I feel like I’m at the end of my rope with chronic pain. I’ve suffered various symptoms of pelvic pain for years and it’s starting to feel like a hole that I can’t dig myself out of. I’m a young man in my early twenties and at times I feel like I have no future because of my pain. My symptoms include urinary frequency and rectal pain that intensifies after bowel movements. I’ve also dealt with anal fissures for a long time. For a while I thought an undiagnosed fissure was the source of my pain. Today, I finally had a colonoscopy and my doctor told me that everything looked normal and he had no explanation for my symptoms. This of course left me feeling extremely depressed because I was hoping he could find something treatable and straightforward. As well as seeing a CRS, I’ve been to urologists, pelvic floor physiotherapists, and health psychologists all with no lasting benefit. I’m familiar with the term “functional pain” and I’m aware that not all pain stems from tissue damage or structural problems. I’m struggling to believe that my pain is functional because it can be so debilitating at times. Also, my main trigger is the physical process of having a bowel movement. This leads me to believe that there must be a physical problem. I feel like I’ve exhausted all of my medical options at this point and I’m starting to seriously consider TMS. I’ve had days and even weeks where my pain was manageable or not there at all. The problem is that I can’t identify what makes the pain better or worse. The last time my symptoms improved It was not a result of any change in behavior or TMS practice. It just feels like there is someone in charge of giving me pain and he took a vacation that week. I’m not new to TMS and mind body healing I just haven’t fully committed to because I always thought there could be a physical issue. I’ve posted about my situation on another forum and got replies from people with my exact same symptoms who’ve never recovered. This left me feeling even more hopeless. If anyone has been in a similar situation and recovered I would love to hear some feedback or advice.