I’m sure many of you have read my posts over last 4 months, but generally speaking many of them were updates or responses. But now I’m at a bit of a crossroads having crossed the 5 month mark and nearing the 6 month milestone in a few weeks, so I’m asking for everyone’s advice.
I first want to acknowledge that I’ve been very fortunate to not be experiencing as severe and torturous of symptoms as many of the guys here. So I certainly don’t want to come off as “poor me” when, at least to this point, I’m a lot better off than many.
If you want to see a detailed version of my history you can look at previous post of mine. Here’s the summary – had a painful vasectomy on Feb 5. Experienced consistent discomfort for the first 6 weeks and had two follow ups with PA until follow up with Uro at 6/7 week mark. Uro suggested NSAIDs and time. I turned a corner at week 8 and had 4-6 weeks of steady improvement. After crossing the 3 month mark at the beginning of May I was convinced I was going to make a full or close to full recovery. No more jock strap, NSAIDs, or icing. Then had a setback at end of May with enlarged and sensitive epis. It took a few weeks of NSAIDs for that to resolve. I had a couple of good weeks, and then had a couple of days last week experiencing some “zingers”, but NSAIDs managed to reduce the pain a good amount. I’ve now put together 4-5 days with no zingers and have only been doing icing throughout the day to help alleviate discomfort/irritation at back of left teste where epi elbows into the vas. This area tends to get sore with increased activity since my thigh rubs against it when walking. I can feel it gets slightly enlarged/firm when irritated. Icing helps quite a bit, and NSAIDs would knock the pain out almost entirely I’m sure. But I can manage just fine throughout the day without the NSAIDS.
So here’s where I’m at-- based on Mankoski 10-point pain scale, the first 8 weeks after vas I was probably bouncing around between 3-5. During my best 4-week span probably 1-2. During recent setback probably 3-4, but NSAIDS reduced pain down to 2. Now, aside from couple instances of zingers, ive been about a 2.5. I can work, take care of my kids, and most things I was doing prior to vas aside from certain triggers like prolonged sitting and strenuous activity. I normally take NSAIDs not because the pain is so bad I feel like I need to, but because they make me much more comfortable if I’m going to have an active day with the family. So currently taking Zyflamend, wearing normal briefs for support, and icing around 3x a day. I’ve taken NSAIDs only a few times over last couple of weeks. So I’d you were me what would you do???
1.) Continue what I’m doing and reassess at 6 months (I keep a daily pain log). If things seem to be trending better, or at least not getting worse, stay the course.
2.) Schedule follow up with Uro regarding sensitive area at elbow of epi/vas.
I realize my pain levels aren’t as bad as others, but I’m discouraged at the fact that even on my best day I’ve still experienced mild discomfort, and now I’m approaching 6 months and nervous that I’ll be dealing with this long term. Do you guys recall or know of anyone getting better on their own after experiencing pain 6+ months out? I’ve searched here and only found a couple of instances where that is the case, and numerous where it eventually led to reversal, other surgical intervention, or long term pain management.
I’m really hoping to avoid any further surgical intervention, but would want to be aggressive with conservative treatment since I’m still under 1-year.
Any thoughts or suggestions would really be appreciated. Thanks!!!