Unable to ejaculate

[reckless]

I've been suffering from bad pelvic pain for 9 months.

More recently my symptoms have got worse.

1. I'm not able to ejaculate. I am able to sometimes but it doesn't feel right. It's like the sexual desire has been lost. Normally when a guy has sexual desire he will feel it mostly in his perineum/prostate. I've lost this feeling.

2. I have buttock pain and numbness. Not a muscular pain but a sharp pain all over my buttock skin on both cheeks. Not sensitive to touch.

3. Scrotal pain, the skin of the scrotum hurts in a tingly manner. Again not sensitive to touch.

Both of these new symptoms started with a painful puborectalis muscle. Both my physiotherapist and colorectal surgeon have found it to be very painful to touch. I don't think it's a trigger point, as massaging it does not seem to help.

Maybe it's some kind of injury to the muscle which has affected a nerve.

How do these three symptoms fit in with PNE?

I've had an MRI and will get the results on Monday.

This puborectalis muscle seems to be the problem

[reckless]

Anyone?

[ezer]

I have not read all your medical history but have you been checked for bacterial prostatitis? An infection of the prostate can make your pelvic floor spasm.

[Bill W]

Don't know if this is of any help. I was on a medication years ago to help me urinate. It didn't work, but it did kill my ability to ejaculate. It wasn't a painful deal, just frustrating. I believe it was targeted at the prostate and I wonder if your problem might be there.

Wish I could be of more help.

[Dave]

Bill has a good point. Some medications can do that. For example, antidepressants can delay ejaculation.