by scoobysnacks »

cjt wrote:I would have to agree with Boulder on this. Definitely avoid the kegels. They only increase tension in an already very tense area. Right before all my 'classic' symptoms revealed themselves, I was doing lots and lots of kegels. While I'm sure the chronic prostatitis / chronic pelvic pain syndrome was brewing for a while, I'm convinced that all those kegels only helped bring things to a head much more quickly.

Pelican, you mentioned some concern about losing the strength of your erection if you stop the kegels. Actually, I've found that since making a conscious effort at relaxing my pelvic floor, and muscles around the perineum that my erections actually feel somewhat stronger than they did when all of this hit me. And with consciously trying not to tense up when ejaculating, I find orgasms are no less intense, I have a bigger load, and that pain in the perineum and penis afterwards is noticeably reduced. Sometimes, there is nothing more than a mild tightness. It takes some doing since tensing up is almost involuntary when ejaculating but it's worth trying. I still come pretty quickly, not quite sure how to work that out, but relaxing all the muscles seems to be helping with some of the other troubles so perhaps duration, too, will come in time... (no pun intended).
The best way to not cum quickly is to have more sex, you need to get into sex shape and masturbation won't do it. You need the real thing. If you are only doing it weekly or if unlucky monthly or longer you won't last long when you get inside, I believe thats just plain nature, look how monkeys get it over with.

Anyways, I think guys get too hung up on PE then that causes more stress over it.

Regards,

Ss
Age:29 | Onset Age: 25.5 | Symptoms: Initially burning in prostate/perineum, burning in urethra, uncontrollable muscle contraction before urinating, dual ache in groin, left testicle pain, feeling of golf ball in rectum, soarness in rectum, and muscle spasms, now mainly very mild urinary tract inflammation, burning mildly after ejaculation, some days after physical activity involuntary mild muscle contraction before urinating | Helped By: .5 mg of Ativan, Aleve (naproxen), quercetin, alcohol in large quantities (vodka and soda), stretching, walking, internal massage the perineum area and levators. | Worsened By: sitting, weightraining, jogging, coffee, caffeine in general, alcohol bothered me at first, overdoing sex
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Post by cjt »

Scoobysnacks,

"Sex shape" - Right you are. As Marvin Gaye put it, "aint nothin' like the real thing....". Unfortunately, I'm in the 'unlucky' category currently, and have been since this I started deailng wtih this, but do remember from my more active days that going the distance was never a problem. And, yes, it took some training, so to speak.

But you make a good point. Stressing over it, is likely to worsen it. Same with some of the ED issues that some of us encounter. And the same could be said for this whole thing in general - stress over it, and make it worse. Start to relax, mind and muscles, and things begin to improve. So, it's a good reminder - thanks for that.[/quote]
Age: 35. Age of diagnosis: 33. | Symptoms: dull pain in testicles, usually the left side, dull pain in perineum, occasional 'golf ball in the rectum' feeling, general tension/tightness in the whole pelvic region, pain/discomfort after ejaculation. Helped by: acupuncture (slightly); exercise; stretching. Worsened by: ejaculating; alcohol, somewhat; anxiety & stress