Guys you all know my problem with this anal pressure and ache in have. Yes I know it is psychological but there has always been a nagging doubt that it is something else. I went to see a pelvic physiotherapist with the agreement of my fully trained tms therapist. The physio found a really chronically tight muscle during the internal examination. When she pressed on it all my symptoms were replicated. She commented on how unbelievably tight it was before I even had a chance to tell her that's the problem. At last I have a diagnosis. I can stop thinking about cancer or prolapse. She says she sees this many times. The brain is causing the tension and a chronic holding of these muscles. She agrees it's psychological in cause and she can do some work to help relax and stretch the muscle to relieve some pain. This combined with tms therapy can attack the problem from both sides. I'm hopeful I can beat this. I was worried I was imagining the pain.