Hello I get how beat, annoyed, and just plain bummed you must be after a year and a half of pain, meds, hope, and letdowns. It’s not that you failed–it’s just that what you’ve got going on is kinda rare and not well understood. YOUR CONCERN Patient: Male For: 1.5 years Docs say (from TRUS + MRI): – A little cyst (8 mm) near your prostate/ejaculatory duct – Swollen seminal vesicles – Prostatitis that won’t quit – Inflammation but no infection (urine & semen came back clean) Main thing you’re feeling: – Pelvic pain – Burning in your hip and lower back – Pain near your tailbone – Burning at the tip of your junk – Gotta pee all the time (12–15 times a day, twice at night) – Bladder feels icky after it fills up – Pus cells in your sperm (8–10) – Sperm’s not moving so well – No infection What you’ve tried so far: – Kanchanar, Chandraprabha, Varunadi, Dashmool, Guggulu – Uttarbasti – Ghritas – Kashayams – Sitz bath but the pain and burning keep coming back. WHAT’S REALLY GOING ON It’s not just a prostate thing. You’ve got CPPS (Chronic Pelvic Pain Syndrome) because of: – That cyst in your ejaculatory duct – Seminal vesicles are all jammed up – Inflammation in your prostate – Nerves in your pelvic floor are ticked off This leads to: – Burning feelings – Pain in your back and hip – Pressure on your bladder – Pain at the tip of your penis – Sexual fluids are stuck Basically, it’s a mix of a mechanical issue, inflammation, and nerve problems. WHY AYURVEDA DIDN’T QUITE WORK You got: – Kanchanar – Guggulu – Kashayam – Uttarbasti These calm down swelling, but they don’t unclog that blocked duct or chill out the nerves in your pelvis. So: – Fluid builds up again – Pressure’s back – Pain’s back That’s why you get a few good days but then it flares up. It’s not that Ayurveda didnt work It’s just that you need to get things flowing and relax those nerves, not just reduce swelling. THAT PAIN ISN’T FROM INFECTION –Cultures are clean –No bacteria –But pus cells are there That means: 👉 You’ve got inflammation and congestion, not germs. So, antibiotics or antiseptics aren’t gonna fix this. WHY THE BURNING &HIP/BACK PAIN? Because: – Your prostate and seminal vesicles are stuffed up – Nerves in your pelvis (pudendal nerve) are irritated – That cyst is pressing on nerves – Pressure from urine and semen goes up This sends pain to: – Tailbone – Hip – Lower back – Penis tip CAN AYURVEDA HELP STILL? Yes—but not how you’ve been doing it. You need: – To unclog the duct – Calm down the pelvic nerves – Drain the seminal vesicles – Relax the prostate muscles Not just shrink the cyst. ❌WHAT TO STOP DOING – Lay off the guggulu, kanchanar, and kashayams for now – No more dry, hot, or sharp medicines – Ease up on the Uttarbasti – Don’t overdo the detox stuff These dry out your pelvic area and make those nerves even more twitchy. WHAT MIGHT ACTUALLY HELP This combo hits the cause: 1 Shatavari Ghrit → ½ tsp morning & night Keeps ducts & nerves slick 2.Ashwagandha → 1 capsule with warm milk at night Chills out pelvic nerves 3 Yograj Guggulu → Just 1 pill twice a day for a bit of anti-inflammation 4. Punarnava + Gokshura → 2 tsp of each with water twice daily Helps clear up vesicle congestion BIGGEST THING –Pelvic floor exercises + breathing –Sitting all day makes this worse –Stress tenses up pelvic muscles That’s why meds alone didn’t cut it. THE TRUTH –You DON’T have cancer. –You DON’T have an infection. –You DON’T need surgery just yet. You DO have: 👉 Blocked ducts + stuffed seminal vesicles + irritated nerves It’s treatable, but not just by fighting Kapha. Warm Regards Dr. Snehal Vidhate
✓Why Ayurvedic treatment not working Many herbs (Kanchnar, Chandraprabha, Varunadi, Vasti Ghrit) are good for inflammation but not enough for structural issues like cyst/blocked vesicles. Uttarbasti helped temporarily but recurrence common without addressing root (possible incomplete drainage or ongoing inflammation). 1 year no relief , time for integrated approach, not Ayurveda alone. ✓Best Next Steps (Immediate) Consult Urologist/Andrologist urgently – get: Repeat TRUS + MRI pelvis (check cyst growth) Semen analysis repeat + post-ejaculate urine (rule out retrograde ejaculation) Cystoscopy or TRUS-guided aspiration (for cyst drainage if >5–10 mm & symptomatic) Possible TURED (transurethral resection of ejaculatory duct) if blockage confirmed – high success for symptoms like yours. ✓Continue supportive Ayurveda (but optimize) Chandraprabha Vati – continue 2 tablets BD (good for prostate) Varunadi Kwath – 15 ml + 45 ml warm water BD (reduces cyst size) Gokshuradi Guggulu – 2 tablets BD after food (better for pelvic pain & urine flow than Kanchnar) Vasti Ghrit – continue, but add warm sitz bath 15 min BD with Dashmool kwath (relieves burning & discomfort) ✓Lifestyle & Diet (key to relief) Avoid: spicy/sour, fried, heavy non-veg, cold drinks, prolonged sitting Eat: moong khichdi + ghee, pomegranate, coconut water, cooked lauki Drink 3 L warm water daily Kegel exercises 50 reps × 3 daily (strengthens pelvic floor) No straining during urination/stool ✓Don’t lose hope – many with similar issues get 70–90% relief with cyst drainage + optimized treatment in 1–3 months. Stop wasting money on ineffective combos – focus on urologist first + targeted Ayurveda. Regards Dr Gursimran Jeet Singh MD Panchakarma
-You have a small prostatic cyst + bulky seminal vesicles causing chronic pelvic pain, urinary burning, and frequent urination. -Cultures are negative, so infection is unlikely; pus in semen means inflammation. -Ayurvedic treatments haven’t worked long-term; it’s time to see a urologist. - consult in person offline with urologist for better help, don’t take online consultation in your case.
🌿 Ayurveda ka Role - Ayurveda mein Kanchanar Guggulu, Varunadi Kwath, Chandraprabha Vati jaise medicines cyst/fibroid ke liye diye jaate hain. - Lekin jab cyst structural aur chronic ho jaaye, to sirf medicines se poora relief milna mushkil hai. - Uttarbasti (local therapy) ne aapko temporary relief diya, jo dikhata hai ki localized therapy effective hai, par permanent cure nahi mila. 🩺 Modern Medicine ka Role - Aapke jaise cases mein urologist se consult karna zaroori hai. Options ho sakte hain: - Cyst aspiration / drainage agar cyst pressure symptoms de raha hai. - Endoscopic surgery (TUR, cyst deroofing) agar cyst bada ho aur seminal vesicles dilated ho. - Targeted antibiotics / anti‑inflammatory therapy agar prostatitis flare‑ups ho. - Ye interventions cyst ko directly address karte hain, jo Ayurveda se possible nahi hai. ✅ Practical Guidance - Ayurveda alone is not enough for your case. Aapko integrative approach lena hoga: - Urologist ke saath surgical/medical management for cyst + seminal vesicles. - Ayurveda supportive role: Chandraprabha Vati, Gokshura, Varunadi Kwath for urinary comfort, but not as main therapy. - Lifestyle: Sitz bath continue karein, spicy/oily food avoid karein, hydration maintain karein. - Stress management: Chronic pelvic pain mein stress symptoms ko aur badha deta hai. ⚠️ Key Point Aapne jo paisa kharch kiya hai, usse relief na milna isliye hua kyunki structural cysts medicines se khatm nahi hote. Ayurveda supportive hai, lekin definitive treatment urology intervention se hi hoga. 👉 Mere clear suggestion: Urologist ko consult karein for cyst management. Ayurveda ko sirf supportive rakhein (urinary comfort, inflammation control). Is tarah aapko sustainable relief milega. WARM REGARDS DR. ANJALI SEHRAWAT
You can start with Kanchanar guggulu 1-0-1 VRIDDHIBHADIKA vati 1-0-1 Chandraprabha vati 1-0-1
AFTER A YEAR OF AYURVEDIC TREATMENT WITH LIMITED RELIEF FROM PERSISTENT PROSTATE, SEMINAL VESICLE, AND PELVIC DISCOMFORT FROM YOUR HISTORY IT APPEARS THAT YOU HAVE A CHRONIC PROSTATITIS WITH A PROSTATIC CYST AND BULKY DILATED SEMINAL VESICLES WHICH CAN CAUSE LOWER BACK HIP PELVIC DISCOMFORT FREQUENT URINATION AND PAIN AT THE PENIS TIP EVEN IN THE ABSENCE OF ACTIVE INFECTION THE PRESENCE OF PUS CELLS IN SEMEN, POOR VISCOSITY AND REDUCED MOTILITY INDICATE INFLAMMATION AND SEMINAL STASIS AYURVEDIC TREATMENTS LIKE UTTARBSTI, VARIOUS GUTTIES AND KASHA MAY HELP SOMEWHAT BUT IN CHRONIC CASES WITH ANATOMICAL CHANGES SUCH AS CYST AND BULKY VESICLES COMPLETE RELIEF IS DIFFICULT WITHOUT ADDRESSING THE UNDERLYING STRUCTURAL ISSUE AT THIS STAGE IT IS IMPORTANT TO CONSIDER A MULTIDISCIPLINARY APPROACH CONTINUING AYURVEDA ALONE MAY NOT GIVE COMPLETE RELIEF A UROLOGIST SHOULD ASSESS THE CYST SIZE AND SEMINAL VESICLE DILATION SOMETIMES MINOR SURGICAL INTERVENTION OR DRAINAGE PROCEDURES CAN BE NECESSARY TO RELIEVE PRESSURE AND IMPROVE URINARY AND SEXUAL SYMPTOMS ALONG WITH THAT INFLAMMATION CAN BE MANAGED WITH SHORT TERM ANTI-INFLAMMATORY SUPPORT AND SUPPORTIVE DIETARY MEASURES IN TERMS OF DAILY MANAGEMENT YOU CAN SUPPORT THE BODY BY AVOIDING SPICY OILY HEAVY FOODS MINIMIZING ALCOHOL AND CAFFEINE TAKING ADEQUATE WATER AND DOING REGULAR LIGHT EXERCISE SITTING FOR LONG HOURS CAN WORSEN PELVIC STASIS SO MOVE AROUND FREQUENTLY SLEEP WELL AND AVOID STRESS WHERE POSSIBLE WARM SITS BATHS AND GENTLE PELVIC FLOOR EXERCISES MAY HELP RELIEVE DISCOMFORT SEMEN QUALITY CAN IMPROVE WITH NUTRITIONAL SUPPORT MILK GHEE NUTS SEEDS PROTEIN RICH FOODS AND AVOIDING EXCESSIVE SEXUAL STIMULATION OR FREQUENT EJACULATION I UNDERSTAND YOUR TRUST IN AYURVEDA HAS BEEN SHAKEN AND IT IS NORMAL TO FEEL THIS WAY AFTER LONG TREATMENTS WITHOUT SATISFACTORY RESULTS IT IS REASONABLE TO SEEK UROLOGICAL EVALUATION TO ASSESS THE CYST AND SEMINAL VESICLES AND GET TARGETED INTERVENTION THIS DOES NOT MEAN AYURVEDA CANNOT HELP BUT COMBINING STRUCTURAL AND INFLAMMATORY MANAGEMENT MAY GIVE THE BEST RELIEF
HELLO, Your problem is NOT a simple infection. Your reports show -8 mm paramedian (ejaculatory duct) prostatic cyst -Dilated/ bulky seminal vesicales -chronic prostatitis (non-bacterial) -semen pus cells 8-10 -> inflammation present -urine and semen culture negative-> no active infection WHAT THIS MEANS -This is a structural + inflammatory condition -medicines alone cannot permanently fix it -that’s why you get temporary relief an repeated flare-ups WHY AYURVEDIC TREATMENT DID NOT WORK (Important truth) Ayurvedic medicines like -kanchanar guggulu -chandraprabha vati -kashaya/ ghrita -uttarbasti Can reduce inflammation temporarily but -they cannot remove a prismatic/ejacuatory duct cyst -they cannot correct ejaculatory duct obstruction -they cannot reverse dilated seminal vesicles So the pattern you experienced is typical -short relief-> symptoms return in 7-10 days This is NOT your fault. You followed treatment sincerely YOUR SYMPTOMS ARE EXPLAINED BY ONE CORE PROBLEM The cyst + ejaculatory duct blockage causes -seminal fluid congestion -pressure in prostate and seminal vesicles -pelvic floor irritation That leads to -burning at penis tip -lower back, hip, pelvic pain -frequent urination -pain after bladder filling -chronic pelvic discomfort This condition is called CHRONIC PROSTATIS/ CHRONIC PELVIC PAIN SYNDRONE (CPPS) WHAT YOU SHOULD DO NOW STEP 1= stop all ayurvedic medicines for now at least 4-6 weeks -long term herbs can worsen pelvic congestion -you have already taken enough trials STEP 2= CONSULT A GOOD UROLOGIST Not a general doctor- one who treats chronic prostatitis/ male pelvic pain DISCUSS THESE POINTS CLEARLY -chronic prostatitis/cpps -ejaculatory duct cyst -seminal vesicle dilation STEP 3= SURGICAL EVALUATION (DO NOT IGNORE) Ask your urologist about -TRUS- guided cyst aspiration -TURED if obstruction is confirmed An 8 mm cyst with dilated seminal vesicles is a valid reason for intervention assessment SURGERY IS NOT AUTOMATIC-BUT EVALUATION IS NECESSARY WHAT YOU CAN DO RIGHT NOW FOR SYMPTOM RELIEF -warm sitz bath (continue) AVOID -cycling -long sitting -spicy food -alcohol -excess tea/coffee –do not hold urine –gentle stretching- pelvic relaxation, not heavy exercise VERY IMPORTANT -This is NOT cancer -This is NOT life threatening -But it can become chronic if not treated correctly You did not waste money-you were trying to get beter Now you just need the right direction DO FOLLOW HOPE THIS MIGHT BE HELPFUL THANK YOU DR. MAITRI ACHARYA
नमस्ते, आपकी समस्या कोई साधारण इन्फेक्शन नहीं है। आपकी रिपोर्ट्स दिखाती हैं -8 mm पैरामीडियन (इजैकुलेटरी डक्ट) प्रोस्टेटिक सिस्ट -फैले हुए/बड़े सेमिनल वेसिकल्स -क्रोनिक प्रोस्टेटाइटिस (नॉन-बैक्टीरियल) -सीमेन पस सेल्स 8-10 -> सूजन मौजूद है -यूरिन और सीमेन कल्चर नेगेटिव -> कोई एक्टिव इन्फेक्शन नहीं इसका क्या मतलब है -यह एक स्ट्रक्चरल + इन्फ्लेमेटरी स्थिति है -सिर्फ दवाएं इसे स्थायी रूप से ठीक नहीं कर सकतीं -इसीलिए आपको अस्थायी राहत मिलती है और बार-बार समस्या होती है आयुर्वेदिक इलाज काम क्यों नहीं आया (महत्वपूर्ण सच्चाई) आयुर्वेदिक दवाएं जैसे -कंचनार गुग्गुलु -चंद्रप्रभा वटी -कषाय/घृत -उत्तरबस्ती सूजन को अस्थायी रूप से कम कर सकती हैं लेकिन -वे प्रोस्टेटिक/इजैकुलेटरी डक्ट सिस्ट को हटा नहीं सकतीं -वे इजैकुलेटरी डक्ट में रुकावट को ठीक नहीं कर सकतीं -वे फैले हुए सेमिनल वेसिकल्स को ठीक नहीं कर सकतीं इसलिए जो पैटर्न आपने अनुभव किया वह सामान्य है -थोड़ी राहत -> 7-10 दिनों में लक्षण वापस आ जाते हैं यह आपकी गलती नहीं है। आपने ईमानदारी से इलाज किया आपके लक्षणों की वजह एक मुख्य समस्या है सिस्ट + इजैकुलेटरी डक्ट ब्लॉकेज के कारण -सेमिनल फ्लूइड का जमाव -प्रोस्टेट और सेमिनल वेसिकल्स में दबाव -पेल्विक फ्लोर में जलन जिससे होता है -लिंग के सिरे पर जलन -कमर के निचले हिस्से, कूल्हे, पेल्विक में दर्द -बार-बार पेशाब आना -ब्लैडर भरने के बाद दर्द -लंबे समय तक पेल्विक में बेचैनी इस स्थिति को कहते हैं क्रोनिक प्रोस्टेटाइटिस/ क्रोनिक पेल्विक पेन सिंड्रोम (CPPS) अब आपको क्या करना चाहिए स्टेप 1 = अभी के लिए सभी आयुर्वेदिक दवाएं बंद कर दें कम से कम 4-6 हफ़्ते के लिए -लंबे समय तक जड़ी-बूटियां पेल्विक कंजेशन को और खराब कर सकती हैं -आप पहले ही काफी ट्रायल ले चुके हैं स्टेप 2 = एक अच्छे यूरोलॉजिस्ट से सलाह लें किसी जनरल डॉक्टर से नहीं - बल्कि ऐसे डॉक्टर से जो क्रोनिक प्रोस्टेटाइटिस/पुरुषों के पेल्विक दर्द का इलाज करते हों इन बातों पर साफ-साफ चर्चा करें -क्रोनिक प्रोस्टेटाइटिस/cpps -इजैकुलेटरी डक्ट सिस्ट -सेमिनल वेसिकल फैलाव स्टेप 3 = सर्जिकल जांच (इसे नज़रअंदाज़ न करें) अपने यूरोलॉजिस्ट से इसके बारे में पूछें -TRUS-गाइडेड सिस्ट एस्पिरेशन -अगर रुकावट की पुष्टि होती है तो TURED फैले हुए सेमिनल वेसिकल्स के साथ 8 mm का सिस्ट इंटरवेंशन असेसमेंट के लिए एक सही कारण है सर्जरी अपने आप नहीं होती - लेकिन जांच ज़रूरी है लक्षणों से राहत के लिए आप अभी क्या कर सकते हैं -गर्म सिट्ज़ बाथ (जारी रखें) इनसे बचें -साइक्लिंग -लंबे समय तक बैठना -मसालेदार खाना -शराब -ज़्यादा चाय/कॉफी -पेशाब न रोकें -हल्की स्ट्रेचिंग - पेल्विक रिलैक्सेशन, भारी एक्सरसाइज़ नहीं बहुत ज़रूरी -यह कैंसर नहीं है -यह जानलेवा नहीं है -लेकिन अगर सही इलाज न किया जाए तो यह क्रोनिक हो सकता है आपने पैसे बर्बाद नहीं किए - आप बेहतर होने की कोशिश कर रहे थे अब आपको बस सही दिशा की ज़रूरत है ज़रूर पालन करें उम्मीद है यह मददगार होगा धन्यवाद डॉ. मैत्री आचार्य
