For the last 6 months I've had a variety of pelvic pain - knife like vaginal pains, a feeling that something inside is ulcerated, a painful 'twanging' sensation, progressing to sharp pain in groin/pins and needles during BMs and a 'sensitive' perineum. The first doctor thought it might be diverticulosis and sent me away with some antibiotics, the second thought 'vaginal atrophy' and gave me some Vagifem (symptoms do seem to have eased since), the pelvic and transvaginal ultrasounds failed to find the usual suspects - ie fibroids, endometriosis, cysts and a prolapse has been ruled out. For some reason (atrophy or tilted uterus?) the attempted pap smear was excruciating and they are talking about doing one under general anaesthetic. Have yet to decide on that one. Everytime they poke around, (even the ultrasounds) the symptoms worsen.
The gynecologist said that any BM pain was not her territory and I would have to see someone else for that. It seems to me that it is all related. It would be nice to see some joined up thinking!
For the moment the symptoms have eased in that I no longer have pain during the day - it tends to set in mid to late evening. Then if I continue moving around it gets worse and I have a sleepless night as it hurts to turn round in bed. Just about the only thing to do is to get to bed at the first twinge.
The condition that fits the bill imo is pudendal neuralgia/nerve entrapment. I just wondered if anyone else got this diagnosed and how?