After a year digging this out, I was convinced there's no infection.

Got a MRI that came out plausible prostatitis and signs of inflammation.

Did a sperm culture and came negative for bacteria, but they found pyocytes( a type of leucocytes?!).

My doctor put me on Doxicicline and Bactrim. What do you guys think?

I took a lot last year, including fluoroquinolones, doctor said 20 days are vital to the treatment. I'm afraid of more abx, bc Cipro almost got me crazy.

Hello! I'm a 27 y/o male. I started having symptoms around a month ago: an almost constant urge to pee, but strangely not at night. I could sleep 7-8 hours straight without having to pee, but always peed right before going to bed and right after waking up. Does that point to psychosomatical causes?

The symptoms dissapeared roughly 7 days after initially appearing but now have reappeared. Went to GP the first time, urine sample was clear, PSA was normal, other bloodwork was normal as well.

Is it possible that I may have chronic prostitis? Should I go to an urologist?

The only times I've felt pain is while exercising: twice when playing tennis, once at the gym. The pain went away quite quickly after the workout, though. Mostly it's simply the need to urinate and the feeling of not emptying the bladder fully. Sex related stuff is all normal: no pain and issues, thankfully. I've noticed that some symptoms tend to be stress/tension related.

Since I've never really noticed anything similar before and all the tests have come back normal so far, I'm not sure what to do. Should I wait and try to relax and try to forget about it? Or should I seek help actively? Thanks in advance.

Hi guys! So mid december my cousin had an affair with a woman, other than his wife. 5 days after that he started having urethro-prostatitis (mild to medium symptoms). He swears he used protection with both the other woman and his wife (it was his only affair). Maybe she had some vaginal discharge and she touched his penis? No idea.... He saw another derm before me and she gave him 1g Azithromycin and took a secretion swab - he had whitish doscharge (negative) . Then he came to me and i referred him to an urologist - negative uroculture, negative NAATs for gonorrhea and chlamydia => empirical prescription of levofloxacin (500mg/day) and doxi (200mg) , both for 2 weeks. His symptoms somewhat improved, maybe 50%. He had days when he didnt feel his prostate, he started peeing normally, but still he had urethritis, his urethral opening was kinda swollen. So because his appointment with his urologist was too far in the future and he was stressed, he went to see another urologist : he prescribed cefixime, metronidazole and azithro - 3 days - no results. After a 10 day antibiotic break this second uro performed a prostate massage and took a secretion sample + another urinalysis, uroculture, spermoculture and pcr for like 10 germs.

• urinalysis shows a bit of mucus and erythrocytes (normal for prostatitis i guess?)
• negative uroculture
• negative spermoculture
• pcr from prostate discharge shows enterobacteriaceae (e. Fecalis and k. Pneumonie). My guess is that these are contaminants....

The girl and a vaginal secretion test - positive for ureaplasma Wife still waiting on hers. He has been abstinent for the last 6 weeks. His appointment with the second urologist is on monday. But how hard is it to treat this? Is it infectious? Is it only inflammation? He still has a little clear discharge (maybe 30% from what it was at first), urethritis (but no symptoms when peeing. He feels it now and then, and his urethral opening is stilll a bit swollen) and feels his prostate (it was painful when the doc did the massage and he said it felt very inflammed). What to do? I have no experience with this... most patients with sexual transmitted diseases go to obgyn and uro s. Urologists in my country mostly do operations and not consults... Help!

I have bacterial prostatitis and have been suffering from it for five months. I experience pain in the perineal area, mild pain in the tip of the penis, and some discomfort in the testicles. I also have constipation. I have done a culture test twice, and the bacteria found was Staphylococcus.

Does it shrink your prostate? Stop inflamation? Make it easier/less painful to ejaculate? Stop dht? Repair the prostate?

Google search is ambiguous. Would love some real life user feedback.

Hi. I am a 29 y/o male.

To start off, I have been suffering from mild small fiber neuropathy (SFN) for 4 years (idiopathic). I most likely have centralized pain due to childhood trauma, obsession over my symptoms, anxiety, etc... I am aware. I am actively working on finding the right therapist to adress this. I also work a sedentary job, don't stand enough, hydrated myself quite poorly before these issues appeared. I have no known health issues aside from SFN.

I have "three" symptoms : burning after ejaculation (not all the time and I don't know why), burning after peeing post-ejaculation (same) and non-stop urge to pee. It started after christmas which is a stressful time for me (abusive family, we are low contact already but I need to just cut contact imo). I initially had STI-like symptoms (burning all the time, burning when peeing, pain in my penis etc but it all resolved beside those three) but 2 urine cultures and STI tests found nothing.

I have seen an urologist three weeks ago that hand waved me away after giving me Solifenacin telling me I'll get better in 3 months max but I will have to deal with it in the meantime. No LUTS, no bladder ultrasound, no DRE, no urodynamics etc. I have found nothing that would confirm this timeline (why 3 months?) on internet. He said my issues were not due to my SFN the issues showed up in an acute manner rather than progressively.

The two MD I saw sent me back to back for urine cultures, STI test and that's it. I have seen two different PFPT who refused to examine me saying that based on my symptoms presentation PFPT won't help me. I understood from reading on this sub that PFPT could help so that was frustrating.

I lost it and started crying at the second one who then said I needed therapy and not PFPT. She wasn't wrong because these symptoms are tipping me on the edge of becoming suicidal but that wasn't why I was there.

I am willing to adress my mental health issues but I need at least a competent PFPT to tell me there is nothing to work on, physically. Or because I dont have pain besides the burning it cannot be CPPS and it is strictly OAB?

How can I approach this issue in a way that would help physicians and PFPT to at least take a look at me?

Thanks for any answer.

A few days ago I had a piss before going to bed and I got hit with a shooting pain up my butt and it has since become more frequent and spread to my lower abdomen too.

It doesn't hurt to piss but I have to push harder to start than usual, I have belly aches, I'm colder than usual but I haven't been pissing more and it doesn't burn or hurt really.

Let me know.

22M Virgin

I was diagnosed with bacterial prostatitis because post prostatic massage urine analysis shows high number of red and white blood cell. Symptoms is pain in the left pubic (above left testicle) and left side of perineum, occur 6 - 12 hours after ejaculations.

Doctor keep giving different antibiotic, after one another. Had constantly taken, no breaks in between:

1. 45 days levofloxacin (Did not work)
2. 40 days minocycline 100mg (Did not work)

(Went for another post prostatic massage urine analysis but still show high number of RBC and RBC) 3) 30 days Bactrim sulphamethoxozole 400mg/trimethoprim 80mg (2 tablets 2 times daily) Currently on my 15 day

Analysis results: First test RBC: H6 /uL WBC H10/uL

Second test after 2 batch of antibiotics RBC: H20 /uL WBC H6/uL

Is this amount of antibiotics normal for bacterial prostatitis? Or is it concerning? Will this lead any health issues in the future? Am I at any risk of developing cancer?

Need encouragement from success story or community with progress. Thanks

Asymptomatic prostatitis was diagnosed based on the rise and fall of PSA, prostate examination, urine and prostate fluid culture tests. It was a very stressful process, often confused with prostate cancer. I will start antibiotic treatment. stay away from coffee, soda, spicy foods and alcohol and do stretching exercises. This i know. What else can be done? In some places it is written that it does not require treatment. What does this mean? Does it go away on its own? Is it possible that i have been living like this for long time like 10 years? No idea how I got it. There are no symptoms right now, but could it happen in the future?

Have been dealing with symptoms for a while and never experienced any kind of discharge until now. There was no pain, but it was followed by a weak and spraying stream. Anyone that has had anything similar knows what this could be from? (Everywhere I search it says it’s caused from an std but I know it’s not that).

2 days ago I did some TVA activation trough out the day. Every hour and a half or 2.

Simple exercise. Belly breathe inhale and then push out all the air until TVA muscle activates and then when it activates hold it for 5-10 seconds and repeat. My Sport PT said when doing this exercise that pelvic floor should also lift on exhale. So mine automaticly did.

I did it for few minutes every few hours.

Few hours later flare up began. Its second day today and im still in a flare up.

Anyone knows why ? Im scared I damaged my PF with that or pudendak nerve...

Please some help.

I’m 32 and I have a 4mm stuck in ureter and for last few weeks I’m having blood in semen. Has anyone experienced this? My next appointment is on 2/24

Recently just finished an 8 week cycle of antibiotics (cefurixome, broad spectrum 2nd gen cephalosporin). Had no side effects at all until the last week of the cycle. Anal itching, throat feels weird as well. Mucus in stool. I’ve been pounding probiotics. Rectum is uncomfortable to sit on. Today, Doc recommended hydrocortisone cream and said to see if I improve in a week. It’s only gotten worse over the last 7 days. What the heck could it be

So I (23M) realised that after ejaculating after a long period of time, my prostate seems to be burning. If I jack off regulary I don't feel this problem, only after not doing it for like 3 weeks or a month. How can I manage this?

I got ill after an encounter like 4 days after it was protected ( condom) vaginal I got std test done all negative my testicle we’re inflamed my doctor told me it was epididymitis gave some antibiotics pain still persist now I’m experiencing testicle discomfort penis feel tingly and I’m experiencing upper back and lower back pain have any experience this b4 do you think it was link to my encounter I went to the urologist he checked me out and didn’t see nun and consider me doin cpps but I wanted to him to check for prostatitis he said no need what I don’t understand stand how I had protected sex and had all these symptoms like I have an disease it’s weird

• posted in CPPS sub, beleive deleted so reposted here. MODS please move if needed (new to reddit working it all out!)

Hi

I was hoping to get some advice for some symptoms I have been having. For 18 months I have been having urgency , frequency and burning at the tip. It has also felt like I am constantly about to drip urine from the tip.

I have been to the GP and urologist and they both maintain there is no infection, no STD and nothing physically wrong.

I have been doing pelvic floor PT for a number of weeks alongside twice daily stretching and meditation.

The burning and to an extent the freuqneyc has improved. However whereas before I never noticed any Dribbling, I know have minor dribble where I can see the end of the urethra is moist with what looks like a clear fluid. It's not enough yo make my boxers wet, but is very annoying.

It has only started since stretching. When I diaphramatically breathe I can almost feel the fluid pushing out.

Is this a common symptom? I certainly was expecting symptoms to improve not get worse after weeks and weeks of PT and stretching.

I am worried it will continue to get worse.

Hi everyone, I've been on a mostly uphill battle with this condition for around 3 1/2 years now.

If you'd like more information on my symptoms and experience I've made a few previous posts on this subreddit regarding it, but what's pushed me to make this post is a recent struggle with a really bad tension and pain problem in my lower back/sacrum and rear pelvis/glute area that's got me really struggling, and Id really appreciate if anybody had any helpful advice or opinions on it.

Basically, for the last 2 months-ish I've had a worsening feeling of pressure and pain in my low back and glutes that's caused me a lot of problems, and just last night got so bad that I could barely move. I have no idea what caused it or why it seems to be getting worse and its really causing me to struggle at the moment, just moving around is painful and as I'm sitting typing this it feels like something is being crushed inside my pelvis, around the joints where your legs connect to your hips.

I spoke to my PT about it the last time I saw him in early December and he gave me a few stretches to do and recommended foam rolling my piriformis muscles, which I have done as well as the stretches. Its really really painful to foam roll these muscles, and I do feel relief afterwards, but it hasn't led to any sort of long term relief and it does feel as if its getting worse despite this.

I unfortunately cant see my PT anymore as he had to close his practice so I don't really know where to go with this issue. I haven't been able to go to work in a few days because of how badly this has affected me in the last week, so I'm really concerned and upset about this problem, especially when all my other symptoms have been doing pretty well. If anybody has experienced anything similar or has any advice for me Id really appreciate it, I'm finding it really hard to remain optimistic and continue with my other routines when I'm being almost crippled by this pain.

I made a small diagram showing the areas where I feel the pain, its like a crushing pressure feeling and stiffness that stops me being able to move. Diagram showing the areas here

Thank you to anyone that responds to this.

There’s a lot to fit in here without waffling so I’ll bullet point it and see how we go:

• 15 years ago started with repeated UTIs following unprotected sex. Always thought I had a dose

• The last of those UTIs I had continuing and more intense symptoms even after antibiotics completed: high frequency urination, itching, burning, pain in groin and even thighs at times.

• Convinced myself I was pre outbreak of HSV

• Went through various medical examinations over a period of months including a cystoscopy. Everything came back fine.

• at no point was there any mention of non bacterial Prostatitis

• Eventually, symptoms disappeared and I returned to normal with occasional short flare ups 24-72 hours typically.

• Did everything possible to avoid UTIs and had a clear run until I re entered the dating pool.

• UTI straight away

• took another prolonged break and turned again recently

• UTI straight away. It was so strong that the GUM clinic was convinced I had gonhorrea from the initial swab. All tests negative.

• Antibiotics cleared up UTI but symptoms persisted and intensified.

• Symptoms would come and go and change. Everything from itching, to burning, aching, stinging and increased bathroom visits to the point of 20 times a day.

• 2 more visits to the GUM clinic but all tests negative. I also got tested privately and same results.

• on my 3rd visit they told me to just take ibuprofen for a week. Still no mention of possible Prostatitis from doctors.

• Started my own research and stumbled on this subreddit.

• Realised there was a lot of correlation but didn’t realise initially how much of it can be driven by the mind

• Booked appointment with my GP and explained my Prostatitis self diagnosis. She initially insisted I was too young (50) for Prostatitis but I know that’s incorrect from the posts on here and the wide variety of ages.

• Again, there was little understanding from my GP of the symptoms of non bacterial Prostatitis

• I educated her the best I could and because she had my medical history from 15 years ago, managed to have a decent discussion

• I broached the fact it could be in my head and anxiety led. Initially I had struggled accepting this because that’s not my personality type but once I understood the negative loop you can get into following an infection, I wanted to explore it.

• I managed to secure a prescription of antibiotics at my GP’s slight reluctance because I wanted them in case there was no improvement but the GP made it clear, she was reluctant to do so and we would review in 2 weeks.

• immediately started pelvic relaxation techniques and it was clear how much tension I’d been holding in. The relief was almost immediate.

• I only took one antibiotic tablet as wanted to focus on exploring the pelvic relaxation. I’ve improved continuously since.

• 72 hours later and I’m 90% improved.

• Hope this helps someone because I never would have believed this was related to my head but I’m now pretty sure it is.

• Here is what helped me personally as requested. All this info was found on this sub:

*what helped for me was simply the belly breathing and the ‘feeling’ of the pelvic floor dropping on release. I know it can be hard for some people to connect mentally with this sensation but I was fortunate and got it pretty quickly. Every time I remember to check in, I can usually feel tension and then work on releasing it with 3-5 belly breaths (reverse kegels)

Feedback loop:

https://imgur.com/1j7Majq

Exercises:

https://youtu.be/mirmW8V611E?si=E0RFhKfaL8evBgC_

The Doc:

https://youtu.be/69DsPhH7V0c?si=5YVyyZ7BbZKikDLa

The audiobook: The Way Out by Alan Gordon

Haven’t done this exercise yet but will at some point:

https://youtu.be/vZtyZIV8avU?si=-Rb9vr5KaSEuliN-

TLDR: 15 years of on and off symptoms. Multiple doctors never even mentioned Prostatitis as a cause. Self diagnosed from this amazing subreddit and now see the light from pelvic relaxation techniques.

(A non-native speaker, 50) Hi guys, anybody has the same experiance? I have symptoms since November. All has started with cold feet. After 2 or 3 days I had the urge to go to the toilet, many times, even in the night. Then came another symptoms, pain between my legs, penis glans pain, some bad feeling in genital area, no morning erections... Warming up helps, hot water bag between the legs, on the stomach, under the back, heat cream and kegel exercises. But just for a while. The doctor gave me therapy but there is no progress. I have a feeling that my feet are never warm, not cold but not warm too. Please share your experinace if you have symptoms of cold feet.

Hi everyone,

My story began in April with unprotected vaginal and oral sex.

3-4 days later, I noticed a white discharge from my penis, which later turned clear. I also experienced a burning sensation while urinating.

I went for an STD screening (Gonorrhea, Chlamydia, Mycoplasma Genitalium/Hominis, Trichomonas, Ureaplasma) and a bacterial culture. The result showed Haemophilus parainfluenzae.

I was prescribed 10 days of doxycycline, and my symptoms disappeared, only to return later. This time, there was no discharge, but I constantly felt as if there was, and the tip of my penis felt wet. My bacterial test came back negative, but my symptoms persisted.

Then my semen turned yellow, I lost my sex drive, and I developed terrible pain in my scrotum.

Later, another test found Haemophilus influenzae, and I was prescribed 10 days of levofloxacin. My symptoms went away but came back again, followed by a month-long severe headache.

I had additional tests for Atopobium and Gardnerella, both negative. My semen PMN elastase test was also negative.

A new urologist told me my prostate was inflamed (not enlarged, just very hard). I had another STD screening, including semen, post-massage urine, and prostate fluid tests—all negative, with only a few white blood cells.

Another urologist did a new semen and urine test—both negative—and prescribed 2 weeks of ofloxacin. Then, a Chlamydia Elispot test came back positive.

I took 6 weeks of doxycycline and 6 weeks of azithromycin. My symptoms disappeared for 3-4 weeks, but now they have returned.

Currently, I often feel feverish (though my temperature is 36.5°C), I have no appetite, and I have headaches. I constantly feel as if something is leaking from my penis, but there is no actual discharge or wetness. I have no sex drive, weak erections, low semen volume, groin pain, burning and pain in the perineum, and lower abdominal pain.

What is happening to me? Please help! :( I wrote this using a translator, I hope you will understand me.

Hi all! For those of you who eventually discovered and cured themselves after finding out about their pain being caused by Neuroplastic pain. What help you accept this it was Neuroplastic pain? I ask because I strongly believe that is what I have. I have tried all the medicine (abx, muscle relaxers, amitriptyline, cialis, flomax, anti inflammatories, supplements, etc.), I’ve gone to pelvic floor pt for over half a year consistently and she was very good at what she does, I went to several urologist and other doctors and nothing has helped. This pain started during a stressful time and came out of nowhere and has lingered since. This is why I think it could be Neuroplastic pain but the only thing holding me back is the fact that I can actively feel my muscles twitch and just in general feel tight. Part of me thinks it’s Neuroplastic pain and part of me still thinks it’s muscle related yet PT and stretching didn’t help me. Does anyone have any thoughts or have had a similar experience accepting Neuroplastic pain?

Thanks!

Is this common with CPPS? I am getting into a urologist hopefully soon to rule out anything else. Would have probably gotten in much sooner, though. My last doctor apparently didn’t test for blood on my second urinalysis (which was the point of doing a second test), and said it looked normal, so I didn’t get referrals as soon.

My symptoms mainly experienced are lower abdominal pain, lower back pain, and BLOATING to the max (especially after eating anything) however these mainly come by after running for a bit? I ran at the beginning of the month, experienced bad symptoms. Stopped running for A MONTH, then symptoms got better, and decided to run again yesterday.

Symptoms have returned! Is this normal? Could this point to something else?

For reference I don’t have any urinary or bowel issues

Pls help :’(

Hey all, this is my first ever post to Reddit. I'm at a point of desperation and I'm just hoping to find some comfort/advice for my "chronic prostatitis". I am 34 years old. I have been dealing with blood in my semen on and off since I was about 24. In the past I would bring it up to my doctor and they would give me an antibiotic and usually the issue would go away on its own within about a month or so. This time around has been a bit different though. I haven't been able to ejaculate normally since July 20th 2024 (I made note of it) I have been on 3 different antibiotics and seen my urologist 2 times because of this issue. (Currently on my 3rd round) When this journey started it was just kind of red, then turned slightly pink and then would turn brownish. Then I would get these gelatinous tan cube things that would come out with it (mainly when it was a brownish color) And now it seems like I am ejaculating almost straight up blood. I'm sure it's mixed in, but it's a dark vibrant red and there seems to be so much more blood than ever before. I can't say l'm experiencing any pain in my testicles, bladder or back. The only thing im noticing is a slight irritation to my urethra. Specifically a dull burning sensation at the opening of my penis. Sometimes it overall feels slightly tight in my penis as well. That comes and goes sporadically.
It’s not necessarily painful, just feels a bit off. I am not sexually active at all (besides alone activities) because I am so embarrassed over this. When I have my alone time activities, no rough stuff or sounding ever so I can’t imagine it’s any added trauma to that area. Also, it’s worth adding that I'm peeing normal. Never really feeling urges to go unless I actually have to. My urologist has reassured me that nothing is wrong, and that this is “common”. I've done the prostate blood test to check for anything cancerous twice now, everything came back clear. And I've done (to the best of my ability) a self testicular examination and I don't feel anything out of place or any pain. Also about 3 years ago I had an ultrasound done of my testicles and they didnt find any abnormalities. Im just feeling at my whits end. Has anyone experienced something similar to this for this long of a time period and if so, how did you treat it or what did you do to prevent/ help it? Also, should I be having alone time regularly to (clear out the pipes) or should I be abstaining from ejaculating at all? I've read such mixed reviews and my urologist will not give me a clear answer. I’ve asked him twice and both times I’m let with a dirty look and a smart remarked about “just keep it wrapped up”

Thank you for the help you guys. I’m genuinely freaking out a bit and just looking for any answers I can receive.

Headed to see a new urologist tomorrow. My other one retired. I have had urinary and prostate issues for years. Everything was going well until November when for whatever reason I decided to do a prostate massage. Since then symptoms returned. Prostate pain, penis tip pain, lower back pain testicle pain. All random and comes and goes. Also, ejaculation feels different sort of numb without sensation and I am producing just a few drops of semen. Really bummed to have to tell this story to a new doctor. I had similar symptoms last year and my PCP has me an antibiotic and it seemed to help. He had told me to find a new urologist if it came back. Just seems like it might be a bacterial thing that got aggravated as a result of the massage. Not even sure what he will do to diagnose it. Kind of bummed

34M, few years ago my libido dropped and I got ED.

On a mission to work out why. Discovered I had a serious varicocele which has now been treated and led to a very small improvement.

Other recent tests came back with a high PSA (1.4) for mid-thirties and my last 3 white blood cell tests have come back high too.

I also get:

• occasional hard flaccid
• balanitis
• cold penis and glans
• no precum (though I never had loads)
• weaker ejaculation spurts
• occasional tight pelvic floor but I know how to stretch for that

I have no pains whatsoever though.

Could prostatitis be a potential cause of this? If so, what tests would l need to get for a diagnosis?

Doctor says there’s nothing to worry about so I’m investigating by myself.

Hey, I really want to get into the gym and the only thing that’s been pushing me back is prostatitis/ccps. I got flare ups if I hold weights (maybe because it causes pressure in the pelvic region). Squats are also a big no and I imagine any leg workout must be avoided, is that correct?

Anyway, what I really want to improve is my upper body (biceps, triceps, chest and back)

I once got a big flare up after doing shrugs so I guess I must be careful carrying weights even for bicep curls and other upper body exercices to avoid pressure in pelvic floor, that’s why I’m scared. Abs exercises also seem to make it worse.

Any recomendations for safe exercises?

I’m also planning to start swimming once or twice a week to try to improve core muscles and do some cardio. I believe weakness in core muscles can also contribute to pelvic pain and I also heard swimming may help pelvic floor muscles.

After an injury one year ago I suffer from allodynia/centralized pain 24/7 at my glans penis.

I tried every medication on the planet. Amitriptylin, Effexor, Duloxetine, Pregabalin, Lidocaine cream and diverse antipsychotics. Benzodiazepines reduce the pain but the tolerance builds up pretty quick.

I tried natural remedies like alpha lipoid acid, vitamin b1, agmatine, pea, l theanin, Nac. Nothing helped.

I fell into a deep depression which I’m currently still fighting against.

Last week I started to introduce Corydalis Yan Hu Suo and Quercetin. Since then I am more relaxed and chill then ever before. Corydalis is traditional chinese medicine against pain and insomnia. Today I could walk up stairs without knifes stabbing my glans for the first time in a long time. However I could feel the pain creeping back in the afternoon. I decided to take the corydalis 3 times a day now instead of 2 times a day.

https://pmc.ncbi.nlm.nih.gov/articles/PMC8704877/

It gave me hope, which I really need in those dark days, for improvement.

What I did not try yet is ketamine infusions.

if I don't masturbate every day the symptoms get worse, why is that because if masturbation tightens the muscles shouldn't it be worse? does anyone else have this, my symptoms are only and exclusively in the urethra, burning, stinging, cramping and sometimes pressure in the rectum but it very rarely occurs, is this cpps, the symptoms appear after urination, sometimes they appear on their own but it's rare basically if I didn't urinate I wouldn't even feel anything, urinating is painless the problems are only after

I am currently undergoing a flare up of my cpps symptoms since 2021. Right now I’m doing PT and suppositories and pelvic floor injections. I’ve been having hematospermia since Dec 7th. Gets worse if I keep ejaculating consecutively. Was wondering can CPPS cause hematospermia? I had all urological work up done that’s been negative including pelvic MRI, DRE, and testicular ultrasound. My pelvic floor PT thinks for sure that CPPS can cause it but I’m not too sure about that. Thoughts anyone? Thanks and god bless.