Brief summary, 53 years old, did a lot of cycling last September (hour plus every morning) as part of a challenge, I cycle for several hours every week, but this was much more than usual, started getting a pain in my left buttock/hip, didn't think a lot of it, felt like I had been kicked up the butt. About October had blood in my semen and pain on ejaculation. Spoke to my GP as I had prostatitis about 10 years ago and can remember some of the warning signs, they tell me it's muscular. Battled with them for a while until I insisted on a PSA test in December, 9.6. Tried antibiotics, no improvement, PSA 8.7 in January. Appointment with NHS urology kept getting cancelled and moved so I went private. Had an MRI scan within 2 weeks, PIRAD 3, consultant wanted to do a biopsy in case anything was lurking. That has come back as 3+3 and only in 2 cores of 19, so now on active surveillance (diagnosed this week), which I'm fairly happy about, I just want to stop the pain as it's reducing my sleep to about 5 hours a night.
The pain is not sharp, but nagging and dull. I find taking 1 Ibu + 2 paracetemol 3 times a day keeps it under control, but just wondered if anyone else has had similar and what they did to control the pain. I'm a little worried about taking pain meds constantly.
My consultant has suggested a deep prostate massage under general anaesthetic, but I've read good and bad things about that, and would like to avoid a general if possible.
As far as cycling goes, I now wear padded shorts and have changed my bikes to noseless saddles. No idea if this was anything to do with my pain/condition, but I'm not taking any chances. I think the benefits of cycling to my physical and mental health outweigh any risks.
Any advice appreciated.