Thanks for this video. You don’t exactly have a huge following, but your video definitely makes a massive impact in some people’s lives. I mean that sincerely. Thank you.
@@DoctorEric Hello Doctor..I am diagnosed with the cronic prostatitis.I need the consultation from you.Could you please let me know how I can connect with you?
@@DoctorEric Frequent ejaculation does not always help. There are many people who've had experiences of it getting worse. Personally theres temporary relief and then I have increased pain a day or two later. If it's a pelvic floor problem, ejaculation will likely cause more tightening of the muscles and therefore more pain.
After some frustrating experiences with Docs and speaking to my wife who is an MD, this video led me down the CPPS path which ultimately changed my life for the better. My symptoms were caused by pelvic floor dysfunction and have been alleviated through PT and lifestyle changes (increased mobility, less frequent masturbation, stretching and breathing routines).
I’m 29 years old and have been dealing with these symptoms for last 3-4 month.. I have a feeling it was caused my stress at work but who knows. Going to a doctor next week for diagnosis thank you for the video
Went to the DR did every test possible (bloodwork and urine). Everything came back normal looks like I am prediabetix so started to take my diet seriously and hitting the gym. Also got an apt with a urologist they did a special test to see my urine stream and visually checked my uritra and to make sure I’m emptying my bladder.. everything came back normal.. honestly it’s a relief that I’m ok, but sucks that they say nothing is wrong but I’m Getting symptoms.. anyways over last few weeks symptoms seem to start going away on its own.. I’ve been doing heat therapy the whole time. Good luck to you all!
@@KoolAidDinkyTV yes very frequent urination..also at night, wake up at night 1-2 times to urinate. doctor telling me nothing wrong with me.. anyways a year later almost had symptoms improved.. changed my diet, but out sugars, alcohols, exercise more seems to help me out
been dealing with this shit since my 20’s on and off mow 52 and dealing with crazy chills and pelvic pain inflammation past 9 months, ready to end it can’t take this crap no more.
Thanks for the video, I hope it will help. I'm not sure what kind of prostatitis it is, but i'm sure I have one. When I was 12, after an ejaculation i felt a sharp pain in my pelvic area, and for days I felt intense burning urinating. The pain gradually went away but what never left was a constant need to urinate, literally there's no time where I don't feel like I need to urinate. I'm now 25 and I've lived half my life like this and it's kinda driving me crazy. Also my urine is very often almost crystal clear, to the point that I feel I'm a little dehydrated. I've been to many doctors. One diagnosed me with overactive bladder, gave me some vasoconstrictor drugs but they didn't help. Another one gave me some suppositories (i'm not sure if they were antibiotics), and they also didn't help. Last one I went had me do an ultrasound where he diagnosed me with prostate calcifications, told me they should have no symptoms and suggested I did some kegels, which I have been doing for a month but i'm not sure they're working. I should add, the only symptoms I have are frequent urination, low urine stream pressure, and like a sharp pain along my urethra if I touch my pelvis. I've been looking for what could be for years...
Some excellent advice far more helpful than my own gp ..personally don’t think most gp’s are either ignorant or lack in understanding the condition esp as it’s non bacterial condition
Here's the things I've found: 1. Ibuprofen does help or Naproxen 2.Sex, sex, and more sex 3.Soaking in a hot tub does help a bit. 4.Occasionally, a prostate push does help.... 5. He's right....sitting for long periods does cause it. 6. For me....I have found that stress causes it. My symptoms are occasional frequency to urinate, boggy prostate feeling, perinum soreness or tenderness. Bottom line it's not fun....and it's agitating as hell.... I remember I lost a LOT of weight once.....it went away. Overeating is BAD..don't do it....make the effort to LOSE weight....
Everything you listed is what I do to help it. But it ultimately comes down to not sitting down long. That’s what does it for me. Mine just came back after I’ve been playing video games for hours a day recently. Dealing with it now.
@@yashshiva7923 Never experienced that. I've also found the following helps: 1. Lose WEIGHT 2.Don't overeat so you feel bloated. 3. I am now taking 1000 mg (2 500mg pills) of Quercetin daily. I was only taking one 500 mg pill daily and started to feel just a bit better. I've now bumped it up to 1000mg a day and feel at least 35% or even 50% better.....not every day..but most days. You have to take it about 1.5 months before you start to see an improvement. Check on me in 3 more months and I"ll tell you how it's going. Any suggestions from you?
Thank you so much for the video it was really helpful I am currently having this problem my question is Will this type of prostatis raise Your PSA levels thank you
GOOD NEWS for you. I got treated. I was sufferring the prostatitis pain for 2 years. The all test results were fine while I had too much pain. Finally I tried 200 milligrams of doxycycline antibiotic for twi weeks same time me and my partner. Both us took same medicine and finally cured.
But but but I cant continue to live like this. Im sick from this all the time and have been so for 30 some years. Right now im in an episode with a lot of pain and feeling fatigue, especially in the afternoon/evening. Living in isolation and for the last year I’ve not been able to work. There must be some type of treatment to get me out of this?
Somewhere the way: the muscles and vessels and nerves, from the testikel to the prostate, they are in there route disturbet, maybe by the pelvic area. And that gives problem in the testikel or groin or both.
I found your video very informative! I've been suffering with the type of problems you discuss here. My GP has sent me to the lab for urine culture, that came back negative. Is it possible that this issue could be caused by "occult bacteria" that cannot be cultured in a standard broth culture? Would a PCR test for occult bugs like mycoplasma or chlamydia be a lab test to use? Thanks for putting your video up.
I have had gross hematuria for over 15 years start when I was 25 years old I was trade with cipro antibiotics and anti inflammatory medication. I have all these things but the VA never diagnosed me with chronic prostatitis and just recently they say I had painful urination now im 45.
Thanks for a wonderful video. Doc great information I have been down for three days with flu like symptoms. I have a large lump on the side of my calls more like worth of five of them and I can’t get in to see my doctor and my neurologist Tuesday, is there anything you recommend to alleviate the pain
Hi Dr. Eric! Thanks for your video. I definitely fit the pattern for chronic prostatitis, and my urologist has tried all of these treatments. Four years ago, I underwent a urolift and that helped with urine flow. However, it did not improve my prostatitis. I have a wonderful urologist, and he has been exploring options. He is recommending now for me to undergo a TURED. I know that this is reserved for men who are infertile. However, he is telling me that he has tried the procedure, and that it has helped some men in my case. I really hate undergoing procedures. What do you think about my particular case?
Unless there is evidence for ejaculatory duct obstruction (ultrasound with vasal dilation) TURED wouldn't be the standard of care. Could it be helpful? Maybe, but there isn't much evidence to support that course of action. Before opting for surgical intervention, I would certainly recommend pelvic floor physical therapy, anti-inflammatories, dietary modification, and other non-surgical interventions.
@@DoctorEric Thank you! Are there any studies suggesting TURED as a method for relief? He tells me that he has done this procedure in other men with my symptoms, and he has had success. I cannot find any studies out there indicating such. Thank you!
I have been in this pain for the past 20 days and it seems to me I did get it a few years back , and it's returning ... All I can hope is that it's gone because the tests are cleared but it's causing me depression ....
Hi mate sorry to hear you are in pain. I highly suggest seeking a health clinic psychologist and going through therapy. This will support you in getting to the next stage of a pain free life. The biggest cause to this issue is psychological stress. - it is in your head and it is producing physical symptoms to making it real. You are safe and you are in control. Stay safe
I’m 30 and have had some of these symptom. I went in to see my PCP, but got scheduled with a NP. Peed in a cup and said my pee came back good, but did a DRE for 2 seconds and said “yup looks like your prostate is inflamed” gave me antibiotics. However I have had no signs of acute prostatis. I’m making an appointment with the urologist next week. I’m also on Flomax! Help!
Hi doctor, all of the symptoms you just mentioned I am going though, I saw a urologist a couple of days ago and he didn’t even check me physically and opted for a cytoscopy test, I said no… I’m from out of town and would like to book an appointment with you
Well ive had chronic prostatitis for 2 years now, ive had therapy, loads of pill treatments and i still experience a lot of pain when ejaculating, ive lost all hope. Suicide thoughts are becoming more and more frequent…
@@alexandervanpatten100hey hope you are doing well, i found out a month ago what i actually had, i was tired of the constant inflation and pain on the urethra and the doctors always telling me i have prostatitis so eventually i decided to search for another way to fix this so than i was talking to my cousin which gave me an idea to go and do a test for food intolerances which text over 150 foods, and the result was that im intolerant to eggs and onion and a couple other that dont really matter, so the last month i stopped eating anything that has eggs or onion and the results are incredible, no more pain while ejaculating or peeing and barely any discomfort at all and its still getting better day by day. Hope this helps anyone❤
@@letsgaintogether8959 i actually found out what was going on. I took a blood test for food intolerances and it looks like im intolerant to onion and eggs and a few more irrelevant things, its been like 4 months since ive cut them entirely from my diet and i no longer have that pain, only a slight disconfort that is getting better as time goes on. I assume my body was under an extreme amount of inflammation causing that burning pain sensation i used to feel. It might not be the same case for you but if you have the opportunity to also take the food test please do it, i know it may sound weird but i only did it because i was out of ideas.
I exercise daily, eat healthy, and do everything I am supposed to do to live a great life. I have been dealing with prostatitis for 2 months. I went to see one of the best Urologists in Houston. His advice to fix this torture. Physical Therapy of the plevic floor. He promised it would change my life. Keep that in mind, brother.
Hi Doctor Eric, how often should I do prostate massage? What is the ideal number of ejaculation per week? Some says to much ejaculation is bad for the prostate, but I don't know how much is too much.
Get a rectum exam done by a health physio and they’ll give it a feel. If it is enlarged you can do on finasteride or dutasteride to help shrink it. No.1 thing here to remember is that you are safe, your body is not in danger and that you are not your thoughts. Keep well
Dr Help me please !! I have done everything and nothing helps. I have severe stinging pain after ejaculation in my perineum that wont go away. I have take antibiotics for E coli after a positive dna test. I took doxycycline for a month than cipro for 4 months. It helped but it came back after I was done with the antibiotics. I have done stretches, botox, prostate massage and relaxation but still I keep getting it back. My dr is refusing to take it and refusing to keep helping me. I have seen many drs and none seems to help out as they run out of options. I have had mris, ct scan, cystoscopy and im just in pain. The perineal golf ball stinging pain is so bad I feel weak and shivering at times.It becomes very bad after ejaculation
Consider a repeat genomic urine test and if positive seeing an infectious disease specialist. Also consider seeing a pain management specialist and a pelvic floor physical therapist.
Good morning. I really appreciate this video. Is there any way I can get an appointment with you, Doctor Eric. I am in Houston, but I can get an appointment where I basically ask questions.
Since no one can even define what it is or what causes it, or even if you have it (diagnosis of exclusion), it's next to impossible treat it. It's likely caused by different things in different patients. Is it the same as CPPS? Pudental neuralgia? Injury? A symptom of certain radiculopathy? The answer is probably yes....and no...
Things that help are intermittent fasting, palvic floor exercises, eating healthy, exercising like jogging, reducing stress, drinking beer and marijuana micro dosing (this was the biggest help!)
This video is very informative! I had a episode when it felt like on of my testies flipped and the feels heavy. Also most people don’t know that pelvic floor pain can also mess with your digestive system and even have stomach pains. I sit for long periods of time at my job and would have sacrum pains. Switching my seat cushions (that wasn’t a donut) which I think was meant for women because it had a hump where your man parts would be made it a perfect storm for CPPS also stress.
@@elzridervlogs2207 testies still feel awkward, lower abdomen pains comes and goes. The pudendal neuralgia (burning feeling from the nerves had settled down. I used to get burning at the tip, shaft, rectum but I believe it only flares up if I over stretch. I still have lower back (sacrum pain) I really believe the pain I would feel back there is just radiating to the front. Many don’t make that connection but when it was sore my chiropractor would pounce on my back looking for a crack meanwhile pushing my pelvis into the table balls and all 😒. What’s your symptoms bro?
@@ValonHonor started with frequent urination and even at night. Then this symptom was gone then i had discomfort in my groin area while sitting on a chair. If ignored then the pain goes all the way to the abdomen , kidneys and even the back. So far cannot sit on a chair without a donut coushin. Hurts like shit! Taking some medications as well
I hv had ureaplasma, trichinosis and expel. After a lot of antibiotics all bacteria are shown clear in PCR test. But no improve on voiding. Can TURP or holep help in this case ?
Hello doctor eric i havie prostatitis it is come and go. My GP told me my prostatitis is Go away but i have still prostatitis. My GP is refer for me in urologist for cytoscopy. It is right..?thank you and God bless.
I road bicycle a lot in mid May to Oct (66 to 88 km /wk) and always have pain in the perineum area at first but it lessens with time. I wear padded bicycle shorts which helps but for a long time just used a gel cover on the bicyle seat. Can this result in non bacterial prostatitis? I thought nothing of it until last Nov when my Dr told me I had a PSA of 16. I was retested and 20 days after the first blood draw my PSA was 21. I have had BPH for 20 years or so. My urine was neg for bacteria. I had a CT scan for cancer and it was normal but CT isn't useful for prostate cancer detection. I am having a prostate biopsy this week. My urologist told me that, when PSA levels swing fairly eratically like this, it is almost never cancer so I am hoping that I have non bac prostatitis. Other than some pain when I sit on a bicycle seat I have no pain or symptoms and the high PSA was a complete shock. I would have had an mpMRI before the biopsy but the waiting time here was too long so the Dr said a biopsy first would be best. I am 71, BMI of 20.4, very active, run 24 mi/week (less in summer when I bike, too), have been intermittent fasting for a year, have been doing Wim Hof breathing and cold water (showers} exercises for 3 mo as well as 2 -3 saunas/week. No other medical problems, no family history of prostate cancer, eat well, take vitamins and suppliments.
Very informative video, thank you Doctor Eric. Quick question please, you mention frequent ejaculation helps. but I have painful ejaculation and the pee after ejaculation stings like crazy. Should I still ejaculate like once a week? thank you
This video is great, but nothing seems to be working for me. I have been sidelined for over a year now after being able to manage my symptoms for roughly 20+ years. Any advice? I just want to be active and pain free again!
Hi Sean, I really relate to you. I'm an almost 37 years old guy who's been fighting with prostatitis and chronic pelvic pain since my 20s. I went undiagnosed for several years and this has caused me worsening of symptomps. I think now I'm really raising again, although pain killers and heavy use of supplements have caused me some side effects. Nonetheless, I was saying to you that I went through EVERYTHING. But now I feel I'm quite there improving very much, to a point I could be medication free soon (just some supplments in order to keep inflammation down). I would be glad to exchange my journey with you if there was a way
@@Mario_stronger what are you doing to fight off inflammation/the symptoms? Right now, I’m only taking ibuprofen. Up until the start of the pandemic, I was fine. I think stress, running outside, and cycling triggered it again and now I’m at the mercy of it. I was told to do a lot of the things in this video, but only rest seems to help. I’ll have to wait it out of there are no other solutions. I can’t believe we are not further along after 20 years 🤦🏻♂️
@@seantompkins517 First of all let me say that it is an incredible coincidence to read you got worse exactly at the same period I did. Before the pandemic I was just "doing as usual", meaning having the usual ups and downs, but somehow my routine changed (in my case I started playing soccer in my backyard) and suddenly I ended up suffering miserably as I never experienced before. Strange enough to say that thanks to the immense pain I felt, leaving me hopeless, I realized that I should have deepening my knowledge further beyond the classic approach of the medicine all and only towards the prostate. The inflamed prostate is surely the beginning of our nightmares, but then the environment/structure of the prostate changes (Calcifications, Fibrosis) and so the surrounding body parts (nerves and muscles) will be affected by that change as well to cope with such an alteration. So, whilst it is imperative to keep prostate pro inflammatory cytokines down (which is very important! Exactly as I do keep control of the inflammation in my lungs due to asthma), it's crucial to improve the pelvic muscle status. And by stating above about pelvic muscle, I don't mean that with simple stretching routine you will improve dramatically, it's just a little bit more complex that many on the web claim. Infact, after many months/years of chronic prostatitis our pelvic muscles react to that stimulus by contracting more and more. I used to travel all over Europe for my previous job...man, you can imagine the pain I was getting each time, whether it was by plane, by car... I always thought...it is the prostate, and always back to the most knowledgeable urologists and andrologists...but they always gave me anti inflammatory drugs or at the best saw palmetto ...and so on... I have a plethora of details to share on my ongoing journey, but it's so long to write here everything. I might be planning to create a blog. Anyways, I would be glad to share everything with you as I emphasize since we're pretty much in the same situation, but don't know if there's a way to exchange private messages here on youtube.
You would be right , like 5 years ago I got hemorrhoids and then I got chronic prostatitis, I took antibiotics and the lab test was negative of bacteria, I been dealing with it 3 years..
Doctor iam 25 years old since 2019 iam having urine pain and heel pain I went doctor and they say u have epididymitis I have taking too mach antibiotic it didn't work what should I do if there surgery would it cause Infertility after surgery
Hello doctor, I had UTI the dr gave me antibiotics and it was cured. then after three months I have bacterial prostatitis I feel burning sensation of prostate and urethra. I went to a urologist he gave me antibiotics and other pills I am taking but when these pill finish the symptoms starts again. The dr advised me to take hot water soaking ... do you advise me some home remedies how to get rid of this? Thank you
Question Doctor; are the medications used for this non bacterial prostatitis are for life time? are there chances that this may be cured? thank you Doc
Most commonly the medications are used for 1-3 months at a time and often stopped once symptoms resolve. Supplements such as quercetin can be taken for longer stretches of time. Generally, the medications are not taken forever. Prostatitis may be cured in some men. In others it may be controlled with periodic flare ups.
i have this cpps from 9 years wait before urinating flow is not proper doctor first tried alfuzosin 10 then tamsulosin 0.4 now i am taking silodisin 4 its effective i have tenderness in pelvic area also taking aceclofenac 100 and multivitamin is this remain life long i cant work properly please help me
Dr. Eric, I had Epididymitis over the Christmas Holiday in 2022. That went about 3 weeks of Bactrim and another 2 weeks of Ibprofen until it fully passed. 1 month after that and now it seems as though now I have some kind of prostatitis. I know the symptoms because I've had it years ago. Can I assume that there is a relationship between the two? Did one infection migrate to a different organ? and if so can I consider it bacterial in nature in my prostate even though all urine tests and blood tests show no bacteria whatsoever. After watching your video I'm becoming convinced I have CPPS given my symptoms. If so, I'm assuming antibiotics should not be part of my get-well plan.
Yeap. Do not assume is not bacterial. Your prostatitis is bacterial 100 percent it migrated from your balls to the prostate. Bacteria had formed a biofilm inside your prostate and it will be giving you problems for some long time, unfortunately urologist don't understand prostatitis very well they get confused and they don't know what kind of prostate disease are, also urologist don't have nothing good to offer just stupid antibiotics and stupid tamzulosin do more harm than good, it's a shame that undeveloped countries have better alternative treatment than USA big pharma soldiers doctors,,,,,,, Russia, Georgia, India, turkey, have better treatment and medicines than USA for prostatitis and any diseases , ,,,,
I got tx with azithromycin because I thought it was an STI but the labs came back without bacteria. But my urine sample was weak so not sure. I have noticed white floaters in my urine..othrt times like a long string that could either be mucus or something... Looks like that stuff next to an egg yolk. And then they were only there some of the time (I pee in a cup and hold it up to the light at home). Usually morning is the best catch. Only other symptom is minor itch of maybe a 1 or 2 out of 10 sometimes in urethra base. Also had ultrasound and found hydrocele and varicocele around when I had a dull pain and found out it was mostly a pulled groin or from smashing my nuts while ice skating fall. Waiting for the month to hit so I can meet my deductible and see a urologist they referred me to. I have a shitty ACA plan with 8800 deductible and have to be on PreP to meet it whether or not I'm actually having sex or not for months otherwise I can't get my checkups the second half of the year. I don't think I'm high risk compared to some of the women I know and they aren't even on Prep... Its stupid medical stigma and insurance company and pharmacy corruption.
I started experiencing symptoms after a stressful week anxiety went from 0-100 been on sleeping tablets. Gut issues 😔 at this point I’m seriously suicidal .
I don't know how to treat my condition anymore. I've been through alpha blockers, antibiotics, had a cystocope MRIs and tested negative for UTI multiple times. Alcohol is the primary trigger for a flare-up and if I drink any alcohol on a Saturday it will start causing problems 24 hours later. This has been ongoing for 8+ months now. Am I just allergic to alcohol??? Please help.
@@Manfresssh Not yet. Waiting for an appointment. Had to wait a long time because earliest was available was the 31st. Other PTs have no availability/ cannot fit in with work schedule.
I was diagnosed with a urologist with chronic prostatitis 3 years ago when I was 27. He said due to me cycling too frequently. Another Urologist said cycling isnt really the cause. I still have frequent urination most of the time and testicle pain like twice a month even after stoping cycling. I might try cycling again.
I just started cycling and very shortly after developed symptoms for prostatitis. It’s one of the only changes in my lifestyle. I believe cycling could cause inflammation to the prostate despite what urologists say.
Thirty seconds used to be the longest I can reach because of my early ejaculation issues,but now I can go 25 mins after using dr udoka on RU-vid herbal medication.
@@kuemagecollector Good! I don't believe that cycle saddles are an initial cause of CPPS, however if you have had the syndrome before or have low level symptoms it can cause a flare up. Another behaviour that I think causes a flare up is too much sitting on your coccyx, by that I mean slouching, especially on a hard surface, I believe that pressures muscles and nerves in that area causing symptoms. I think we have all experienced symptoms following orgasm, that is, after all a rapid and very powerful series of muscular spasms. So, if you are experiencing mild CPPS symptoms I would refrain from masturbation until they have abated.
there is a small intraparenchymal calcification of the prostate gland based on a CT scan with a volume of 29 cc. Do I need surgery because I often urinate every 3 to 4 hours. If I wake up to pee up to 4 to 5 times which makes me stressed, what is the solution. The urethra is sometimes hot and the bladder is sometimes hot when urinating too late.
Hi i cant even thank u enough for doing this video... ive been experiencing pain in my pines for 4 years. At first it started only after masterbation as it was very painful and tender. Today every time i pee or poo, semen comes out and i hurt for hours. I did pelvic floor therapy and it did not help and ive been taking medication for a month and still no changes. (No bacteria after exams) I begining to give up and i dont know what to do. Its very hard as im 19. Is there any other option other then trying out the surgery? Hope u see this... thanks
I have few friends who got cured properly from prostatitis by ozone injections and sound wave pressures.Do you know any of these treatments ?not sure if they work or not...
I've been suffering from burning micturition since 8months now I my self is a psychiatrist by profession I tried everything and I went to about 10urologists ive been adviced cystoscopy , ct kub 4times urine microscopy and culture and evrything turned out be normal and I've taken intravenous antibiotics for 15days and oral for 1month nothing really worked out uptill now I have kept all my savings for medicines and investigations nothing really worked and I have been learned to live with pain
hi i have been having frequent spasms in the prostate are ie between testes and anus.. it is a little bit painful. ultrasound has ruled out any prostatitis. they have suggested it may be due to vitamin or mineral deficiency 😢
