I think we now have a believable scenario for linking the mysterious post-ejaculatory pain of chronic prostatitis / chronic pelvic pain syndrome to something, namely muscle spasm. When I was ill with CPPS, years ago, I discovered that I could avoid a lot of post-ejaculatory pain by relaxing during ejaculation, instead of the natural male tendency to tense up to increase sensation. This now makes perfect sense in the light of the new knowledge. By inhibiting the tensing response, you can inhibit the neural feedback and crosstalk to the pudendal and other nerve branches, thereby avoiding the production of neuropeptides and excited mast cells.
In short, to avoid post-ejaculatory pain as much as possible:
Lie on your back and let your partner get on top
do not tense the buttocks or pelvic muscles or thigh muscles during intercourse (difficult, but can be done)
allow ejaculation to just "happen"
You will find that post-ejaculatory pain is significant diminished.
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Webslave tried your method of relaxing at finish . Hard to do, but no ejaculation pain after . Did not realize there was no pain until 20 mins later. Just suddenly remembered that I had tried this and realized no pain. You could be on to something .
I must admit that in the 3 months I've had this I've tried to avoid ejaculating due to the discomfort/pain afterwards. Relaxing prior and during ejaculation helps big time but it still isn't much fun.
Most I've gone without is 3 weeks (usually clean the pipes every 10 days since getting CPPS) - no real problems with it, but I find I get prostate leakage after a couple weeks.
avoid a lot of post-ejaculatory pain by relaxing as they orgasmed, instead of the natural male tendency to tense up and "ram home" and "shoot deep"
Similarly I find this method prevents retrograde ejaculation from Flomax. If I relax I get a normal amount of ejaculate.
Richard
Age: 39. | Onset Age: 30. Onset Date: January 2002. Symptoms (back then): Supra-pubic pain, back pain, urinary frequency, urgency and difficulty, weak stream, nocturia, (and variously) chronic fatigue, IBS. Current symptoms: more frequent than normal, but pretty much under control. Current amelioration: Xatral 10mg, Mirtazapine 30mg. | Worsened By: Stress, binge drinking, strained bowel movements, bloating, sitting on hard surfaces, jogging, and regularly - THE WINTER!
I'm not a medical expert. My comment is opinion. See your medical professional.
