Prostate and pelvic floor symptoms - advice needed please!

Hey guys,

I've been having some prostate and pelvic floor issues since August and could really use some advice, insight, reassurance, etc. I'm 39yrs old with no previous health issues.

First of all, I've been dealing with anxiety for 15 years. It's been very manageable until the beginning of June. I had a health scare at a health clinic while working on the road and caused extreme health anxiety. After a week, I returned home for a couple days and have had 3 doctors dismiss what the student doc thought he saw (nothing related to prostatitis etc).

Should also mention that only a month before, my stepfather passed away.

Even though I had reassurance from doctors saying I was fine, I continued to be stressed/anxious. I felt like I had a cold because my sinuses/postnasal drip suddently flared up, I had a dry cough, which later became a wet cough (had all sorts of tests including ashtma done, perfectly fine). I bought a scale because I noticed i was losing weight but didnt know why (later realized it wa because I changed my diet drastically and was only eating about 1000 calories per day). It wasn't until I realized this that I increased my caloric intake and things stabilized. (I lost 20 lbs in 3 1/2 months). In July, I started having some pretty bad reflux and have been taking Zantac ever since to keep it at bay (never needed more than a couple tums before). Clearly, these symptoms were all exascberated by my anxiety and stress. Oh...and I was losing hair like crazy, which could have been a combination of the stress and sudden weight losss. (seems to have slowed down the past month or so).

August was horrible as I was back home from work, became obsessed with googling my symptoms, became depressed, etc  My living situation and location were horrible so I stayed with my mother for about 6 weeks before getting an apartment away from my workplace in September. 

Finally, after all the tests, etc kept coming back clear, I felt great for a few weeks.

I did notice though (in August) that I had a slight twinge of pain/itching in the shaft of my penis. I dismissed it because it only happened once or tiwce per day and was a minor annoyance. 

Early September, I was lifting something heavy (I lift a lot of heavy stuff with my job), I felt a twinge of pain in my rectal area. It's been on again/off again ever since.

Shortly after that, I had sex with my (we'll call her girlfriend) and I noticed she had a foul smell and I was exta sensitive....like almost premature ejaculation. Around the same time or shortly before that, I had noticed some clumping in my sement which I figured was harmless and due to diet changes, extra protein, etc.

We had sex again a couple weeks later in September, I really noticed the foul smell. A day or two later, I felt a burning sensation at the tip of my penis and had a little bit of clearish/white discharge for a couple days and thought it was an STD. She told me she had symptoms of vaginosis (supposedly cannot affect men). She took her antibiotics and it cleared up.

I was tested 3x for std's and they all came back negative. Bloodwork, etc. showed no signs of infection.

My sex drive immediately dropped and I was clearly confused. I noticed my volume of ejaculate was lower, things didn't seem to be firing properly during ejaculation and I've even experienced a bit of retrograde ejaculation. I could see the chunky semen in my urine afterwards. No, I don't have diabetes, MS or any of the other causes they list. Only thing that I thought may be relevent is spinal cord damage (thinking "nerves") to myself. Now I'm almost afraid to masturbate because of what may or may not happen. I was having sex or masturbating 3-4 times per week until August when I was depressed and anxious.

Another "stress" induced symptom I had in September was TMJ, which resolved itself with help from my chiro in about 3-4 weeks. 

After doing some homework and listening to my body, I noticed I had tightness in the pelvic floor and went to my RMT and she said my muscles in glutes, inner thighs, etc were tight...and they are. Walking, stretching, etc seems to help as I have tightness throughout the pelvic floor.

My doctor tried to do a prostate exam but couldn't even get inside because it hurt too much.  She said I was too tense even though I felt completely relaxed. 

Some symtoms.....urinary are not so bad. Some frequent/urgency but usually when I'm stressed/anxious. Maybe 8-10x per day. When I'm not anxious, it's normal. No nocturia. Sometimes feel like the urine is filling up in my urethra instead of my bladder when I have to go. 

Have recently had symptoms of IBS but they seem to be settling down a bit now. 

I went for a standard pelvic ultrasound and am waiting for the results. 

I've noticed the past couple days that while lying down, I feel spasms in my pelvis...like my penis. Not sure if it's learning to relax or if it's getting tighter in there. I diid some heavy lifting yesterday and noticed penis pain was worse than it's been in a while.

So now I wait and worry. I should have a call from my doctor on Monday or Tuesday at the latest. I'm going to see a Psychotherapist about my anxiety on Monday as this (and all the other stresses) have really taken a toll on me.

Any advice, insight, kind words would really help right now.

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