Back pain, testicular discomfort and rectal discomfort?

[ConcernedStudent1994]

I am a 22 year old, 6'0", 185 lb, Caucasian Male currently attending med school. Over the last couple years I have experienced multiple symptoms following ejaculation. Generally this will consist of a dull pain in my testicles, back and rectum. Generally the back discomfort occurs when I first wake up and is relieved by a bowel movement. The discomfort is generally made worse or is more present following a period with more sex. I have gone to a general doctor and a urologist regarding this issue. They performed a blood test to check for the presence of elevated PSA. The results came back normal and I was prescribed an antibiotic for possible prostatitis. The treatment was unsuccessful. Based on these results the urologist diagnosed  me with chronic pelvic pain. I was told I would have to deal with the discomfort potentially the rest of my life. Being only 22 clearly this isn't the news I wanted to hear. For further background, I have only had two partners, one of which is my now fiancée of 5 years. My question for this forum is whether or not this is the correct diagnosis with the symptoms I describe, or if I should Consider seeing a new doctor for another opinion. One additional, but potentially unrelated, issue I had recently was a bloody stool.  I had just begun working out again and believe it to have been a hemorrhoid or anal fissure.

[JohnnyRocket244]

There is a condition that I have called May-Thurner Syndrome that will cause all of your problems. I went in for a Vericocele Embolization because I was experiencing the same symptoms as yourself. During the embolization, my Interventional Radiologist discovered I had May-Thurner Syndrome and placed a stent in my left iliac vein. So between the embolization and stent it fixed all my problems. I would definitely recommend getting checked for May-Thurner first as this can cause chronic pelvic pain and congestion. Since your in med school this condition is not very well understood even by most doctors so it's rarely diagnosed. An Interventional Radiologist may be a good doctor to go see. Hope this might help and good luck!

[WillWho]

I would see another urologist and almost insist on a biopsy. I assume that the doctors did pretreatent and posttreatment digital rectal exams? If not, make sure that is done. Prostatitis can take months and months to clear. Take a look at prostatitis.org to see if any info there helps.