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31, Scared shitless. Perineal bump, painful ejaculation, total loss of libido

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  • 31, Scared shitless. Perineal bump, painful ejaculation, total loss of libido

    Hey guys,

    I've been lurking here for about a week now, finally got the time and energy to make a post about my situation.

    I'm 31 years old, never had ANY problems with sex, never had ED. Been with dozens of partners. Over the last year, I had a serious girlfriend who lived overseas, so I spent a lot of time masturbating and watching porn (I didn't want to cheat on her).

    Please keep in mind all of the following occurred in the last 3 weeks of me living in my home country, right before I moved overseas, so it was a period of extreme stress—which may have played a contributing role in etiology.

    About 3 weeks ago, I developed a very small (3/16"), painful, raised bump in my perineal area, about halfway between the anus and testicles. The bump was, I think, in the subcutaneous layer of skin, that is, it was movable in that thick layer of skin that covers the perineum. Or, it was actually below the skin, yet still movable. I don't think it was an ingrown hair, it was too large and too deep. The bump appeared to be on an artery/vein, and the vein was swollen from the anus to the bump itself, and smaller from the bump to the penis. This fact scared me and made me wonder if the bump was blocking blood flow to my penis. I tried to see a dermatologist about the bump, but my GP didn't approve the referral until 6 DAYS later (stupid HMOs).

    Around this time, I was masturbating to some porn. I occasionally do masturbation with very little pressure on the penis until I am ready to come, it's an extreme form of edging, I guess. It involves a fair amount of ballooning. Anyway, I've been doing this for years and years with no problems. But this time, when I came, it hurt a bit.]

    Several hours later, I got horny again and began to masturbate. I got hard, but when I stopped touching, it felt like the hardness would not go away, as if there was a blood flow issue. Almost as if a metal stick was going straight up and down my dick, but the hardness was only in the center, not on the outsides. So I just masturbated to ejaculation, and this time, it hurt a little bit more, like I could sensitively feel the ejaculate running through my urethra in my penis. I don't know if this is related to the bump issue above or not.

    [NOTE: I can post a picture of the bump if it is requested].

    I finally did see the dermatologist, and showed him a photo of the bump, and he said it looked like an ingrown hair. However, he wasn't able to feel the bump or look at it in real life, because it had "receded".

    A few days later, I developed pain in my perineal/prostate area, and almost total loss of libido. My penis felt, and still feels, totally dead, as if nothing can "wake it up". If I force myself with porn and lots of stimulation of erogenous zones, I can get it up, and get totally hard, and ejaculate successfully, but it feels like I am straining to ejaculate. I used to get random boners in the shower/after getting home from the gym. Since just 3 weeks ago, suddenly none of that anymore. Masturbation/sex is now accompanied by great fear of ejaculation because I don't want to feel that pain I felt a week ago.

    I saw a urologist, said I had pain in my prostate area, and showed him a photo of the bump as well, but he just shrugged and said he thought it was unrelated. He gave me a digital exam and I described my symptoms, and he diagnosed me with Prostatitis. However, based on further research, this is what my hypothesis is (I'm a smart guy and have been doing medical research on my own time for years. I was even recently asked by my dermatologist if I was in the medical field, so please bear with me):

    What I believe have is not prostatitis, but damage to the penile tissue/vein/bloodflow caused by that bump, whatever it was—could have been a cyst or something. I am only 31 and in fairly good cardiovascular health, so I don't think it was a typical arteriosclerosis. I believe that the penile artery may have been damaged, or at least blocked for some time, causing loss of blood flow necessary to the penis for spontaneous erections. I can still GET hard, but it takes lots of effort and blood does not flow easily to the penis. I have to force it by flexing my PC/BC muscles.

    I don't know, however, if a blocked penile artery could cause the bump the size of the bump I had, which was about 3/16 of an inch wide. I hope it could not, and that therefore I am wrong, because I don't believe there is a good prognosis for this, but I could be totally mistaken.

    Two other points of note:
    - I suddenly am starting to get mild erections during sleep. I will often wake up to an erection
    - I have occasional pain and tightness in the anal sphincter. I suspect this could be related to over-masturbation and ballooning.
    - I recently had what I believe was a mild anal fissure that was relatively painless, but in external appearance looked EXACTLY like the small crack that is shown near the anus when googling for "anal fissure". It appears to have healed on its own about a week ago. I know that anal fissures can be associated with ED.

    ----------------------------
    Questions:
    1. Does my self-diagnosis seem to hold any water, or am I freaking out about nothing? Is most of this psychological? I can see psychology playing a role in ED, but not in actually causing pain during ejaculation.
    2. I can feel a "vein" or "artery" in my lower scrotal sack, the same one that runs from the perineum into the scrotum. If I pinch my scrotum and roll the skin between my fingers, I can feel that artery, like a very thin piece of string. Is this normal?
    3. Could my problem be unrelated to the bump, but only caused by years of edging and ballooning, putting stress on my pelvic muscles and system?

    4. What might be my next steps? I am scheduled for a visit with a renowned urologist on Tuesday. Should I get a penile ultrasound?
    5. Should I refrain from any sort of sexual activity, including masturbation?
    ----------------------------

    I am trying to keep a positive attitude and use this as an opportunity to quit porn, which I have been addicted to for over a decade, and work on my emotional relationship with my girlfriend, who is being very supportive of me during this time.

    But, this is totally scaring me shitless. I cannot concentrate on work. I am trying to start a business and I just cannot concentrate on anything now. I am scared that I have permanent damage and I won't ever be able to be the man I used to be.

    PLEASE help.
    Last edited by Coyote; 01-27-2018, 08:00 PM.

  • #2
    You have spasm in the pelvic floor by the sound . Find a physio who does male pelvic floor work . Failing that do the Hans protocol which was developed for self treatment 0f issues like this .

    The bump is likely a muscle spasm and these can interfere with blood and nerve flow.

    Comment


    • #3
      Originally posted by Pegasus View Post
      You have spasm in the pelvic floor by the sound . Find a physio who does male pelvic floor work . Failing that do the Hans protocol which was developed for self treatment 0f issues like this .

      The bump is likely a muscle spasm and these can interfere with blood and nerve flow.
      I hope that is what this is—but the bump was only 3/16" max, too small for what I imagine a spasm would be, if I'm not mistaken.

      Comment


      • #4
        Hey if you want some complex difficult problem to catastrophize about go for it .

        We get this style of problem onsite regularly and some would rather catastrophize than treat it.


        Few docs or uro know how to treat it by the way . The knowledge is a bit cutting edge and hasn't diffused out of the physio yet.

        Comment


        • #5
          for you research -


          https://www.pegym.com/forums/penile-...-protocol.html
          Valued Member of 11 years at the TheBiohacker
          Looks are deceiving, mirrors don't lie.

          Comment


          • #6
            It's been 5 months and I'm still experiencing:
            - severe loss of sensation
            - sore erections
            - an uncomfortable feeling during ejaculation
            - glans feels like it's not getting enough blood, doesn't fill up like it used to

            Been trying to find answers here with the Hans protocol, some posts from mrbator about Long Flaccid, etc. No answers yet. Of course, still seen a couple uros and they have no CLUE what I'm talking about. In fact, they act uncomfortable when I bring up the subject. So more uros are a no-go for me.

            I would really like to treat this issue but I still cannot pinpoint the exact cause of it that brought it about in the first place. I have taken numerous breaks from sex/masturbation and when I resume after the break the problem is just like it was at the beginning of the break. Nothing is changing.

            If it were a muscle spasm, wouldn't it eventually heal, rather than being permanent?
            Last edited by Coyote; 05-30-2018, 05:19 AM.

            Comment


            • #7
              Ahh so you ignored my advice and the uro were useless as i said they would be .

              I had spasm in my rotator cuff for decades .

              So you looked at the Hans protcol but did nothing. So ummm why would anything change .
              Is there some particular reason you avoided physio?

              Meh some guys like the drama . You were given 2 different treatment options 1 is free the other a mainstream medical option you avoided both .

              Comment


              • #8
                Originally posted by Pegasus View Post
                Ahh so you ignored my advice and the uro were useless as i said they would be .

                I had spasm in my rotator cuff for decades .

                So you looked at the Hans protcol but did nothing. So ummm why would anything change .
                Is there some particular reason you avoided physio?

                Meh some guys like the drama . You were given 2 different treatment options 1 is free the other a mainstream medical option you avoided both .
                I've noticed you spend an inordinate amount of time belittling new members. What is with that?

                Actually, I didn't just "read" the HANS protocol. I have been following the HANS protocol for the past 4 months, including belly breathing, posture watching, isolated reverse kegels, etc.

                I have also looked into male pelvic floor physios in my area, called hospitals and asked, posted on other internet forms for my local area, etc. but I cannot find any male PF physios because I live in a 2nd world country.

                But, no, I must have been, ummm, "avoiding" physios because I'm a scared little shit, or something.

                So yeah. Thanks... I guess?
                Last edited by Coyote; 05-31-2018, 08:40 PM.

                Comment


                • #9
                  Have you seen the large and overextended flaccid thread? Sound familiar at all?
                  You never slow down, you never grow old!

                  Comment


                  • #10
                    Originally posted by Coyote View Post
                    I've noticed you spend an inordinate amount of time belittling new members. What is with that?

                    Actually, I didn't just "read" the HANS protocol. I have been following the HANS protocol for the past 4 months, including belly breathing, posture watching, isolated reverse kegels, etc.

                    I have also looked into male pelvic floor physios in my area, called hospitals and asked, posted on other internet forms for my local area, etc. but I cannot find any male PF physios because I live in a 2nd world country.

                    But, no, I must have been, ummm, "avoiding" physios because I'm a scared little shit, or something.

                    So yeah. Thanks... I guess?
                    Post the link to the progress thresd showing all this work.

                    Comment


                    • #11
                      Originally posted by Jay1983 View Post
                      Have you seen the large and overextended flaccid thread? Sound familiar at all?
                      Yes, I've read that entire thread, and that's definitely what I have. My problem is not HF at all.

                      It is clearly, and I mean CLEARLY longer while flaccid by a whole 2 inches. Kinda freaks me out.

                      With lots of study regarding this matter, I believe it's a blood flow issue caused by damage to the perineal area (could be muscle spasm, or pudendal neuralgia). It's slightly harder for blood to get in there, and once it does, it just stays there and doesn't leave, hence causing the "long flaccid" effect, which is when the penis is slightly engorged without stimulation or excitement.

                      Unfortunately, my problem didn't just happen out of nowhere. It happened during a period of infection down there. I think it may have been caused by one or a combination of the following:

                      1. A small infection (probably a cyst, maybe an ingrown hair) I had directly in the perineal area.
                      2. Lots of scratching in that area because it itched.
                      3. The use of triamcinolone acetonide, which can erode tissue, in that area to treat that infection. I shouldn't have used it in such a sensitive area.

                      Amazingly, a local girl I'm seeing who speaks the language here found me a physio clinic that specializes in male pelvic sexual function. I'm really excited to check it out and hoping I can find some answers and start the healing process there early this coming week.

                      Hopefully the physio can validate/invalidate some of my suspicions.
                      Last edited by Coyote; 06-02-2018, 08:44 PM.

                      Comment


                      • #12
                        If it's a blood flow issue, then this would show in an ultrasound exam, but you said your GP wouldn't refer you?
                        Original/Current Stats:
                        09 / 2017: BPEL 6.75" / NBPEL 6" / MEG 4.75" / BPFSL 7.25"
                        09 / 2019: BPEL 7.625" / NBPEL 6.625" / MEG 5" / BPFSL 8.125"

                        Realistic Goals:
                        BPEL 8" / NBPEL 7.0" / MEG 5.25"

                        Comment


                        • #13
                          Originally posted by Ellford View Post
                          If it's a blood flow issue, then this would show in an ultrasound exam, but you said your GP wouldn't refer you?
                          GP did refer me. I saw two uros and they were both dismissive and said I had Prostatitis. Took 4 weeks of antibiotics and nothing noticeable changed.

                          Note that I'm in a second world country and urologists here don't have a f***ing CLUE about pelvic floor disorders.

                          I think prostatitis and Peyronie's often serve as "catchall" diagnoses when a uro doesn't have a clue what the problem is.

                          Comment


                          • #14
                            When you do tennis ball or other massage of the area what is the feel.

                            Comment


                            • #15
                              Originally posted by Pegasus View Post
                              When you do tennis ball or other massage of the area what is the feel.
                              The skin in the perineal area is numb, but I don't feel anything abnormal in the prostate area. Uro did a digital exam and did not feel anything either.

                              Erections are still very "sore" feeling. Front kegels are still hard to do, and my dick doesn't bounce up like it did in December, but instead retracts.

                              If it is PFD, I have no idea why erections themselves feel "sore".

                              Maybe it is in my head+anxiety? I want to think so but anxiety can't explain the very physical "sore" feeling.

                              One thing I am sure of is that I had PFD tightness for 5 days following the "incident". It was on the 5th or 6th day that I became conscious of this and did reverse kegels. That helped alleviate the constant tension and pelvic pain.

                              Been doing hindi squats 3x a day and reverse kegels. Low-lying pelvic pain still present.
                              Last edited by Coyote; 06-09-2018, 08:30 PM.

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