Hi all, I'm a 27 year old male, ex-college soccer player and avid weightlifter. I have had trigger points in the upper glutes and around the piriformis since i can remember. I have constantly pulled my hip flexors and hamstrings more times than I can count. After and during weight lifting, I have had frequent urination. Caffeine exacerbated the urination. None of these things ever interfered with my daily life and activities. I would get severe burning and frequency from time to time after ejaculation, but it would always go away after a couple hours, so I just thought it was normal. 4 years ago, driving to return to college, I had burning in the urethra, coupled with frequency. It was 3 week after intercourse and I was subconciously worried about STDs. I freaked, thinking it was herpes, and incessantly searched the internet and got every test done over the course of 6 months, which all came out clear. I then discovered prostatis, which lead me to the pudendal neuaralgia diagnosis. This left me devastated, and after browsing the pudendal hope sight, I was convinced that my life was over. This put me in massive spurts of depression and anxiety, as I was getting ready to graduate and start life in public accounting, which is very stressful. In my 4 year journey, I have stumbled across TMS and fit the description pretty well. Self esteem issues, health anxiety, depression, perfectionism, ect. My only quarrel is that the pain has been stagnant in the left perineal branch of the pudendal nerve for 2 years. It has remained stagnant, and my trigger points have always been there. Also, it's pretty constant and the same exercises flare it. Question 1 is, could it still be TMS is the pain doesn't really move? Question 2 is reaching out to anyone that has dealt with PN. I have done 2 years of PT, and didn't get much out of it. I simply did not do the exercises as I could not wrap my head around how gentle stretching and foam rolling can reverse years of supposed imbalances and muscle atrophy/hypertension. It just didnt make sense and felt like I was wasting my time. I've also had nerve blocks which only worked for a couple hours. I'm currently going the psychological route. I just need some reassurance from an actual vet that this is beatable, even when told your PN is caused by structural issues and repetitive strain. Pudendal Neuralgia / chronic pelvic pain seems to be the new buzzword, so I hope there are people out there that have beat it recently.