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[Dizmarkee]

Hell I am a 30 year old sexually active male. About a month ago i was having sex with my gf; 20 minutes after we were done i noticed my left testicle feel uncomfortable. It pulled up high into my body. Thats never happened before. I was able to shimmy it down. Relax. It finally went away. Woke up the next day no problems. Went to work that night. Crippling Extreme pain several hours after i got to work. My testicle hugs the bottom of my abdomin causing extreme pain. This happens on and off. Fast forward. Tues morning i see my reg doc. He tells me its infection and gives me antibiotic. He says if pain persists go to er. I go to the ER that Tues night due to pain. Got an ultrasound and **** test done. No torsion. No issues with the **** test. I am healthy. Moving forward to next fri. Come home from work. An hour after. Extreme pain. Go to ER for 2nd visit. They give me 2 shots dilaudid for pain. Does not help. Get cat scan. Blood test. **** test and ultrasound. All clear. No stds, no visible lumps. NO issues they can find. A urologist visits me in the ER. Says it might be intermitent torsion. I leave hospital. Extemem pain through weekend enough to make me contrmplate suicide. Never in my life have i had pain like this. I consider myself a tough guy. This brings me to my knees and effects my day to day routines. I visit the same urologist monday. He gives me muscle repaxers and stuff for pain. Harldy helps. he wanted to do surgery immediately within the next few days (anchoring). Tells me all the negative affects, infertility, may not solve issue, may cause new problems. Great right? Fast forward the Friday after. I need mew meds to keep me sane. I visit a different doctor at the same office, a collegue of the first. Ive told all the drs the pain seems to stem from my pelvic area about an inch to the left of my penis. Flat out he tells me dont get surgery. He says it can make things worse and he diesnt think its torsion. He things is spasming cremaster muscles (the testes muscles that raise and lower the testes). He tells me my best bet for a solution is 'yoga and meditation'. Im not exactly that kind of guy. But ill do anythig to rid me of this. It has totally changed my life with my family, work and gf. The pain comes ane goes at random. And i have had good days. But far more awful days. Its now been a month. I seriously can't live with this any longer. I have bad anxity and depression. It has built up to an untolerable amount. I am going to hurt myself or do something bad if i cant make progress sooner. The pain is far to overwhelming. HELP me plz. I don't know what to do. Thank you. I will take any advice and answer any questions!

[Andrew John Rynne, MD]

The thought occurs to me also that this could be Chronic Prostatitis -- Chronic Pelvic Pain Syndrome. There is no point in going on with this and just hoping for the best. You are suffering far too much as are your loved ones.

Go and see a different Urologist asap and keep after this until you get a proper diagnosis and resolution. I wish you well.

[Dizmarkee]

Thank you so much Andrew. When this first started I was put on the antibiotic Sulfamethoxazole . It has been 3 weeks with no change. I have also been taking Cyclobenzaprine (Flexeril) to relax my muscles. That helps a bit but comes no where close to solving my issue. How long should I wait for this to pass before i need to consider surgery? It has been excruciating on a bidaily basis. It has changed my life completely and I need it to end. I would also like you to know that most of my issue seems to stem from my pelvic area. About and inch or so to the left of my penis. It feels like cords are stuck or in the wrong position. I can actually feel them tugging. Is it possible that is where the problem lies?

[Andrew John Rynne, MD]

Spasm of your cremasteric muscle is probably very close to the mark. It might be a good idea, just on empirical bases, to take a course of antibiotics x one week. Anti-spasmodic medicine is another suggestion. Hang in there. This will pass. I know its terrible but you will endure.