[56M] Experiencing testicular and perineum pain with frequent urination

What might be happening

Based on the symptoms you've described, a few conditions come to mind:

• Prostatitis: This is an inflammation or infection of the prostate gland. It can cause pain in the groin, pelvic area, testicles, and perineum. Frequent urination, especially at night, is also a common symptom. The fact that you've had several episodes over a period of months is consistent with chronic prostatitis.

  • Treatment usually involves antibiotics, pain relievers, and other therapies.

• Urinary Tract Infection (UTI): This is an infection in any part of your urinary system — your kidneys, bladder, ureters, and urethra. It can cause frequent urination and pain in the pelvic area.

  • Treatment typically involves antibiotics.

• Epididymitis: This is an inflammation of the epididymis, the tube located at the back of the testicles. It can cause testicular pain and frequent urination.

  • Treatment usually involves antibiotics, pain relievers, and rest.

The headaches you're experiencing could be related to your high blood pressure or a side effect of some of the medications you're taking. However, it's also possible that they're unrelated to your other symptoms.

What you can do

Given the severity and duration of your symptoms, it's important that you seek medical attention. Your doctor can perform a physical examination and order tests such as a urine test or ultrasound to determine the cause of your symptoms. They can then recommend appropriate treatment.

In the meantime, over-the-counter pain relievers may help alleviate your symptoms. Drinking plenty of water can also help, especially if you have a UTI.

What you should look out for

You should seek immediate medical attention if you experience any of the following:

• Severe pain
• Blood in your urine
• Difficulty urinating
• Fever and chills
• Nausea and vomiting

Remember, while I strive to provide accurate information, I'm not a doctor and this advice should not replace a consultation with a healthcare professional.