Hello everyone, I've had pain that has been labelled as chronic prostatitis, chronic pelvic pain syndrome, pelvic pain dysfunction for 20 years now. Through much research and endless different treatments, i kind of self diagnosed myself as having pudendal neuralgia. As that matched all my symptoms the best. My GP seemed to agree, and recently put me on Nortriptyline, as this is used for nerve pain. It hasn't done anything after about 6 weeks. Thats just a very brief history. I've ordered a book by Dr Sarno and it should be here in a couple of days. I've read and watched some videos on TMS and the theory seems to make sense. I've always been a stressful type of person ever since i was in my teens. Its hard to formulate this question but i'll try. I understand the idea that when you are in pain, try focusing on your emotional state instead of your physical symptoms. BUT, what if your pain is exacerbated by certain physical things that you do? I'll be frank here, in my case its anything sexual, or a bowel movement. So, after a bowel movement, the pain immediately is increased ten fold. I have to sit on a hot water bottle to ease it somewhat. This is whats confusing me about the TMS idea: The pain has been directly increased by the bowel movement, a physical thing. It happens everyday without fail. Its not that my emotional state has just changed, or started dwelling on something negative that i can't handle. Don't get me wrong, my emotional state DOES change, but thats as a result of the increase in the pain. I hope you can understand where i'm coming from with this question. Like i say, i'm very new to this idea and haven't even received the book yet. I will add that i've been examined by several urologists, and had cystoscopies (3) and no physical abnormality has been found. Neither has any bacteria or infection been found. I know this is a very specific question, and there might not be a specific answer, but its something that has been bugging me for a few days now, so i thought i'd ask on here. Thank you for reading. Ste.