Sexual symptoms after oral sex

How it started

(M23) In Fall 2023, after an encounter involving kissing and receiving oral sex, I developed what seemed like a viral infection with enlarged lymph nodes in the neck that resolved in 2–3 weeks. STD panel tests were negative, but since then I’ve felt generally “off,” and a cluster of symptoms began since then( 2.5 years)

**Main symptoms**

ED and low libido ( gets worse if ejaculation is frequent, worst when standing better when laying down )

Premature ejaculation (PE)- has always been bad but since encounter its been slightly worse

Pelvic/penile pain

Sharp, electric pains in the penis/pelvic area, usually lasting 1–2 seconds. Abstinence prevents reoccurrence . Sometiems

**Other symptoms**

Body tremors and rhythmic head tension

Weak stream, incomplete emptying, occasional brief second void.

I’ve taken all tests ranging from blood to imaging and everything is reported normal if not optimal. I’ve done Pelvic therapy for the past month and my PT says I’m not tight internally aswell. Have also tried Cialis but doesn’t work all that well. I feel symptoms subside the longer I abstain but relapse right after ejaculation. If anyone has any insight it would be much appreciated.