I am not sparky but I am glad to participate in this discussion. I admit I knew nothing about prostatitis 8 months ago but like you I have spent countless hours online reading about this so I learnt a thing or two. I probably do not know more than you or the average reader but I am sure I know more about prostatitis than the average uro. Sparky relates his own experience and its his and Iwillbecured�s posts that prompted me to start doing my own research and looking at it from a non-infectious angle. This is something that I would have surely done by myself anyway but probably later. Closed-mindedness is not investigating the pelvic theory which after all is a relatively new out-of the-box kind of theory. Closed-mindedness and beating a dead horse is keep treating this using the mostly failed mainstream uro practices of trying abx after abx until the uro turns to you and says �go home and live with it� that we all know so well. How can you say that someone is beating a dead horse when he saw 70 or 80 or 90% improvement on it ( I am talking about myself here)?

I also do not understand this because after the tons of abx you took with no results you would be the perfect candidate for this theory. I also do not understand why you are so negatively biased against the pelvic floor theory. Have you genuinely and seriously tried it? Doing stretches for one or two days with no results does not qualify as trying it. This must be done with motivation, patience and persistence. It gives results in months not in days or weeks. The strange thing is that unlike me who can trace this back to a sexually related infection and positive semen culture, you never had proof of infection. How do you explain the fact that people got prostatitis after years of biking or after sports injury/trauma? Did they also get bacteria through their bikes?

You are right it should not but I only experienced chills or fevers a couple of times at the start of this so many months ago so maybe my case is not the same as yours. No one said that this is a miracle cure. It will probably also not work for everyone. But we have seen more improvement/success stories in this and other threads when people tackle this through a combination of abx+pelvic work than abx alone.

I do not know where you read this about Wise. I read that Wise had this for 22 years and went through the full course of most nasty symptoms that characterize prostatitis. If there was one guy on the verge of committing suicide he must be the one. Pelvic theory talks mainly about trigger points which are not visible in a CT scan. You obviously ignore important elements of this theory. As far as I know there is no diagnostic test for trigger points other the pushing with your finger and feeling a trigger point. I have muscle spasms that I can tell you are not coming from my bladder. I have spasms in the upper right abdominal area all the way to my appendectomy. Urethra burning can have many causes maybe infection but not necessarily. I sometimes push with my finger in the right part of my abdominal area and this refers burning to my urethra. Does that mean I have infection in my stomach?

It is not sparky�s theory. So, the fact that the American Urological Association changed the name from abacterial prostatitis to CPPS is not a big enough prove for you that the prostate may not be always involved even though it may be the initial trigger spot? How do you explain the fact that while I am not cured from prostatitis yet, I now have zero ejaculation and urinary problems (unlike at the start of this) but discomfort and muscle spasms in my abdominal area? Is this the prostate causing this?

This is a clearly flawed argument. As an analogy, it is also well known that stress can lead to cancer and junk food to heart disease. Does that mean that all stressed men will have cancer or that all men who eat junk food will develop heart disease? Of course not. These are just factors that contribute to a problem, not the only causes. Stress by itself may not induce prostatitis but stress with an infection or a sports injury might.

You are contradicting yourself. Just a few posts back you said that you read stories of people who got their prostates removed and their symptoms did not disappear. I also read plenty of stories of poor men who hoped that removing their prostates would cure them but it did not. I think you are currently reading the Krongrad�s website who is the prostatectomy guru. Are you saying that we should have our prostates removed to cure ourselves? I tell you man, I would rather live all my life with my current mild symptoms than a life without a prostate and all its ensuing life changing consequences (urinary problems, infertility, decreased sexual life etc)

This is simply not true. Where did you read that prostates are bacteria-free places? Even the average uro would tell you that prostates have what they call normal flora of bacteria. Several studies have shown that normal men have more bacteria than men with CPPS. You read this even in the CPPS wikipedia link that I have included in the end.

People do not have the right to change their opinions as they explore and learn more about this condition? Did you know anything about prostatitis two years ago?

You are confusing pudendal nerve entrapment with pelvic floor dysfunction. Completely different conditions.

My own opinion is that this can be bacterial and my own experience has shown me that this can start from an infection (although my symptoms now at the CPPS stage are 100% different than what they were at the initial bacterial stage). However, if you did the minimum online reading you see everywhere that chronic bacterial prostatitis is a rare disease with mild symptoms. I do not deny the existence of biofilms however I do not think that they are so important players in prostatitis. Usually biofims develop on the surfaces of external objects when inserted in the body like catheters. So Harry do you sincerely believe that all of us here suffer from this stealth unknown bacteria that not only does not shed on the cultures but survives months of antibiotics? Even if there is a pocket of prostatic acini which are infected and blocked from calcification in which abx cannot penetrate, it can hardly explain in my simplistic brain all those debilitating effects that we all went through at some point or another. Do you really believe that a small little pocket of bacteria can cause not only urinary and ejaculation problems but also testicular pain, burning in the whole groin area and urethra, and numbness and pain that start from the knee all the way to the belly button?

The CPPS Wikipedia article below is one of the most concise, straight to the point available texts about CPPS. If you are lazy to read it I copy paste below what I think are very important parts. By the way several uros in online forums (for example forums of www.medhelp.org) are referring prostatitis questions to this text as a good introductory piece on prostatitis.

https://en.wikipedia.org/wiki/Chronic..._pain_syndrome

The symptoms of CP/CPPS appear to result from an interplay between psychological factors and dysfunction in the immune, neurological and endocrine systems.
Theories behind the disease include stress-driven hypothalamic-pituitary-adrenal axis dysfunction and adrenocortical hormone (endocrine) abnormalities, neurogenic inflammation, and myofascial pain syndrome. In the latter two categories, dysregulation of the local nervous system due to past trauma, infection or an anxious disposition and chronic albeit unconscious pelvic tensing lead to inflammation that is mediated by substances released by nerve cells (such as substance P). The prostate (and other areas of the genitourinary tract: bladder, urethra, testicles) can become inflamed by the action of the chronically activated pelvic nerves on the mast cells at the end of the nerve pathways. Similar stress-induced genitourinary inflammation has been shown experimentally in other mammals. However, there is no correlation between inflammation on histological examination of the prostate and the National Institutes of Health Chronic Prostatitis Symptom Index.

The bacterial infection theory that for so long had held sway in this field was shown to be unimportant in a 2003 study from the University of Washington team led by Dr Lee and Professor Richard Berger. The study found that one third of both normal men and patients had equal counts of similar bacteria colonizing their prostates. This view was endorsed by Dr Anthony Schaeffer, Professor and Chairman of the Department of Urology at Northwestern University, in a 2003 editorial of The Journal of Urology, in which he stated that "...these data suggest that bacteria do not have a significant role in the development of the chronic pelvic pain syndrome", and a year later with his colleagues he published studies showing that antibiotics are essentially useless for CP/CPPS. Since the publication of these studies, the research focus has shifted from infection to neuromuscular, behavioral, psychological, and genetic etiologies for UCPPS (CP/CPPS and IC/PBS), where the interplay between the lower urinary tract and other physiological systems is stressed. UCPPS is now studied as a systemic disorder. In support of this approach, a 2005 study showed that stress is correlated to Cat III prostatitis.

This is a poorly understood disorder, even though it accounts for 90%-95% of prostatitis diagnoses. Extraprostatic abdominal/pelvic tenderness is present in >50% of patients with chronic pelvic pain syndrome but only 7% of controls. Healthy men have slightly more bacteria in their semen than men with CPPS. The high prevalence of WBCs and positive bacterial cultures in the asymptomatic control population raises questions about the clinical usefulness of the standard 4-glass test as a diagnostic tool in men with CP/CPPS

Category III prostatitis may have no initial trigger other than anxiety, often with an element of OCD, panic disorder, or other anxiety-spectrum problem. This is theorized to leave the pelvic area in a sensitized condition resulting in a loop of muscle tension and heightened neurological feedback (neural pain wind-up). Current protocols largely focus on stretches to release overtensed muscles in the pelvic or anal area (commonly referred to as trigger points) including digital prostate massage, physical therapy to the area, and progressive relaxation therapy to reduce causative stress.
For chronic nonbacterial prostatitis (Cat III), also known as CP/CPPS, which makes up the majority of men diagnosed with "prostatitis", a treatment called the "Wise-Anderson Protocol" (aka the "Stanford Protocol"), has recently been published. This is a combination of:
Psychological therapy (paradoxical relaxation, an advancement and adaptation, specifically for pelvic pain, of a type of progressive relaxation technique developed by Edmund Jacobson during the early 20th century)
Physical therapy (trigger point release therapy on pelvic floor and abdominal muscles, and also yoga-type exercises with the aim of relaxing pelvic floor and abdominal muscles).
Biofeedback physical therapy to relearn how to control pelvic floor muscles may be useful. Biofeedback is satisfactory for treatment of chronic prostatitis (with mainly voiding problems) during puberty.
Treatment with antibiotics is controversial. Some have found benefits in symptoms while others have questioned the utility of a trial of antibiotics.

A good discussion going on here. It seems that bacterial prostatitis may induce the painful continuous symptoms of non-bacterial prostatitis. That seems to be the case of Kite Surfer and myself.
I still have mild symptoms after second semen culture proved negative (no bacteria, just contaminating flora i was told).

This is a longterm fight, where one should put the effort through streches, exercises, magnetic resonance therapy, supplements and my favourite brococli broth protocol...after a prescribed atb prolonged therapy (in my case it took 5 weeks of Trim). There is still this nagging believe that i should be taking Augmentin (at least for 3 weeks) for enterococus faecalis, but apparently, this bacteria was succesfully anihilated by trim, as it proved negative in semen culture.
I added 900 mg of Saw palmeto (that is a high dose indeed) and stinging nettle daily - shall be taking it for 2-3 months. My coloidal silver 15ppm bottle will arrive soon, so that should be another "weapon" in my arsenal against the painful condition.
Kite Surfer, you stated that your had 80 % improvement. What according to you is the key to success in your case ? I would appreciate if you can be a little more specific.

I salute all of you that never give up. Keep the faith.

Great post Johny1.What ever we all do,we all want some relief.

Do you really believe that a small little pocket of bacteria can cause not only urinary and ejaculation problems but also testicular pain, burning in the whole groin area and urethra, and numbness and pain that start from the knee all the way to the belly button?

I do. I have read many cases that when a pocket of puss was removed.....so was the problem.

My infection goes from the prostrate testicles bladder and kidneys. Cant find out what is causing the mess.....only it is a mess!

I was doing just fine until this past week. Diet, stretching etc. I added two herbs in the mix and it slammed me. My prostate pain jumped up. Testicles swelled up and got hot to the touch and my kidneys started hurting like crazzy! My legs hurt eyes hurt....everything hurt.

I have been drinking 1/2 teaspoon of sea salt 2 lemons in a glass of water three times a day for a week now. I finally dont have to visit mr. toilet every 10 min. and my legs are coming back to me.....but still feel like crap.

If you have an infection you'll likely at some point experience pelvic floor dysfunction. Even if you really do have an infection, there should be nothing stopping you from treating the pelvic floor dysfunction. Dealing with this might give you significant relief even in the presence of infection. One thing I realised when I had prostatitis is that antibiotics stopped many of the symptoms, it wasn't the whole story.

One day I was sat in my living room, after taking months of doxycycline, and I felt something weird, I felt a 'letting go sensation' and a tightening or kegel sensation. Like my body was trying to let go, but my pelvic floor kept tensing. It was a weird feeling, but from that day it completely changed my perspective and widened my approach to dealing with prostatitis or cpps. I knew from that moment I had this tension that to be honest, I never even realised I had! You can have tension and not even feel it!!! Weird huh? It is only after you learn to relax those muscles that you become aware of when you're tensing them.

After incorporating the stretches and learning to reverse kegel, and relax the pelvis, my sexual function started to return to normal. Orgasms were better, erections were stronger and the pain was decreasing further. I noticed after I let go the muscles would start to twitch (a sign of fatigue), muscles don't twitch when they are tensed. This is when my recovery really kicked in.

I cannot deny that there is significant involvement with muscles. I DID have an infection, but I have no idea when it was cured. At some point it was while I did the abx + supplements obviously. The pain from infection was a bit different (very hard to explain!). One thing I noticed when I had the infection was that I could not go a few days without ejaculating or I'd get a very horrible fullness in the prostate and severe pain. Ejaculating relieved this and then I'd get post ejaculatory pain,, but easier to deal with. After the antibiotics I was able to go longer periods without ejaculating. I could also ejaculate as often as I wanted without pain.

Now where am I now? I'm completely pain free. I'm only taking:

Quercetin + bromelain
Pycnogenol
L-arginine
Allicin Max
Vitamin D3
L-theanine (helps with muscle tension)

When I get lazy with the relaxation and stretching, my erection quality gets worse and orgasms get crappy. I have zero pain, no urinary symptoms. But the effects of chronic tension are still there when I don't keep on top of it. The sexual problems can be quickly corrected within a day or two of good relaxation. Fortunately.

Still, this is a problem that takes MONTHS or YEARS to fix. Not weeks.

Also a good sign for me is that me semen has been completely clear for so long now. No jelly like clumps, it isn't yellow, and it has the right consistency as when I was a teen. No fishy or horrible smell either. Completely normal.

You guys need to try pycnogenol if you haven't!
https://www.pycnogenol.com/media/medi...s_releases.php

In 80%, I would say 30% from levofloxacin to clear up the infection, 30% from stretching/deep relaxation and 20% from a healthy nutrition and probably supplements. This is for me who had a confirmed infection and can clearly trace this back to a single sexual event that triggered all this. I would think that for people who never had any proof of infection and got this after biking or whatever other crap it should be mostly pelvic treatment/stretching/relaxation.

Now there is a strange thing about stretching. I started doing stretches in Oct/Nov without seeing any effect. I actually got a big flare up in Dec that made me question the whole thing. Early Dec I started doing meditation and I also modified the set of stretches after I had a quick look at Amy Stein's book and this kicked a long cycle (about 2-3 months) of daily fasciculations . I was religiously doing every day stretches (sometimes twice a day) and a 45 min deep relaxation session. Now the fasciculations have decreased to almost nothing which leads me to believe that the stretches have less of an effect. I want to emphasize that all this cycle of fasciculations started only after adopting the stretching and relaxation protocol. In the first few months of prostatitis I had not clue or indication that this could be of muscular nature since I had the classic prostatitis symptoms (urinary frequency, groin and perineum burning, testicular pain, thigh numbness etc).

I now feel spasms in the abdominal area. I cannot believe that it is only me and Iwillbecured that have felt those spasms (maybe Sparky also?). Yesterday I was feeling spasms pretty much all day long. Sometimes every couple of hours sometimes every few seconds. Last evening I was sitting in the chair in front of the pc and while my abdominal muscles were spasming not only I was feeling them but I could also see it very clearly. I was looking at my stomach and the skin there was lightly palpating! They are not painful spasms they feel relieving. Prostatitis can cause a complete mess in the muscles not only of the pelvic area but also the abdominal muscles all the way to the belly button. Take this as you wish I am just relating my experience.

At this point I am not sure what the other 20% should be to bring me up to 100%. I would think a little of the same minus the antibiotics or maybe I do need to find a way to visit a specialized pelvic clinic to work out the remaining symptoms. I have not experienced any flare ups for the last 2 months so I am hopeful that unless I do something stupid like injuring this area or start tensing it again it will at worst remain at this current level.

I would like to suggest to add Magnesium in the arsenal of supplements. Magnesium is as important for muscles as is Zinc for the prostate. This is especially true if you have taken a few rounds of quinolones which deplete your body of whatever magnesium you have. I would not be surprised if my muscles were even more messed up because of the 6 weeks of levofloxacin.

Sometimes I have the feeling that people want to believe that they have an infection because they lack motivation to do the full job and they want to finish with all this by eating a few pills. Unfortunately for CPPS to find any relief there seem to be no such shortcuts you must do the work to see results.

Which herbs did you add and you flared up?


This is so very true especially for people who have been chronically tensed and assume that this is the normal state. When you start consciously relaxing (but you must do this every day for many days) then you start seeing more clearly how relaxed really feels like.

Iwillbecured you never mentioned going to a clinic or even doing internal massage as per the wise-anderson protocol. You never did any of this? If you never did that it gives some hope that people can get cured without doing the internal massage which for me is the hardest part to have access to. I am trying to release trigger points only through relaxation and stretching without any external or internal massage and this might keep me from reaching the full 100%. Occasionally I push my abdominal muscles with my finger and this also causes spasms (having a theracane would help for this task). I will it give some more time but if it does not resolve completely I will unfortunately need to think of a trip to a country that offers this treatment.

uva ursi, Chanca Piedra. I think it was the Chanca Piedra. It is used for breaking up kidney stones. My thought was that if it does that.....it might help with any build up in the prostate.

I stopped taking them both....for now. It might be best to be on antibiotics while taking them in my case.

check this out

So the family doctor who diagnosed me with colon problem and wanted me to have a ct scan and it found nothing wrong with my colon.

So I wrote him a letter asking for just 30 minutes, and told him I would make a dvd showing my symptoms that it is just prostatitis and all he had to do was take 30 minutes out to watch it. welp his nurse called and he said he will not watch the video.....But he thinks it is my colon and wants to do a colonoscopy. I told the lady i wanted an ultrasound of the prostate and she said she would have to call me back. And I am setting here wondering how this guy is getting that my colon is causing me erectile dysfunction, testicle pain, ejaculatory troubles such as burning ejaculation , and no feeling.

And then she gave me some word on the phone and said he thinks I have the following disease, and I repeated each letter she said to me back to her. maybe she miss spelled this but I can not find any disease called

Levapron syndrome. I am guess this is some kind of colon disease, that she spelled wrong ?
I find it amazing, how doctors can just ignore everything a patient says, like I am so dumb that I don't even get whats going on in my own body.
I bet a shiny nickle if she calls back she will tell me no dice on the
trans rectal ultra sound. This being the same people who told me I would get treatment after the ct pelvic scan, boy that sure happened.

And if I do get one and it does show problems with my prostate such as lack of blood flow, cysts etc. I am gonna tell him a thing or 2 about him calling me a liar and not listening to his patients. And you know there has got to be people out their that have died from different diseases because of misdiagnosis, doctors need to approach patients in a better manner and listen to them instead of telling them that everything is all in their heads. Because patients are people, we suffer, we hurt, and all we want is relief and cure. And you can bet your bottom dollar that the wrath of god will abide on many of these doctors for they way they treated their fellow humans. I will pray for you all and hope that some how we walk away from this disease cured.

__________________
My names not harry crumb. I just like the movie !!

Pollen extract - Cernilton - seems to have a possitive effect in CPPS.
What are your views (experiences) using Cernilton ?
See:
https://www.ncbi.nlm.nih.gov/pubmed/19524353

I've been using Cernilton for a little over a month now and I believe it has helped. Much of the burning pain and pressure I felt has diminished significantly, even disappeared. I'm using it in conjunction with Quercetin, Saw Palmetto, and Pygeum. Taken together, these supplements have definitely made my condition more bearable. I also exercise every day and try to do some stretching before bed. I still have some pain and discomfort after ejaculation, but that tends to subside after a couple of days.

I'd say give the Cernilton a shot and see if it helps.

Some very interesting posts here in the last few days. I'd like to say thank you to Kite Surfer and Iwillbecured for your wonderfull posts. I could not have responded to Harry's post any better. Kite Surfer, you really nailed some good information there.

I am very sorry to hear that you think I am beating a dead horse, Harry. I also would like to wish you the best in whichever path you choose to aid in your recovery, but I can damn sure tell you that removing your prostate is not the answer. But, to each his own. Also, I have had a trans-rectal ultrasound, of both my prostate and seminal vesicles. Both showed no signs of infection, whatsoever. Anyway, best of luck to you.

I'd like to mention that my only real symptom that is remaining is rectal pain along with other issues related to defecation. I have discussed this with my therapist, and she seems to agree with me completely that this remaining issue is most likely due to tension in my Pubococcygeus (PC) as well as my Puborectalis (PR) muscles. Just a quick bit of info on those muscles: The Pubococcygeus is the hammock-like muscle that stretches from your pubic bone all the way back to your coccyx (tailbone). Any tension in this muscle can cause a slew of problems, and refer pain to the other pelvic floor muscles. Currently, I'm having a difficult time defecating, as well as passing gas. Honestly, the only way to describe what I feel now, is an extremely tight muscle, and a feeling of constipation almost. It's like getting a cramp in the arch of your foot or in your calf. This affects mobility and function of the muscle. The PC and PR muscles are very much involved in the function of the anal sphincters, which explains my difficulty with defecating and passing gas.

Now, my theory on this is as follows. As we all know, this is a very personal problem, so I will disclose some very personal information in light of helping everyone else. The PC muscle is VERY involved with orgasm and ejaculation. It undergoes extreme contractions during ejaculation. In fact, the PC muscle is what men are told to workout and strengthen, who have premature ejaculation. I have read some very interesting things on some premature ejaculation sites (I personally do not suffer from this). My logic towards reading these sites, is to employ the opposite of their techniques, as we need to focus on lessening the tension and tone of these muscles, where as they want to increase it. I personally, have masturbated at least once a day for as long as I can remember. I also had a very active sex life with several girlfriends. I often practiced a technique that many pre-ejac guys refer to as "edging". This is where you masturbate for prolonged periods of time, delaying your orgasm. This puts immense amounts of strain and pressure on your PC muscles, as well as other pelvic muscles. It's like going heavy on a set of bench presses for your chest. I did not do this for any other reason than personal pleasure, and kind of figured it out on my own over time. I never even knew there was a name for this practice until a few weeks ago. This helps these men with pre-ejac last longer during intercourse. I never put two and two together, but, not to brag, I could last very, very long periods of time when having sex with my girlfriends, and sometimes it was even difficult to achieve orgasm. This is because over time, I think I OVERTONED my PC muscle so much, that now, beyond the benefit of prolonged intercourse, I now have muscle pain due to hypertonicity and tension. What I'm doing now is abstaining for a while. No sex, no masturbation. It's tough, but I think this is the missing piece to the puzzle. I said it once, I'll say it again, if you were to injure your shoulder at the gym, you would not go back the next day, or even week perhaps, and start doing shoulder presses. You NEED to let the muscles rest, recover, and return to their normal state. Time to heal is key. Every time I ejaculated throughout all of this, I was prolonging my recovery.

Now, my question to all of you, is how often before this, AND how often during this whole ordeal, were you having sex and/or masturbating? It's not the answer or cure-all, but it definitely has a detrimental effect on the recovery process. Orgasm puts an extraordinary amount of pressure and tension on the pelvic muscles. And for your information Harry, the pelvic muscles are in fact what allow you to ejaculate. The prostate contracts as well, but minimally compared to the rhythmic contractions of the pelvic muscles. The prostate, more or less, is a mixing site for your seminal fluid and sperm, as well as the entrance site where it gains access to the urethra. I can assure you that your prostate alone is not giving you the force that allows you to shoot your load however far it may be away from your body. This requires exceptional amounts of force, achieved through the contractions of the pelvic muscles.

Anyway, just some food for thought. Glad to see you guys are still fighting. Stick with it. I'd also like to add that I too get the "jelly-like" clumps in my urine when I abstain for prolonged periods (about a week and a half now). This is most likely not due to an infection, but rather build up of seminal fluids, etc. Remember, your urine passes through your prostate upon leaving the bladder.

-Sparky

These days, i have been experiencing some back buring tension (lower back), so wonder if that is something to expect in the post healing process.
That buring sensation in the lower back and sometimes in the front is maybe due the healing process, but still keeps my attention during the day.
I am planning to have a 3rd semen culture, just to be sure that no bacteria resides in my prostate (if the enterococcus bacteria is hiding but is detected, this time i shall take Amoxicillin for 3 weeks for the bug and kill it once and forever i presume). Even though it is better to have the post massage urine test (golden standard) to check for bacteria in the prostate. The sensitivity of semen test is around 55 %, wheras VB3 is around 90 %. I have read some uros recomending doing the VB3 by yourself - first u masturbate and then you start the pissing process for culture. What an interesting recommendation for those scared to to have their prostate massaged. My uro never did VB3 actually. Do all of you had the VB 3 test already or just semen culture ?

Now, maybe we can also share our experiences with coloidal silver - does anybody has some positive or negative experince using it ? My silver bottle is coming this week and i cant wait to put some silver ions in my body system. Hopefully i shall not turn blue


The article below shows coloidal silver used against some
serious infections:

https://www.silver-colloids.com/Book/...Colloids-s.pdf

Just for your information, I have had both of these tests, and have come up negative consistantly for an infection. Even more proof, that more times than not, this is muscular related. Muscular and tendon related injuries take a long time to heal, especially when they are constantly being used, such as the pelvic floor and its components. Also, because these muscles are innervated by many nerves in this area of the body, much of which control organs such as the prostate and bladder, it can take much longer for the nerves to quiet down and heal, even after the muscles have healed. When these muscles are out of whack, they irritate the nerves passing through or by them. It's really pretty simple logic if you stop and think about it.

Pain and discomfort after ejaculation is a very common symptom of pelvic floor dysfunction. I really don't like to use the word dysfunction anymore, as I strongly believe this is more of an overuse injury, than a syndrome. If you went to the doctor with complaints of shoulder pain, and it was found that you severley strained or pulled a muscle, you wouldn't keep straining or using this part of your body, making the condition worse and worse, but rather you would rest it and allow it to heal. Much is the same with ejaculation. These muscles play a pivotal role in ejaculation and orgasm, and undergo intense contractions during this period. Possibly try abstaining for a while, as you say much of the pain subsides after a few days. Give it a rest, beyond the point of right when the pain subsides. You may just need to heal and recover.

Also, Cernilton has anti-inflammatory properties, which may be why it helps, due to muscular tension/inflammation. Much like taking Ibuprofen for muscle pain, etc.

Id give pine pollen a try.