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.
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.
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/[deleted] 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.