I saw a urologist who put me on cipro regimen for a few weeks. This did nothing. He then indicated possible inflammation, and did an ibuprofen course. The symptoms remain.
I also sometimes have dull pain in perineum. I asked for PSA test -- Urologist said it was not warranted. I am a cyclist and do about 50 miles/week as well. Something has definitely changed "down there".
Any ideas on what this could be - and next course of action?
Thanks in advance for your response.

