TL;DR: Urethra pressure and urgency for the past month, making me very anxious. Looking for advice on how I can better accept TMS and resolve the issue through emotional awareness, and specifically a feeling of ‘incomplete’ certainty that it’s not a ‘structural’ diagnosis. A specific fear of sex increasing symptoms. Any input on breaking the fear would be so helpful. Thank you so much! Hello all, new poster here hoping to get some input from anyone who could take the time to read this. I discovered TMS three years ago via back pain. I had the structural checks and nothing was wrong, and I had the signs of the pain being anxiety-induced (also the TMS personality). My back pain healed, not to return, through acceptance, awareness and journalling. You can imagine the elation. Then, about a month ago, I started experiencing significant urethra pressure and almost-constant urgency. No UTI. I started googling other physical causes, and became worried it was interstitial cystitis. The more I stressed about something being wrong, the worse it got. I caved and tried adapting to the IC diet, but something in me didn’t feel right about the whole thing. IC seemed too broad and unexplained. I knew anxiety was making my symptoms worse, but it took me until this Monday to make the connection with TMS being the cause. I read all the bladder-related posts on the forum and it resonated. The relief was great as I strongly believe in our ability to ‘heal’ things in our minds. This week my symptoms improved significantly so further evidence its TMS. However, a few things I’m struggling with that I’d really welcome some input on… I’m trying to ignore the IC food restrictions and convince myself that the cause of the symptoms is mental. But, my success has been mixed. A part of me is still anxious about certain ‘bad bladder’ foods. I have a fear about sex inducing the symptoms. I’ve been avoiding sex because of this and the few times I have had sex, symptoms have worsened. This was my prompt for posting. I had sex yesterday and during, immediately afterwards and since, I’ve had terrible pressure and urgency. I had a deep journalling session last night in hopes it would help but it didn’t appear to physically. This is getting to me especially as a newly married. I have no infection/diabetes/kidney problems. I know there may be other psychical causes but with limited finances I’m really hoping I can ‘test’ if this is truly TMS before I spend more on scans. I think herein lies my problem with acceptance, I can’t feel certain because I haven’t been able to check off other diagnoses, but to truly ‘test’ for TMS I need to let myself believe it is completely psychologically caused. If anyone could weigh in on any of these things holding me back that would be mean the world to me.