five reasons why I have a prostate issue

Symptoms Physical
#1

I have below symptoms

  1. Poor Urinary flow since 2007 - 2 days after quitting the drug
  2. ED is confirmed - I cannot penetrate even with Cialis
  3. Cannot feel my prostate - no tingling sensation in the prostate when sexually high
  4. Very low ejaculate volume - consistently low
  5. No spurting of ejaculate
  6. Genital Numbness - poor sensation in the penis and scrotum (consistent for 5.5 years)

Some more mental side effects and sexual too which I am not mentioning now as I am focusing on prostate connection. Does this strike a cord as a prostitis/CPPS issue to anyone?

All this happend in one night (1-2 days after stopping finasteride) when i had a hard uncontrollable errection - i was stressed and sweating and it took me few hours for erection to subside and next day onwards these symptoms. does anyone exactly these symptoms/? I have NO pain in prostate or genitals - little hesitancy - off late i have developed fecal incontinence -

#2

I think two of the points that you make show that it is not prostate issue, but rather CPPS / pelvic floor issues.

  1. numbness, insensitivity, coldness
  2. Cialis is not very effective

Guys with actual prostate issues do not have these side effects. Guys (and girls) with pelvic floor issues do.

#3

Hmmm that is interesting, I have the numbness but Cialis / Viagra did work for me in the past year

I have all of those symptoms that Mark listed, but also dark/yellow semen, sometimes cloudy dark, sometimes completely clear but still a dark yellow overall tint, especially if I abstain from masturbating for like a week or more

I’ve felt that it could be a prostate infection issue, but I’m reluctant to get it checked out as I have not read any success stories from treating it from this angle, and i would love to hear some of those before a doc sticks his fingers up there

#4

The pelvic floor issues can cause actual prostate issues because it is cutting off the blood flow to the prostate. But the actual core issue is not the prostate it is the pelvic floor.

I get the yellow semen every now and again as well. Hard to say if it actually has pathogens in it unless you get tested tho.

#5

If cialis doesn’t work for you… Try uroxatral or another alpha blocker. I, and others, have found it can really increase the effectiveness of cialis. Just don’t take them too close together and keep an eye on your blood pressure.

#6

moonman, are there any treatments for the pelvic floor issue? Anything that has actually worked for anyone?

#7

Some alpha blockers like minipress seem to offer some aid. Some studies show GabaPentin can help. GHB seems like the best medication route.

It seems like the best actual treatment though is a mixture of trigger point therapy (internal/external), biofeedback, stress reduction techniques…

#8

Is it possible to have this situation without any pain? I dont have any pain - its jus numb and shrunk- is there a clear way to diagnose CPPS let alone resolve it

Mark

#9

Any aches are pain, even dull aches. Sometimes I get a jolt of shooting pain, but very rarely.

To answer ur question no pain is not neccessary. There are different manifestations, it doesnt seem like pain is a main symptom for whatever you want to label what we have…{cpps, pelvic tention, pudendal inflammation,etc} nor does it need to be present to have this

#10

For what it’s worth, there’s a school of thought in the urological/physical therapy community that bacterial prostatitis can often cause pelvic floor problems. In my case, the two problems developed at approximately the same time, so it’s possible that’s what happened with me, or it’s possible the opposite occurred, with the pelvic floor problems causing the prostatitis. Who knows, really? All that’s clear is I was diagnosed with both.

Unlike so many others, I seemed to have been treated successfully for bacterial prostatitis with antibiotics, though I’m still addressing the pelvic floor problems with physical therapy. Point is, if you think you have prostatitis, see a urologist. Better yet, find a urologist who is aware of pelvic floor dysfunction. Many still aren’t aware of it/don’t bother to check for it, so you may have to look around. It was only upon seeing three separate urologists did I find one who checked me for pelvic floor dysfunction, and some of the ones who didn’t were extremely well-regarded in their field.

If you do end up getting diagnosed with pelvic floor problems, any physical therapist is going to treat you with trigger point therapy, as Moonman said – and trigger point therapy will always include internal massages (read: a finger up the butt). So if you’re concerned about pelvic floor dysfunction and are scared about getting the aforementioned finger in the butt, you’re just going to have to get over it: It’s the most common way to diagnose the problem as well as the most common way to treat it. The initial prostate/pelvic floor exam is not pleasant; there’s no getting around that. But the internal therapy really is not that bad.

By the way, if you do end up getting diagnosed with bacterial prostatitis, don’t under any circumstances let the urologist prescribe you a quinolone. The stuff is nearly as dangerous as finasteride, and taking it for an infection is like trying to kill a fly with a machine gun. There are far safer alternatives like sulfameth that should be prescribed first. Anyway, warnings about quinolones are all over this forum, but the drug is so dangerous that it’s worth repeating again.

#11

I can clearly note the faecal incontinence now - I get up at around 7 am and I jus need to poop immediately - faeces accumulates in the rectum by then when I wake up and I cant control it for more than 3-5 mins - I do beleive for the first 25 years of my life - i had a lot better control - I could wait at the washroom door for quite a lot more if somewhere in there. Now I have lesser control.

As I look back at my numbness and all other 5-6 symptoms I mentioned above - I remember the night it happend - around 2-3 days after I had stopped finaestride - I was highly stressed due to extreme pressure at workplace - that night - I had a hard erection - it was not even sexual thoughts that I had - my whole body was hot and looked like i was going to burst out - i tried masturbation to control the erection - very little fluid came out and but erection only mildly subsided - overall it was highly stressful - after around 2 am I slept - and next day morning lo!! my genitals were lifeless, very poor urine flow and could not get a erection.

I have read on wikipaedia about peudnal enstrapment and also CPPS - seems like stress / HTPA imbalance can cause this - its sad I lost my insurance and dont have a job - otherwise I would have investigated this line - for 5 years I focused on hormones - yes I had hypogonadal levels initially - but now doctors say even with lower than normal (not- hypogonadal - around 320 on a scale of 260 - 800) T level - my bio–available T is very good ( I have low SHBG). I guess I want to really focus on the prostate - CPPS angle

Mark

#12

My own frequent urination issues subside whenever my testosterone is on the increase, typically though restarting clomiphene stimulation. Its also not as bad when my total T is at/above 800 ng/dL.

Honestly think this is due to the prostate shrinking around the bladder (hypoplasia, as opposed to the more commonly discussed prostate hyperplasia in older men) due to permanently lower 5AR2 levels (as evidenced in 5a/5b urinary metabolite ratios).

1 Like
#13

Ok, based on your hypothesis - shrinking of prostate/ reduced 5AR activity leads to all those symptoms? I assume its just an assumption that many of these symptoms are connected to genital DHT levels -

Based on physical examination of my prostate, the urologist felt it was of normal size. However I have not done all other tests he has mentioned - Yes what you mentioned, I have felt it too - higher T levels does seem to releive some of my symptoms for a limited time - However, this could possibly be also connected to CPPS/Prostitis by what I read on wikipeadia about CPPS (see below).

"Theories behind the disease include stress-driven hypothalamic-pituitary-adrenal axis dysfunction and adrenocortical hormone (endocrine) abnormalities,[6][7] neurogenic inflammation,[8][9][10] and myofascial pain syndrome.[11][12] In the latter two categories, dysregulation of the local nervous system due to past trauma, infection or an anxious disposition and chronic albeit unconscious pelvic tensing lead to inflammation that is mediated by substances released by nerve cells (such as substance P). The prostate (and other areas of the genitourinary tract: bladder, urethra, testicles) can become inflamed by the action of the chronically activated pelvic nerves on the mast cells at the end of the nerve pathways "

The Urologist did mention that hormones have a role - but could it not be possible that HTPA/Neuro issues lead to CPPS hence my symptoms rather than reduced 5AR activity being the cause - How many members in this forum have officially been diagnosed with Pelvic Tension/Prostitis for above problems and yet have good hormone profile?

#14

I went thru the Chronic Prosititis/CPPS website - certainly pain/dull ache seems to be significant symptom - I cannot say pain is significant or noticable - yes i have pain in the hips - but i feel that is unconnected to my sexual challenge -

chronicprostatitis.com/

Secondly, another difference i noted was that the website did not mention much about genital numbness (it is for peudanal entrapment I guess) - Is it really a well known symptom?

It was great to see some positive reponse Solonk received from prostate massage after 6.5 since quitting Finasteride! I hope others post their on going story too - as for me - i need some money before I can pursue prostate health - this is surely not a poor man’s syndrome - its a rich man’s disease

#15

Heres something funny that is happening for last few days since i restarted some Tribulus - it has happend earlier too - my libido is increasing but my penis and prostate wont respond - so low ejaculate and erection - no tingling sensation in the prostate - but am texting horny stuff - want to think of women - funny isnt it - more I get the feeling libido trigger of the mind is fine - the tool box is problematic - I produce a transparent fluid less than one teaspoon - not white at all -

#16

I am back to basics. Basically worse off than 6 six years since crash. I am pooping 5-6 times a day. Never feel like I cleared my bowel compeltely. weak pelvic area and pelvic floor. Dead as a dodo. so sensenation.

How many people have lesser ability to control bower moments? has anyone raised their T levels and found these symptoms to go away?

Mark

#17

did you feel any thing on your chest from tribulus? like itchy nipples?

#18

I have to back up this point as I have had severe prostate issues in the past and never once during that time have I ever had any of these sumptoms.

That point is very intresting and further confirms my most recent suspicions that a majority of are symptoms are caused my a shrunken/damaged prostate after the gland was deprived of DHT,
These studies need are opnions on what to look for!

They need to do extensive prostate testing and they need to look at nerosteriods, especially nerosteriods that act as estrogens.

All the smaller studies have already pointed in both of these directions. Hopefully these larger studies are focusing most of their efforts on these areas.