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Kegel exercises and cpps/chronic prostatitis. A word of caution.

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  • Kegel exercises and cpps/chronic prostatitis. A word of caution.

    Hi everyone.

    Short version: I believe Kegels caused me chronic pelvic pain syndrome (cpps). This is my attempt to warn people and maybe get some advice on what to do.

    Long version: I am a 23 year old guy with a healthy body who rarely viisits hospitals (Maybe twice in the last 4 years). I work out. Have a ripped physique. I have a amazing 6 pack abs and have been successfully maintaining for the last 6 years. I workout atlest 3 times a week and eat healthy. I had an amazing life. Untill now.

    I have moved to a new country and started engaging in sex (I know, sad right, a 23 year old virgin. But where I come from this is the norm) I totally enjoyed it. But the first few times I had sex, I burst in like 2 minutes. I was a little worried and did some research and found out that porn is responsible for all sorts of bad things like ED, and PE. Also many people were of the opinion that people who just started having sex face this problem due to over excitement. So I cut porn cold turkey. I used to watch porn and masturbate almost every day before this. Things didn't improve much. So I researched some more and saw a lot of people going crazy over kegels. So I thought I should try them out. I started a basic kegel routine of 2 second holds. I used to do them 5 times for 3 reps. Thrice a day. They were counterproductive. I am now bursting in 30 seconds. I found out about reverse kegels and included them in my routine. Things improved a little. But still under 2 minutes.

    About 4 weeks ago, I started noticing a dull ache in my perineum. Kind of like something was pushing it downwards from the inside. This was after a session of intense kegels and reverse kegels. I brushed it off as a minor muscle issue and ignored it. I stopped all my exercises and took a break. A week passed and the pain was constantly increasing. One day, this girl was giving me head and I blew my load as soon as she took my penis inside her mouth. I was twitching uncontrollably, like my whole body was going through a kegel. Cum shot out and my dick was like only 50% hard. At that point I was sure that something is wrong. I immediately knew something was seriously wrong.

    I went to a urologist the next day and he was basically laughing when I explained him my situation. He pressed on my perineum and said that it is too tight and I need to relax. He said that kegels are voodoo (Yes, he used that exact word) and to stop doing them. He gave me some alpha blockers and muscle relaxants and sent me on my way. (And charged 500 bucks by the way). I used them for a week and symptoms were a little better. I finished my meds and it was feeling okay. Just some small ache present still but it was barely noticeable. As soon as I finished my meds, my problem became a full blown cpps. I am not able to sit for more than 20 minutes without the pain radiating through my whole area. It radiates to penis, testicles, perineum, butt, everywhere imaginable. It was torturous, staying in constant pain 24/7. I was devastated. After a whole 2 days of research, I came to know about this pelvic pain syndrome and the symptoms look a lot like that. I finished reading the book 'A headache in the pelvis'. It was very helpful in identifying the core problem. After carefully noticing every muscle in that area, I came to the following conclusion.

    I have a naturally tight pelvic floor. I always keep my abs flexed even when i am wearing a shirt. Even when I am sitting down. I never relax my abdomen. This is connected to your whole pelvic floor. Imagine years of tension built up in that area. I have also been pretty stressed out the last couple of years. Stress causes involuntary tightening of the pelvic muscles. Even before starting kegel exercises, I used to use my PC muscle when I masturbate. Because it feels very good to clench that muscle. It increases pleasure. And I always use my kegels to shoot my load. All of this has resulted in a chronically tight pelvic floor. And the idiot that I am, I started doing kegels on top of that. This was all too much. It made my tight pelvic floor even worse.

    I have read horror stories on the internet with people suffering from this all their life and still not able to find a solution (The internet is a harsh place). I was a wreck. I layed in my couch for 2 whole days watching meaningless TV and netflix, crying frequently. Work suffered. Couldn't explain to my loved ones about my problem. The few friends I confided in couldn't understand what I was going through. I looked absolutely fine on the outside, so it became a little hard for them to empathize with my situation ('But you look fine' was the first response I received from everyone). At one point, I was seriously considering suicide. This lasted for a whole 2 weeks.

    After the pity party ended, I decided to do something about it. I don't want to live my life like this. I shook myself up and dusted myself off. Started reading everything available on the internet. Lack of proper research was what landed me here in the first place. I don't wanna do the same mistake again. So I gathered all the information available. I read a couple of books and talked to some pelvic floor therapists.

    I started stretching exercises, belly breathing and consciously relaxing my pelvic floor throughout my day. I do stretches thrice a day. I am constantly checking to see if my pelvic floor is tight and try to relax it. I stopped flexing my abs all the time. My abs disappeared.

    Fast forward to now, after a couple of weeks into the exercises, my pain reduced greatly. Just a slight disturbance. Erections came back with a vengeance. I never used to be able to get spontaneuos erections. Now, I am getting an erection with the slightest thoughts about sex to the point it feels uncomfortable now. When I masturbated a couple of days ago, I noticed I am not having those involuntary twitches anymore. My pelvic area is relaxed and I seemed to never hit the point of no return. I actually had to kegel consciously to orgasm because I was getting bored after a few minutes of stroking. I think those involuntary kegel spasms were what contributed to my PE. I haven't had sex yet, so I can't comment about this.

    So, to conclude, I am far from healed. The pain is still present. But hopefully, I might be able to return to my previous self again. I will continue my regime of stretching and exercising. I am making appointments with a physical therapist soon.

    So, to anyone who want to start doing any kind of exercises, please get your information right. Know your own body first. Not everything works for everyone. I still hate myself for fucking up my life like this. Please let me know if anyone has any queries regading cpps/ pelvic floor issues. I am not a doctor, but at this point, after countless days of research, I know more about this problem than my urologist who seemed clueless. (I felt like punching the old bag. He charged me consultation fees for a session which was basically me explaining everything I know about this syndrome and him nodding his head like a moron). I will keep this thread updated in case any one wants to track my progress.

    Sorry for the long post. And apologies if I made any mistakes. English is not my first language.

    Peace out.

  • #2
    We always advise to include rk and other stretch type movements for people doing kegels so as to avoid this type of issue . How hard you kegel can also be relevant.
    What sort of stretches are you doing?

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    • #3
      I did include a rk routine too. But I was never good at pulling off a correct rk. Right now, I am doing some yoga, and some exercises recommended by a physical therapist. Stretches which basically relax the pelvic floor. https://www.youtube.com/watch?v=R3Rydb1nZU4 These are some of the stretches I do.

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      • #4
        The breathing she does at the start is rk. Yes the clip is yoga good stuff I like yoga and do it myself.

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        • #5
          Yes. Yoga is really helping me loosen some of the tension there. I will keep doing it.

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          • #6
            Are you sure you just didnt strain yourself? I would avoid kegel or reverse and start reverse after a Month, skip kegels

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            • #7
              Yes, am also one of the victim of Chronic NON-Bacterial Prostatis because of Kegels.

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              • #8
                All the stuff here is what we have been saying for ages balance strength training with stretches.

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                • #9
                  I agree I should have researched a little bit more before starting any exercises. There is just so much positive feedback on kegels on the internet. So I figured they would definitely help me. It's only after reading pegym that I got to know about pelvic floor tension and reverse kegels. My pain is definitely gone. After I started doing the yoga and stretches regularly. It still becomes tense from time to time but the pain is no more. I will work on my Prem E issues later after I am completely healed.

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                  • #10
                    Thank you for your contribution.

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                    • #11
                      I have had major problems from kegalling when my pelvic floor muscles were already tight. Before I discovered this site, I used Aaron Kemmer's book: 'Exercising The Penis' as a guide. There is no mention of reverse kegals in that book, and I think it needs to be updated with information on reverse kegalling because kegals for me were a nightmare. I didn't overtrain (before I get accused of this again). I developed mysterious pains in different areas of my penis which took me a long time to work out. I was doing other PE exercises and having unsafe sex, and initially thought it might have been an injury caused by advanced PE exercises, or an std. Std's were ruled out by doctor, and after a fruitless trip to a urologist, I visited a clinic that specialises in pelvic floor health, and I finally got the support I needed.

                      Occasionally the soreness comes back in my penis, and through experience, I know what to do to relax and stretch out my pelvic floor muscles to help myself.

                      Some good info on this page under 'pain in the penis' heading.

                      Male Pelvic Floor: Advanced Massage and Bodywork

                      Needless to say, I avoid doing kegals, because the risk of relapsing into penile pain is too high. I might be fine if I incorporate reverse kegals, but I aint gonna risk it. I believe that some of us were not meant to kegal at all.

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                      • #12
                        Hi Vamsi,

                        It's really very reassuring to hear that someone has a similar problem and is having some success in recovery. For me the symptoms are mainly related to urinary dysfunction. I have urinary urgency, urinary frequency and post void dribbling. Sometimes it is hard for me to expel all the urine fully and I think I strain my PC muscle while trying to void fully.

                        I did not do kegels consciously but I think my symptoms are a result of close to 15 years of compulsive masturbation habits. I was addicted to pornography, sex and masturbation and never thought it was bad until I discovered NoFap a few years ago.

                        Today, I am paying the price for this and have severe anxiety and depression from not being able to step out of my house due to fear of having an accident or wetting my pants due to the urinary symptoms. Needless to say, my personal life has also been on hold for the past few years. I also have ED and PE issues but they are not as pressing for me as curing my urinary symptoms.

                        Do you have any advice? How as your physical therapy been helping? Are you from India too?

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                        • #13
                          Start with Hindi squat an yoga stretches meditation etc.

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                          • #14
                            Originally posted by Pegasus View Post
                            Start with Hindi squat an yoga stretches meditation etc.
                            I agree with Pegasus. Learning to stretch and relax your pelvic floor through yoga, diaphragmatic breathing and relaxing your mind via meditation will likely help leaps and bounds. Reverse kegels alone can sometimes simply aggravate the pelvic floor, in my own limited experience.
                            Hi! Good luck on your PE journey :)

                            You can read my own progress here.

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                            • #15
                              An interesting post. Firstly you should use your PF when you orgasm. My ‘theory’ is you don’t have a prostate issue. I would guess you have knots in your Pf, the symptoms are pretty much identical to non bacterial prostatitis. That is why steetching is giving you some relief. However. A PF specialist could release these quicker than stetching.! It does talk about this in the book you referenced! Also you are 23 and non bacterial is possible at your age, but not common.

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