Well, I am now 99% sure that at least in my case the “prostate issues” as well as my “penile issues” (shrunken penis, smaller balls, spider veins, variocele, erectile issues) are all from pelvic floor tension. Hopefully this helps at least a few others here.
I was searching for a few weeks for any trigger points in the perineum, anus, pelvic areas. It took me a few weeks to find any but I finally found a lot. They are small and deep and hard to explain the exact location. Its like the start at the very tips of my hamstrings where it connects right below the gluteus around the bone. Holy shit the pain I felt when I finally found them was crazy. Withing seconds they were sore and tender. I also was able to follow that and find some on the ischiocavernous muscle.
I also notice that my abdominals pre-crash were always tight and strong…compared to now where they are all weak and loose. I ran my knuckles over them and down around the upper pelvic area (above the penis) and noticed the same tender weak feeling that immediately went sore and tender.
So I have been working on all the trigger points once or twice a week…its hard though cuz they stay so sore and tender. I am looking for a pelvic physical therapist who specializes in this…but no luck with my area.
I know it is extremely controversial here, but the sexual/penile/prostate sides we have are really the same as the “hard flaccid” guys and also many “sexual exhaustion” guys. Many of them get these symptoms from a variety of ways (too much masturbation, illness, erectile injury, ecstasy, cocaine, etc use, variocele surgery, saw pawmetto, stress breakdown, etc.
What is the root cause of this? I personally feel that there is a dominance of norepinephrine causing the chronic condition. However many disagree. Some say that a specific even causes the tension and that it is “stuck” until proper steps such as physical therapy and anti-stress methods are used. Many guys are having great success with a physical therapist. There are also some (mainly the saw Palmetto guys) who think the loss of DHT is causing it. It really could be anything.
With recommendation from others…I decided to try a subtype specific alpha blocker, Prazosin. While there are some rough side effects, I do notice major improvement with sexual and penile symptoms. The pill only lasts 3-4 hours, but my shrinkage is gone for that time, erections come on very easily, and I am rock hard during sex. It works just as good as Viagra, which I have had on and off effects from. Prazosin works by blocking the receptors in the penis and perineum from norepinephrine. As we now norepinephrine is a major vasoconstrictor. Flomax is also an alpha blocker, but works on a completely different subtype. It works solely on the prostate and not at all on the penis or perineum.
Here is a good thread to check out if you are open to the idea…
I am looking into the cause of this. I personally believe it is norepinephrine so I am looking in that direction. Dominance of norepi. could deplete dopamine causing the low libido. It is possible that methylation causes this through COMT and the catecholamines. But this is all ramblings for now…