[Nsme]

As Sandhya suggested, the next day both of them went to that large hospital in Bangalore and met the 'Neuro-Urologist'. Kathir clearly explained all the problems he had faced in his life without hiding anything. Sandhya's presence gave him immense courage.

Considering Kathir's condition, the doctor recommended doing complete tests without rushing. To check for any infection, blood and urine tests were done. An abdomen scan, uroflowmetry to measure the speed of urine flow, and a urodynamics study to check nerve and muscle function—all these tests were conducted over the next few days.

A few days later, holding all the reports in hand, the doctor called Kathir and Sandhya, who had accompanied him, into his room.

There was a relieved smile on the doctor's face. "Kathir... good news. I have seen all your reports. What you have is something that can be completely cured, 100 percent," he said.

Kathir's eyes widened in surprise. It was like seeing light after twenty years of darkness.

Leaning forward eagerly, Sandhya asked back-to-back questions, "Doctor, what is the problem? Why hasn't it been cured all these years? How did it happen?"

Looking at them, the doctor began to speak calmly. "The problem Kathir has is called Chronic Pelvic Pain Syndrome (CPPS). More specifically, we call this Hard Flaccid Syndrome (HFS)."

Confused, Sandhya asked, "What does that mean, Doctor?"

"I will explain clearly," said the doctor, and looking at Kathir, he asked an unexpected question. "Kathir, in your younger days... especially in your childhood, have you faced any major trauma, that is, physical or mental abuse?"

Kathir was shocked for a moment. His face wilted slightly. He looked at Sandhya hesitantly. Her eyes gave him strength, as if saying, 'Tell him without hesitation'.

"Yes, Doctor..." Kathir began, clearing his throat. "My father used to beat and abuse me severely. Watching him beat me or my mother, I was very terrified."

Taking notes, the doctor asked, "Did that change a bit as you grew up? How would you feel when your father was around you?"

With a bitter smile, Kathir said, "Even if he was in a good mood, I would always be scared and tense. Because, if someone suddenly said something wrong about me, or if I accidentally dropped and broke something, his mood would change the very next second and he would start beating me brutally. Even thinking about it now makes my body shiver. After beating me, he would threaten, 'Don't cry. If any sound goes outside, then the consequences will be different'. Unable to control my crying, I would bury my face in the bedsheet and cry silently inside my mind, 'hmmm... hmmm...', without making a sound, and just fall asleep like that." His voice broke slightly as he said this.

Sandhya gently held his hand with sympathy.

Hearing this, the doctor tapped the table and said, "That's it! This is it! This is it, Kathir... this is the root cause for all your problems."

Not understanding anything, Kathir and Sandhya looked at each other and then looked at the doctor.

The doctor began to explain. "Just like a snail immediately shrinks its body into its shell when it senses danger... similarly, when mammals and humans sense danger, they are pushed into a state called 'Fight or Flight' mode. In that kind of fear, our body automatically clenches the jaw and tightens the pelvic floor muscles below the waist."

Sandhya said, "So, the fear Kathir experienced in his childhood..."

"Yes. Kathir has been in that 'Fight or Flight' mode throughout his childhood. Always a fear, a tremble. Because of that, his pelvic floor muscles have always been in a tight state. Being like that for years, the 'muscle memory' of those muscles forgot their natural relaxed state and got permanently locked in a tight state."

Kathir, now curious, asked, "But Doctor, what does this have to do with the sensation of having to pee right after taking a bath?"

With a smile, the doctor said, "Good question! When you bathe in hot water or normal water, the temperature of that water slightly relaxes your tight pelvic muscles. But, when you finish bathing and wipe your body with a towel, that area suddenly cools down, and the muscles snap back into tightness. This sudden contraction of muscles sends a false signal to your brain that the 'bladder is full'. That's why you feel the urge to pee immediately."

"My God!" Kathir muttered in surprise.

The doctor continued. "Now, coming to the incident you said happened when you were 16. In Indian homes, especially in the 90s era, boys wouldn't have a separate room. You have to sleep with the elders. When you masturbated at 16, you held your breath so no one would hear any sound, stayed completely motionless, and did it with a lot of stress."

Sandhya looked at Kathir; Kathir nodded with a slight blush.

"While doing so, your already tight pelvic ligaments (specifically the Bulbospongiosus and Ischiocavernosus muscles) suffered severe cramping. To understand this, imagine a charley horse cramp in your leg nerve. A similarly contracting muscle cramp happened deep inside your pelvis. Because you didn't know how to relax it, that muscle got permanently locked just like that. That brutal muscle cramp severely compressed your urethra, making you pee 20-25 times in one night."

With frustration, Kathir said, "But Doctor, when I saw a doctor when I was 20, they did a scan, put a tube in and checked everything... why didn't it show up then? They operated on the hernia I already had, which was completely unrelated..."

Gently, the doctor said, "I understand your frustration, Kathir. The reason you suffered for 20 years is that the old-college doctors you saw back then didn't have much awareness about this 'Pelvic floor dysfunction'. Not only that, it's only in the last 10 years that awareness about pelvic floor problems in men and the methods to diagnose them have developed well in India. Back then, in that 'Cystoscopy' examination, they inserted a camera into your urethra. They looked inside to see if there was any blockage, tumor, or if the prostate was swollen. But your urethra and bladder are very healthy! The problem is not inside the tube; it's in the tight muscles gripping that urethra from the outside. A camera going inside cannot see the muscle cramp on the outside."

Everything started becoming clear to Sandhya now. "Doctor, then is this the reason why he had a problem with his foreskin?" she asked.

"Yes. Kathir, you said your foreskin didn't pull back until you were 19, right? Because of these tight muscles, the oxygen-rich blood flow required for your organ didn't flow smoothly. You didn't even get the nocturnal erections that naturally occur during sleep at night (because you frequently woke up to pee). Because of this, the foreskin lost its elasticity and developed 'Phimosis' (tight foreskin). Later on, that condition worsened, affecting your foreskin to the point where you had to get a circumcision. The lack of proper blood circulation in your penis is the reason for this."

Hearing this, Kathir said, "Exactly doctor! Now I understand. That's why I got terrible irritation on my foreskin. When I saw a urologist at that time, he did a 'circumcision' operation on me. But Doctor, that operation was hellish agony for me. Even with local anesthesia, every cut during the operation hurt me precisely. I writhed terribly in pain. For 10 days after the operation, I couldn't bear the pain."

Nodding his head, the doctor said, "I understand. All your pelvic nerves have been in a state of severe inflammation and hyper-sensitivity for many years. In such a state, local anesthesia won't work completely. That's why you had so much pain."

"So, is this also the reason why my organ looks shrunken?" Kathir asked.

"Your organ hasn't actually shrunk, Kathir," the doctor said firmly. "That is 'Hard Flaccid'. The base of a penis is deeply embedded inside the pelvic muscles. Because your muscles are locked in severe contraction, it grabs and pulls the inner root of your organ backwards into your body. That's why it looks shrunken on the outside, like a turtle pulling its neck in (turtle-necking)."

Kathir felt as if a huge mountain had been lifted off him. Tears came to his eyes knowing that there was no flaw in his manhood.

"Kathir, listen carefully... there is absolutely no flaw in your hardware. You have all the capability to get a full erection."

Hesitating slightly, Sandhya asked, "But Doctor... even when he gets an erection, it's not full, and it shrinks very quickly... why is that?" indirectly referring to the incident that happened in the fitting room.

Laughing, the doctor said, "That is pure physics and nervous system."

"The first reason is the 'Kinked Hose Effect'. That is, an erection is related to blood flow. When lustful feelings arise, blood flows into the chambers of the organ. For it to be 100% erect, the surrounding muscles must lock that blood inside. But, the main blood vessels that carry blood to the organ pass right through these pelvic muscles."

The doctor took a pen and explained. "Just like water won't flow fully if we step on a garden hose with our foot... similarly, your tight muscles are stepping on your blood vessels. That's why the blood doesn't flow fully, and the erection stops at 60% or 70%. You don't get full strength."

Kathir and Sandhya listened to this with amazement.

"The second reason," the doctor continued, "is the Nervous System Clash. Erection is created by our body's 'Parasympathetic Nervous System'. That is the 'Rest and Relax' mode. A good erection comes only when our body is completely safe and relaxed."

Looking deeply at Kathir, the doctor said, "But Kathir, with your childhood trauma and 20 years of urinary problems... you have always kept your body in the 'Sympathetic Nervous System', that is the 'Fight or Flight' mode. Your brain is constantly pumping adrenaline."

Everything became completely clear to Sandhya now. "Adrenaline is the enemy of an erection, right Doctor?" she asked.

"Correct! When adrenaline is secreted, it constricts the blood vessels going to the genitals and sends that blood to the hands and legs (to run away or fight). A big clash is happening here, Kathir. Your mind desires to experience lust and pleasure. But your subconscious nervous system signals, 'We are in danger! Tighten the muscles! Cut the blood flow!' This is the problem itself. But the only good thing is, without wasting the adrenaline you secrete, you have regularly gone to the gym and kept yourself very fit. I commend you for that. It takes extraordinary willpower to do this given the circumstances you've been through."

Kathir asked, "Is that why as soon as I get excited, it shrinks quickly and triggers the urge to pee, Doctor?"

"Exactly Kathir. When that feeling comes to your mind, which has been deprived of love and lust for many years, it struggles to hold onto it. But when the erection reduces due to muscle tightness, frustration or panic arises within you. That panic makes you secrete even more adrenaline. That tightens the muscles even more and completely kills the erection. This is a cycle."

Sandhya recalled the incident that happened in the car. "Doctor, then when Kathir gets very excited, he is unable to hold back his semen and releases it very quickly (Premature Ejaculation)... is this muscle tightness the reason for that too?" she asked.

The doctor immediately nodded in agreement. "Definitely. This is called the 'Hair-Trigger Effect'. The main muscle responsible for ejaculation is the 'Bulbospongiosus'. For a normal man, this muscle will naturally be relaxed. As lustful feelings increase, it will gradually contract and at one point, ejaculate the semen. They can control and hold this."

The doctor looked at Kathir and explained. "But Kathir, your pelvic floor muscles are already at 90% tightness, meaning they are always locked in a spasm, like a rubber band pulled and tied completely tight. Therefore, as soon as you get a small stimulation or over-excitement, that muscle easily reaches its 100% tightness instantly, without any gradual progression."

"The moment it touches that, it automatically contracts and pushes the semen out. Like a rubber band snapping suddenly! Because you don't know how to keep those muscles relaxed, you are unable to control and hold your semen during sex or high excitement. Everything is the work of that muscle tension. This problem created another problem, and that one created another problem, making everything a complicated mess for you," the doctor said.

Having finished his explanations, the doctor looked into Kathir's eyes and said firmly, "Don't worry anymore, Kathir. We have 100 percent identified what your problem is. The treatment plan for this is very simple and effective. We are going to teach you how to relax your pelvic floor."

A huge relief and smile now spread across the faces of Kathir and Sandhya. Kathir looked at Sandhya; his mind deeply believed that his 'debilitated Venus' had come in her form to grant him salvation from his curse.