UCPPS - Prostatitis, Interstitial Cystitis Forum

jerseyguy wrote:Wouldn't it be better to periodically expel the inflammatory substances trapped in prostate, caused by the nerve & muscle inflammation?

For some, yes. For others, no. Paso's right. Listen to your body.

Astrotitan wrote:I would have to disagree with this stance, not that I believe that bacteria is the cause of CPPS. Its just that as soon as someone mentions the word bacteria they are shot down and chastised. A more diplomatic approach would be favourable, especially if they are new on this site.

The Google group (sci.med.prostate.prostatitis) is the proper forum in which to discuss bacteria. Discussion of bacteria is off-topic in this forum.

CppsDad wrote:Have you ever had a test that confirmed you had infectious material in there? As you know from reading this site's guidelines, discussions about hidden bacterias in the prostate that need to be excreted are forbidden, for many reasons that I won't go in to but you can read up on yourself.

I don't think jerseyguy said anything about bacteria or infections.

MastCells wrote:

CppsDad wrote:Have you ever had a test that confirmed you had infectious material in there? As you know from reading this site's guidelines, discussions about hidden bacterias in the prostate that need to be excreted are forbidden, for many reasons that I won't go in to but you can read up on yourself.

I don't think jerseyguy said anything about bacteria or infections.

I agree, he merely asked about excreting the inflamatory substances that are trapped in the prostate. In my opinion this is different than talking about a pathological infection of the prostate.

Anyway, I'm sure no one is going to get banned for just typing the word, right? I think the point of the rule is to keep someone out who insists that we can all be cured by the right type of ABX and prostate massage, etc...

I do not believe that there is bacteria trapped in my prostate.
However, I am not able to explain how ejaculation breaks up the flare-up. I am trying to come up with an optimum frequency, without impeding the healing process. I do regular stretches, internal work once in a while.
Question still is what relieves the pain:
the contraction/relaxation of the muscles post-ejaculation or just that body is asking me to be regular or that there are inflammatory substances that are normal residents of the prostate not caused by any infections that want to get out
Thanks

I always had similar questions when it was giving me relief. Even my PT couldn't explain it very well. But I guess I found my answer over time, it wasn't really helping me, just giving me temporary relief and making things worse in the long run. Even when it was giving me relief, my frequency was only about 3-4 times a week...I never pushed the envelope to everyday. I have now cut back to 1-2 times a week, since it seems to be bringing on discomfort instead of helping it.

jerseyguy wrote:I am not able to explain how ejaculation breaks up the flare-up. I am trying to come up with an optimum frequency, without impeding the healing process.

There are a couple of things going on with ejaculation. Firstly, if ejaculation is particularly intense and accompanied by tremendous tensing of the pelvic muscles (as some men are prone to doing), then it can "goose" the pelvic nerves and cause a flare lasting up to a week. But on the other hand, it can help to expel sequestered prostatic fluids that are irritating the prostatic epithelium because of the load of pro-inflammatory chemicals they carry.

This contradictory dual nature of ejaculation usually leads men to decide to have gentle orgasms (relax during orgasm if masturbating, get underneath partner and relax during coitus) so as not to irritate the pelvic nerves, but to do it reasonably frequently (at least once a week) to prevent a build-up of noxious secretions.

I hope 2/3 times a week is not too frequent in the long run. Question is how do we arrive at this frequency without an objective way of telling us what's happening in the long run. I will definitely continue the stretching..
Also, I make sure the act is not prolonged; lasting only for 5 mins or so.
Thanks

2-3 times per week works well for me. And keep up the stretching, as you say!

wow....don't you guys go insane with only 2-3 or less per week? Maybe it's just me, but I wouldn't be able to focus on anything if I had to stay at that level. Of course, when I was having a really tough time, getting one off was far from my mind and that really contributes to depression. But I'd say I'm at least once a day, if not more. SOmetimes I'm like a jack rabbit, but then again, I've always been that way since I was 12 and I'm still in my early 20s.

Sometimes it hurts, other times it relaxes everything but the pain is never enough to make me stop having sexual activity or severely lessening it.

Completely agree with everything you say. I'm always 5-6 days a week, once a day and I need to do it because it really relieves everything. If I don't, I actually feel like my pain gets worse!!!

2-3 per week is hard for me. Sometimes I do it more if my wife agrees. :)

well, for sex, I try to be ready for 3 rounds over a couple of hours (or less). I don't think that's probably a good idea....for anyone. But it can also be worth it. Right now, I think I'm having a flair because my pain level is probably a 4-5 in the perineum and I notice it's spasming down there, having some weaker urine flow. It's probably smart to rest the boys a bit when your pain is up eh?

Right now, I think I'm having a flair because my pain level is probably a 4-5 in the perineum and I notice it's spasming down there, having some weaker urine flow. It's probably smart to rest the boys a bit when your pain is up eh?

I'd say listen to your body. My perineum is still the place I feel it the most when I overdo it. Make sure you are doing the squat stretch, and get a Theracane if you don't already have one to work on the muscles in the perineum. You could also be getting referred pain from the other side of the perineum internally (around the prostate), so internal work might not be a bad idea for you if haven't done this already.

once again for all the people who think once a day is too much, I ejaculate 3 times a day every day since I was like 13 or something. Doesnt affect my CCPS,, well, unless this is actually how I brought CCPS onto myself. I have tried slowing down/stopping (not for too long) I'd say it made my symptoms worse. However prolonged erections, sexual activity sometimes do make it worse. I'm trying to go down to 2 times a day though,, takes time to break habits.