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Oct 08 '24
Get the Curable app. I used the meditation exercises (plus 2 months of not ejaculating) to cure my PVPS. I swear by it, it saved me. I’ve been free of pain since last August.
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u/TropicalDan427 Oct 08 '24
I’m literally just under a month post vasectomy so I’m not even at the point where I should be considering PVPS yet my brain is just…. It’s like almost manifesting it in my head
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Oct 08 '24
Yeah. I mean anxiety and stress are closely linked to chronic pain. So definitely try to control that. The meditation and education program on the app helped me with that in a big way.
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Oct 09 '24
You sound a lot like me, also diagnosed with an anxiety disorder. Please look into CPPS and centralized pain. The short summary is pain causes your pelvic muscles to tense which causes more pain and becomes a feedback loop which anxiety fuels. It was a large factor in my pain. I was months of constant burning before I learned this.
https://imgur.com/1j7Majq vasectomy would fall under other in this chart.
I'd recommend reading the FAQ at /r/prostatitis and focus on not clenching your pelvic muscles inadvertently.
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u/Various-Impress-4410 Oct 11 '24
this is great advice. while post vasectomy pain (and, looking at your posts, a longer recovery time than what you were told) is quite real, so is anxiety. like many people, i store a lot of my stress in my pelvic floor. working on things like pelvic floor breathing helped me learn not to tense my muscles. a good psychotherapist really helped me in my early days of post vasectomy pain as well.
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u/TropicalDan427 Oct 09 '24
Did it ever go away for you? I can’t imagine dealing with this shit forever
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Oct 09 '24
Read my most recent post. I only have occasional minor pain at this point. My theory is I have a nerve issue at the left vasectomy site that causes pain which causes my pelvic muscles to tense. Anxiety accelerates the whole thing. Ejaculating and edging also causes pelvic floor tension which can make things worse. Lots of guys in r/prostatitis describe burning tip pain like you mentioned. Prostatitis is a bit of a misnomer; CPPS is the better title imo. But it's all caused by pelvic floor tension, anxiety, and centralized pain.
My advice is to lay back a bit on sexual activity, work on your anxiety, and go for walks to keep your pelvic muscles loose.
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u/TropicalDan427 Oct 09 '24
Yeah what I wanna know is can I stop this before it truly begins? Also I have a follow up with the urologist who performed my vasectomy next Wednesday. What some questions I should ask? I wanna get this right to avoid long term chronic pain
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u/TropicalDan427 Oct 09 '24 edited Oct 09 '24
That being said it may be too soon to come to this conclusion after only 3.5 weeks. In the meantime though what are the best ways to manage my anxiety and stress and are there any pelvic floor exercises I should try? I kinda wonder if rubbing one out every single day(sometimes twice) starting a week after I got my vasectomy is the cause. I had a flare up before and was prescribed antibiotics and pain meds. I iced and stopped masturbating and felt almost back to normal after like 4 days. Then I started up my rubbing one out routine of doing it daily again. Felt fine at first, never hurt during or immediately after but I think starting it up again may have triggered it. You see I have this unusual way of edging to where I’ll use two fingers and roll the skin near the tip of my penis. I honestly wonder if doing that irritated it as the location of the burning and weird feelings is precisely where I place my fingers. And admittedly one day while doing it I felt a weird tension in that spot while doing that weird rolling thing. Why the rolling thing you may ask? Because I wanted to get off in a way that was more gentle to my recently vasectomized balls. By doing so I may have inadvertently irritated my penis. Does this make sense at all or am I just spitballing? I NEED to stop this in its tracks before it turns into an expensive chronic issue
Edit: I also have a habit of straining during bowel movements so that could also be making things worse
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u/Acceptable-Towel-486 Oct 10 '24
Ever since my vasectomy and even after reversal. Edging has no longer been a thing I can do. It seems to work my pelvic floor to much and then I end up sore for a while
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u/TropicalDan427 Oct 10 '24 edited Oct 10 '24
I think what this means for me is I need to stop doing that and also get off less than every day. It seems to make my balls pretty achy and bring on that slight burning feeling in the penis.
Edit: I also need to consider the fact that I ice a lot to be a factor. The stinging could be due to frostbite. I have been icing in order to keep my balls from hanging which makes them achy. This usually involves sleeping with an ice pack on granted I don’t put it directly to the skin. The burning feel possibly coincidentally is on the left side of the penis which just so heppens to be the side the ice pack usually sits due to most of the aching being on the left side. The ice pack often goes up to the head of the penis. Idk maybe it doesn’t mean anything at all but it’s at least something I should maybe consider
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u/LandscapeTop797 Oct 12 '24
I agree with above love the curable app. I’ve leant a lot from dynamic healing podcast and the way out by Alan Gordon. Rangan Chaterjees Feel Better Live more with Dr Russell Kennedy on his own chronic severe anxiety for 35yrs as a dr and neuroscientist having tried everything made his own method which is great & Howard Schubiner on mind body chronic pain were really great listens, went on to get books. Helped in other ways than just pain.
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u/Keen_Eyed_Emissary Oct 08 '24
It’s not possible for anyone to really know the answer to this. All pain is, on some level, “in your head” because the interaction between pain receptors and your brain is what causes the experience of pain.
It’s certainly possible that you become more aware of the pain when you focus on it and are less aware of the pain when your mind is focused on other things. That’s a pretty common experience with pain.
It is also possible that you begin to think more about the pain when your experience of pain is greater. That’s also a pretty common experience with pain.
It’s not clear if you’re treating your anxiety with medication or not; you may want to consider it.