Hi, though I am new to the forum I read the posts from user cirrusnarea from 2014 to 2017 and his symptoms were very similar to mine. I wanted to put together a post that may help others with the same issues as I make progress on this. Here's my 1 page summary of how my condition happened and where I am now : https://docs.google.com/document/d/1YoQZt_trauNX0i3PXW_oN6UrtWVbfiML5y13YN0m_aU/edit (1 page summary) A few of my milestones: 1. Getting ultrasound on testicles and CT scan, showed no evidence of structural issues. Seeing Dr. Jeannette Potts, realized cystocopy is not necessary and can potentially be inflammatory 2. Being a fan of trigger points (it helped me back on 2010), I spoke to Dr Wise (author of headache in the pelvis) and found the PT that did his studies here in the bay area. We've made a lot of progress but I am now reaching a limit with TrP (trigger point) work 3. The same PT and another great PT, have since referred me to the work of Dr Sarno and the Curable app, and now I'm realizing that, given no physical evidence of structural issues, 5+ months of work on TrPs and the muscles, it may be time to focus on the psychological aspects of this. Honestly, part of me still thinks there's a very mechanical aspect to this. I'm attributing 20-30% max to psychological. But, as I read the posts here and learn more about TMS, it's possible the pain routes that have been built in my brain for the last few months are perpetuating the remaining pain. In other words, instead of fixing the programming code, we may need to change the code language itself.