Health Organization for Pudendal Education

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

Anyone?

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.

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.

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