Prostatitis and Medication Concerns: A Patient's Journey - Urology

Prostatitis and Medication Issues

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Hello, I visited a urologist at the end of September and early October due to discomfort after excessive masturbation the previous night (twice in one day, but not consecutively).
I suspected this was the cause (though I was somewhat reserved in my explanation to the doctor, only mentioning that I had masturbated the night before).
After ejaculation, I felt a tingling and soreness in my genital area, which I usually attributed to temporary fatigue that would subside after a while.
However, the next morning, I noticed a tingling and soreness in my genital area (including the penis, testicles, scrotum, and perineum), similar to the discomfort felt after cycling for a long time.
Any slight touch would elicit a sensitive, tingling sensation, which persisted throughout the day but varied in intensity.
That evening, I visited a general clinic, and the doctor suggested possible nerve damage, prescribing anti-inflammatory and pain relief medications along with nerve repair drugs.
After taking one or two packets of medication, I felt significantly better, but still uneasy.
After finishing the three-day course, I returned to the urology department, where the doctor also suspected a nerve issue.
I informed the doctor about my ongoing sensation of incomplete bladder emptying (which was a pre-existing issue, not related to my current discomfort).
I believed my urination was normal, with no symptoms of frequency, incontinence, difficulty urinating, slow flow, low volume, or intermittent flow.
I often felt a little wetness after using the restroom when sitting back down or squatting, but it wasn't excessive and only occurred immediately after urination.
The doctor conducted a urinalysis, which appeared normal, and mentioned that my age made prostate enlargement unlikely.
The doctor prescribed nerve repair medication (for the tingling and soreness) and "Chuanliqing" for two weeks, but I only took it for three days due to concerns about retrograde ejaculation as a side effect.
The pharmacist also mentioned that at my age, I likely didn't need this medication.
Subsequently, the tingling and soreness resolved, but the sensation of incomplete bladder emptying persisted.
Two weeks ago, the tingling sensation returned, though not as severely as before.
Concerned about a recurrence, I visited the clinic again after masturbating the previous night, hoping to take the nerve repair medication, but it didn't seem to help much.
I returned to the same urology department, where the doctor prescribed similar medications for nerve repair and antibiotics, along with "Chuanliqing" for another week, scheduling a follow-up appointment.
The doctor indicated that if discomfort persisted, we would need to check for possible prostatitis, mentioning that if it were inflammation, I would need to continue medication for a while.
I diligently completed the medication course, and although I masturbated during this time, I experienced pain on the right side of my penis, especially during erection and exertion.
The pain subsided after ejaculation, but I felt intermittent mild cramping the next day, ranging from the penis to the testicles, scrotum, and perineum, as if the pain radiated in a line.
I was unsure if I had "injured" myself again, but the next day, it felt normal again.

Upon returning for a follow-up a week later, I informed the doctor of my symptoms, but at that moment, I had no discomfort or pain.
The doctor prescribed the same medications for another week: nerve repair (Methylcobalamin), "Chuanliqing," and a different antibiotic (Clarithromycin 500 mg, replacing doxycycline 100 mg from the previous prescription).
The doctor advised to continue this course and to return if discomfort persisted.
I have about 2-3 days' worth of medication left, and so far, I have not experienced any discomfort or pain.
I have been cautious during masturbation, avoiding excessive exertion to prevent injury.
Overall, things have been relatively normal, but I have a few questions for the doctor:
1.
Does my condition resemble prostatitis? I read online that it can be difficult to treat and often requires prolonged antibiotic use, with a tendency to recur.
However, during my last appointment, the doctor did not mention prostatitis, and I forgot to ask, but I have taken quite a few antibiotics this past month.
2.
It seems my discomfort occurs after masturbation.
Could this be due to excessive frequency or intensity causing injury? Or could prolonged sitting at work be a factor? Should I intentionally abstain during this period? Currently, I masturbate about every two days, though sometimes I can't resist doing it daily.
I try to avoid excessive exertion and keep it gentle, not holding back ejaculation for too long.
3.
Recently, I have experienced intermittent "bitter taste" in my mouth, sometimes mild and other times strong enough to induce nausea.
I found online that this could be a side effect of antibiotics, but I have been taking them for three days without this issue (the previous antibiotic also did not cause this).
It only started on the fourth day and has persisted.
The doctor prescribed one tablet twice daily, but I missed the morning dose two days ago because I slept in.
I took the midday dose (nerve repair medication, prescribed after meals) along with the missed antibiotic, and later that evening, I felt a bitter taste.
Could this be due to taking the antibiotics too close together? If it is a side effect of the medication, should I stop taking it? The pharmacist advised completing the course, and I understand that antibiotics should typically be taken for the full duration without interruption.
Since I only have 2-3 days left, is there a way to mitigate or alleviate the bitter taste if I continue taking the medication?
4.
I have been consistently taking "Chuanliqing" (one tablet before bed), and I feel that the sensation of incomplete bladder emptying has improved, although it still occurs occasionally.
If I stop taking the medication, will the sensation return, or can I maintain the improvement through proper care?
5.
I heard that Kegel exercises can help with incontinence.
I practiced them during the period of tingling and soreness, but I worry that this might have contributed to my discomfort, as they require sustained exertion, engaging the pelvic floor muscles, which might lead to nerve damage or muscle strain.
I have since been hesitant to continue.
Could this have an impact, or might I have been doing them incorrectly?
Thank you for your patience in reading my lengthy questions!

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A-Ren, 30~39 year old female. Ask Date: 2019/11/05