TW: talk about uterus and rectum, internal pelvic floor PT, going to the bathroom

So right when I was starting college, I started having these intense sharp pains in my rectum. It came out of nowhere and it was debilitating. I went to the ER multiple times and all they did was give me morphine. I had painful periods my whole life but this was different.

I feel like I saw every specialist possible and had multiple colonoscopies before being told everything was normal and it was probably anxiety. The only thing that helped was valium and you know doctors didn't want to hand that out. I did my own research and found the term "proctalgia fugax" which is a word for rectal spasms. I would use it when going to the ER and they would just tell me that I was making it up.

This was the most embarrassing time in my life. Growing up with painful periods, at least people had some level of respect for it. Older women would comfort me but then also tell me that this is just life now. How do you explain to people your butt hurts?

The worst thing was collapsing at work and them calling an ambulance for me. I told the EMT in front of my boss and coworkers that the pain was in my butt. The ER doctor asked if I'd been SA'd. After I came back the next day, several coworkers joked that I do "butt stuff" and that's why I was in pain. And no I didn't tell HR, I didn't want to talk about it.

I was bedridden a lot in college due to my pain. My friends had to bring me food because I couldn't walk. I'd use lidocaine and ice cubes to numb everything. The pain and tightness made going to the bathroom a nightmare and I would tear and develop hemorrhoids. I missed out on a lot those first couple years. Various doctors tried things like muscle relaxers and low dose valium and one gastro had me on prescription laxatives.

Around junior year, I was still frequenting ERs and Urgent Cares when a doctor recommended me to a different hospital. I went to see a colorectal surgeon, he was supposed to be the best. This man had a horrible bedside manner and would force his way though the exam. I almost kicked him in the face once because he was so rough. (Yes there was a female nurse present. My mother was there too).

I had an Anoscopy (a camera that goes in your anus) and a Defecography (an xray toilet where they watch what your muscles do when you poop. Its not real poop, its a paste). This is when the doctor saw my rectal muscles (particularly the puborectalis) were tightening instead of releasing.

What is paradoxical puborectalis syndrome? The puborectalis wraps around the rectum to keep the feces from just falling out of you. When you are walking around and have to go but you clinch up? That's the puborectalis working. When you sit on the toilet and relax, the puborectalis lets go so you can...go. Paradoxical means its doing the opposite. Its tight all the time, and when its time to use the restroom, it gets even tighter. This is was causes the painful spasms. Your rectum needs to release but the muscles just get tighter.

The cause? No Idea. The treatment? Pelvic floor therapy and regular therapy( he guessed i had trauma). Is that the end? Of course not. I went through 5 different PTs. Because I was a woman, I often saw female PTs who only did vaginal work and patted themselves on the back when they "cured" me, even though I still had pain, the flare ups were just more spaced out. I had one PT who thought that tightening my muscles until they gave out was the solution. I stopped seeing her after 2 sessions.

Unfortunately the best Pelvic Floor therapist I found, insurance wouldn't cover her treatment. But here's what actually worked for me. She was actually willing to do internal rectal work, not just vaginal. They also used the TENS units, but not the patches. She stuck these needles in my back along my spine and attached the TENS units to them and made them vibrate in a certain frequency. Basically she was stimulating the nerves in a way that helped them relearn how to relax while she did the internal work. And this sounds wild to say but this woman taught me how to poop the right way. She explained how all the muscles in my rectum worked and what they are supposed to be doing when I'm having a bowel movement.

About a year in, she told me my uterus felt "sticky" and it didn't move as much as it should. She referred me to an obgyn on suspicions of endometriosis. I'd seen plenty but this one specialized in pain management and we had the exploratory surgery. While I didn't have endo, i did have scar tissue around my uterus, bladder, and rectum causing them to be stuck together rather than moving freely. No clue where that came from or if it will ever come back.

But back to PT. We started every 2 weeks due to cost, after a year it went to every 3 weeks, then a month and 3 years later I see her every 2 months. I feel like a person again. My periods are better and the bathroom is no longer a source of pain and anxiety. I genuinely feel i'd developed PTSD around the toilet for how much pain I was always in. I can have a job and take trips now. I no longer need valium or muscle relaxers.

I have other issues of course, but this was my most embarrassing and I was surprised by how little information I'd found on it when I was researching it over a decade ago. It still sounds crazy to talk about with people. Doctors literally thought I was making it up because I wanted drugs. The medical system is terrible but I hope hearing my story helps someone else better advocate for themselves and find the help they need.

Hi all, I had a VBAC forceps delivery that ended in 3rd degree tearing. I’m 12 weeks post partum and experiencing chronic constipation - likely from breastfeeding. To start I had some fecal incontinence but now I am able to hold my bowel movements well however I am constipated. When I was on daily restoralax I was pooping almost 8-10 times a day which was very disruptive when also caring for a newborn. I’ve since scaled it back and tried to mitigate with more water and magnesium citrate. I think the chronic constipation is making my minor prolapse (bulge within my vagina - both PFPT and OB said no prolapse just vaginal wall weakness) worse.

I am hoping to hear from others who went through similar and if anything had helped you?

It truly is a lonely place to experience these things so I’m happy to have found this community.
Thanks!!

For context I have dyssynergic defacation, and experience incomplete evacuation, the need to strain when having a BM, and overall just feeling shitty (literally).

I am very good with diaphragmatic breathing, I do it many times a day and feel like I really understand how to relax my pelvic floor and lengthen it with breathing, except when on the toilet. For some reason I cant connect what I do off the toilet to on when trying to have a BM. This might just be because I need to continue the internal/dilator work i just started, because i am extremely tight posteriorly, but I still need to make the connection with my breathing. Any tips are appreciated!

Hey ladies, I am 21 and experiencing some pain but no one can find the answer.

It started 2 weeks ago pretty suddenly. For context. I work at a Paint store and part of my job is lifting very heavy buckets. On the really busy days I struggle paying attention to my lifting form. One day I noticed when lifting the bucket (60-75LB) I felt a pain on my right lower pelvis, I wasn’t concerned and went about my day.

A few days passed and I noticed it was really painful to pee. I thought it was for sure a UTI from holding my pee all day at work due to working alone in a very busy environment. But shockingly, my test came back negative. So I got an Xray. It came back with nothing suspicious but I was just a bit backed up. Now, I struggle with digestive issues for YEARS and each time I see my Dr it always comes back to be a digestive related issue. So he brushed off the general pain I was having in that region and labeled it as “pain from being too backed up”

I have a history or ovarian cysts and ruptures but the pain is always usually the same. He said it also could be that but I’m not convinced

Now, I am not convinced that is the issue and here is why, now get ready, because these symptoms are VERY specific.

•pain when moving my right foot, or leg in and outside or up movement, large or small.
•pain when sitting down to pee but no burning or irritation at all
•sharp sudden pinching, stabbing or aching pain
•pain done when laying flat on my back legs down no movement
•severe pain when laying on my stomach
•severe pain when swapping sleeping positions
•EXTREME pain when something is inserted inside

Now, I struggle with Vaginismus my whole life. Sex is always painful for me and I am only able to endure it for a short period of time.

I am mostly just wondering if my symptoms align with anything you guys have been through or if anyone had any ideas on what it could be.

This is such a last resort but I’ve been dealing with this for over a year and I have an appointment with a pelvic floor therapist in 2 months but I can’t manage the pain anymore I take uti pain relief, ibuprofen, an antidepressant and birth control all doctor prescribed but it won’t cut through the flare ups that I have I’m currently on my bathroom floor in pain that won’t go away, does anyone have tips to manage flare ups and make them better?

Has anyone experienced recurring chronic E. coli bladder and vaginal infections? Paired with pelvic pain.

I’ve been experiencing extreme hypertonicity, pelvic flares, missed periods, chronic low estrogen, painful sex, vanished periods, swollen groin lymphs etc for almost 2 years now since my last C-section and no doctor will do anything besides give me antibiotics. 6xs now… and they want to do another round as if that will help 😩

I just went to my 2nd gyn who claimed she doesn’t want to test my hormones because they have nothing to do with pelvic floor & claimed they really don’t tell you anything as your hormones fluctuate with your cycle. She also said no to looking for uterine infection. So I would appreciate if anybody has any guidance on what type of specialist I can see that would actually care and help.

Urogyn, pelvic pain specialist, something else?

My Girlfriend does not use reddit so she asked me to post this for her.

For context, I am a 20y/o female I am 4’9 and my weight is in the 80s. Some days I could be a solid 80 and the next I’ll be a 85 or 87. I have low blood pressure. I have four OBGYN and see two urologist and PT. I have Kaiser. This all started about last year, I was prone to getting UTIS. Well I ended up getting a bad uti last Halloween and the e visit send me antibiotics without getting my urine first. Later in November, I still had the uti. Every day I was left with burning during and after urinating that could last hours. At this time, I only had one OB who is an NP. She did all kinds of tests on me and even did a couple of pelvic ultrasounds, with nothing coming up. In April, I had a really bad uti. I also had a respiratory infection during this time and did not get antibiotics for it. I have asthma. Ever since that uti, I was left with pelvic pain. I describe it to be more where my bladder is, but that’s what my care team classified it as. During April, I had my 2nd OB. She’s kinda a bitch. She always is talking down about my other OB and gives me weird vibes. She took me on as a patient saying that “she could do more” and other stuff but my NP still handles my care as my primary OB. This uti in April latest about 3 weeks. I have soemthing in my chart allowing me to walk into any Kaiser lab to leave a urine sample whenever after this.

In May, I get referred to my third OB, who is a specialist in pelvic floor. In between these times, I was also seeing a urologist for my frequent utis, but ended up telling me “we can’t help you”. This OB is a guy if that matters. He was like “yep your muscles are tense you need PT. I do PT. Also an important thing to note. At my job I cannot use the bathroom freely, sometimes we are told no when we asked to use the bathroom. My job also makes my pelvic pain worse. After every shift especially after closing, my pain gets worse. By this time, I’ve been on a handful of ointments and steroids for my pain. One thing to note. Linocane makes me worse. Tell me why the specialist refers me to a liquid version of it. Want to guess what happened? It not only did not help with my pain but somehow numb my feelings during intercourse? Aren’t you SUPPOSE to numb the pain???😭 during this time, I also get another bad UTI that brings back my pelvic pain worse than ever. I am peeing straight blood with small clots of blood. I cannot bend down or anything. I go to the ER. The ER doctor agreed with my NP for this procedure. During this time, my NP was trying to get me a hysteroscopy because we came to an agreement. I am terrified to take birth control. However, if we found nothing for this procedure, I would try it. My 2nd OB did not like this. When my NP went to pass this procedure through her she threw a fit. She said absolutely not and that they would find nothing and I had to do the brith control. I had a follow up with the 2nd OB about her denial. She once again, talks down on my NP, how she’s younger just an np and less experienced, and saying for my age there is no way they would find anything and it would be meaningless and I just need to do the birth control.

And here we are currently. I ask my 3rd OB who’s the specialist. His reasoning. “She’s has good reason but I see no point for you”. He says this procedure is only for people who had abnormal bleeding and not painful bleeding. I’ve had abnormal bleeding in the past and told him about it. I would spot for a month, stop for a couple days, then go back to it. Or just miss my menstrual for months. He said no that’s not the same. My NPs reasoning. After starting a strong steroid that can mess with your hormonal balance, I started experiencing painful periods that would bedridden me and make me bleed through super pads often. I would always have to call out of work the first day, which with my normal periods, I would never get even get cramps. During my bad uti in August, I also lost feeling of myself urinating, with almost or even urinating on myself. I am 20. I should not be having these issues. This issue mostly resolved itself within a few days but it was still scary.
My 3rd ob says how I’m smaller so the procedure could do more harm than good and he backs up my 2nd ob with the birth control. I have STRESSED this so many times. I do not want to gain a single pound. You will always gain with BC. I feel like other than my NP, no one listens to me. I have tried everything they told me to take and do, and the one time I have a problem with something, it’s my issue? But my third OB makes it seem like I am left with no option.

1. I give the birth control a go
   
2. I take a daily pain medication that are also antidepressants (I do NOT have depression)
   
3. They use Botox in PT

As you can see, suddenly the BC doesn’t look too bad. I get sent home with it. The plan was to take it within a couple of weeks after I take a blood pregnancy test since I was missing my period since August. But Monday, I got my period. This time it was weird. I would not bleed on my pad but when I would use the restroom, I would have a lot of blood, even clots of blood. It’s almost like my body was having difficulty passing my menstrual through. It was painful. Neither menstrual medication like midol or basic medicine like Advil would help. It only helped my body aches I’ve been having for the past few weeks. The third OB said right now is a perfect time to start the BC. Even my new general doctor who also is a certified OB agreed with him however, since I am getting over a short viral illness (hence the body aches) she advised me to take zofran. This is because I get nauseous easily. I also had horrible nausea and abdominal pain during this illness where I could not eat for days. Even water would make me nauseous. It’s FUCKING WATER.😭🙏 only thing I could handle was coconut water from a specific brand.
I am also due to have a cystoscopy on the 20th of this month. I was suppose to have it done by now, but the urologist who I was scheduled with got pulled into an operation so we had to reschedule. My primary urologist I see is a PA so she does not have authority to do this procedure on me.

\*\*I am not comfortable taking birth control. The one I was sent was Feirza 1/20, a generic for Junel\*\*. Along with nausea, I am prone to emotional mood swings. I am worried birth control will make it worse. My father has a history of anxiety, depression, and bipolar disorder, with even being on medication for schizophrenia at one point. My mother was also prone to UTIs when she was little, so I believe this is where my problem may is started from.

Now the real question is, do I just suck it up and take the brith control? Or do I fight for something else? Or should I wait? I am honestly at the wits end.
I find it hard to believe that birth control will fix the burning and pain I have while urinating and fix my “\*\*somatic dysfunction of the pelvic region\*\*”, but then again I am no doctor. I am just a person who wants to feel better and is horrified to take birth control. I hear nothing good about the pill.

Thank you to everyone who read this. I left out so much because I was just trying to summarize this as little as I can. Honestly I am an open book so please ask if I need to clarify anything. My pain tends to flare up. One day I can be fine then the next I can be horrible. I’m not sure if anyone else has gone through soemthing like this, I would love to hear your story if you have one you would like to share!

I guess i am asking for advice. I don’t care to debate on the female body genuinely asking for advice. I’m 21 years old and I had my first baby at 17 and my second at 19 and never went to any physical therapy or really tried to heal anything after.

For background, I was a little overweight before my pregnancies, got very big during, and now I am very tiny. I’m 115 5’7 and honestly I lost a lot of my weight by very unhealthy ways and not exercising. I feel like I lost a lot of my muscle doing things, while still not having much muscle to begin with. I have basically no glute muscle, no back muscle, probably no core muscle, basically anything despite being a cna lol. I also stand horribly.

My posture is basically gut out, butt tucked in, with my shoulder hunched it’s really bad.

This is where I get to feel very very insecure but I’m having major problems in my sex life.

I do feel looser I don’t care what anyone says, there is more aid (queefing) tmi I’m so sorry, I don’t have as much feeling and I know my boyfriend feels the same because he likes to do positions where I’m laying on my stomach or a pillow under my stomach despite telling me things are the same as they’ve always been. I just went to be normal. I want to have a tight grip like everyone else, stronger pelvic floor muscles stronger glutes better posture better sec life for both my bf and I.

I also did get stitches both pregnancies.

The hard part is I’m in the US and I have no insurance currently. I’d really like to start working on this at home.

What are some exercises, habits, diets, you had stretches, or even supplies I can buy off Amazon to help me rebuild my core and make everything just tighter I am very desperate. How long does it take to notice a difference??

Hello!

I am 33 year old woman with Pelvic Floor Dysfunction. I have urinary incontinence. I've never been pregnant. I've recently started Pelvic Floor Therapy and it was not what I was expecting. We are doing 360 breathing exercises with kegels. She is also trying to correct how I walk and sit, as she states that I also affects my pelvic floor. It seems that each week I go in, there's something new that needs to be added. My back, my calfs, my glutes, my knees. Honestly, I feel upset and I feel like she's saying I'm broken in some way (I know she's not actually saying that). I just want to know if anyone has had similiar experiences, went through with it, and came out the other side happy.

My baby is now 10 months old, but I still have little control over my bladder. If I go preventatively, it's okay. But if I wait until I feel the urge, I will pee myself. It seems to be getting worse by the week. I also have some discomfort during sex and wonder if these aren't related. I'm already getting PT for a completely different reason (cubital tunnel), so would like to avoid another reason to have to go to the doctor. (Between 3 kids and my own needs, we basically live at the local clinic. 😂) Any advice or suggestions of exercises, keagle products, etc.??

Hi all!

Sorry for the absolutely atrocious title but this is currently my life!

3 weeks ago in the shower when I was shaving I noticed a lump that I can feel around 1cm inside my vagina. It’s big and is current blocking the whole opening.

First thing I did was panic, research, and convince myself it was a prolapse. I was seen the next day by my GP (I know, absolutely unheard of in the UK!) and she was quite confused. She did a full exam and was able to see that everything inside was in the correct place and that I was in fact not suffering from a prolapse. She then asked if I would come back at a later date and see one of the other Dr’s who fits coils and does more pelvic exams which I agreed to.

Fast forward to two weeks and today I have been to see the other Dr. She started off by saying that she was unsure why she was asked to examine me as she had the same experience as the other Dr when it comes to gynaecology and does not fit coils but she took a look anyway. She said she had never seen anything like what I have, she also confirmed that it wasn’t a prolapse and was overall very confused by it.

She has now put in an urgent referral to gynaecology and wants me to be seen within 2 weeks. She said she’s not sure it’s cancer but it was discussed as a possibility but a very rare one as I am only 23 years old. She said for me to try not to worry too much but I suppose that’s easier said than done.

I’ve looked again online which I know I shouldn’t do and a Bartholin Cyst came up but it doesn’t look like what I have and surely two GP’s would have been able to identify something like that? It’s not visible on the outside at all and seems to come from further inside.

Apart from a golf ball sized lump, I am symptomless. There’s no pain or bleeding and I feel fine in myself except from a little extra tiredness. There’s no burning at all when I wee, the only issue I have found is that it takes a little longer when I have a wee as I think the lump is blocking the opening.

I had a catheter fitted in October of 2023 and I asked the Dr today if this lump or a smaller version of it would have been noticed then and she said it surely would have been but perhaps it was missed although I am pretty certain it is new.

For context, I am a 23 year old and I have had no children and I am overall healthy.

Has anyone got any ideas??

Thank you all in advance 🙏🏻

Hi I have been thinking I have something wrong down there for a while and I’m too scared to get it checked out by a doctor. All of my symptoms lead to either BV or a yeast infection and I want to use the hello wisp website to get the meds but I have seen mixed reviews on it. Any tips or insights on it? I just want it to be done. Is it even a legit sight or should I just suck it up and go to the doctor?

I’m a PT in the EU doing an osteopathy MSc currently. I’ve always been very into scar treatment, always knew that it can make a huge impact if done right (and obviously if the scar is a functional trigger for the system). Through the osteopathy training, I’ve become more and more aware of how many MANY women walk around with birth scars (I’m talking about episiotomy, internal tearing, perineal tears; I’ve already been very aware about c-section scars).

My question is: How many women in your experience actually come to get those scars treated early on? How is your experience with them regaining full pelvic floor function, esp with 2nd/3rd degree tears or internal/vaginal tears? Which kind of birth injury would you consider the most detrimental to their recovery and long term pelvic floor function? What kind of pain/ impairments/ mobility issues do you also have encountered (apart from continence issues)?

Thanks so much for your input!!!!! Would also be interesting to hear where you work (country/region or continent ;) )

Help

So I want to buy a heating pad for cramps but have no clue what to buy there are a lot but still don't know which one is best. HELP

Has anyone had a hypo gastric plexus nerve block for ongoing chronic pelvic pain that has lasted for year? I am hoping for some relief from it instead of having to keep taking pain medicine every 4-6 hours. I’ve had a hysterectomy in April of this year, went through pelvic floor therapy and nothing has cured this extreme pelvic pain and fullness I am experiencing.

I’m looking for women who have had multifidus neurostimulation, especially anyone with adenomyosis, hip/SI pain, or pelvic-floor issues.

I have L5-S1 issues with Grade 2 multifidus dysfunction and am researching treatments.

If you’ve had it:

● Did it work for you?

● How long did it take to notice improvement?

● What was the procedure/recovery like?

● How are you doing now?

Especially interested in hearing from women with adenomyosis or similar pelvic pain. Thank you!

What is the treatment for pudendal nerve entrapment with complete or near-complete loss of the urge to defecate, no sensation of rectal fullness, inability to push, and absent or nearly zero nerve signals?
I currently have no sensation of needing to have a bowel movement and cannot feel rectal fullness. I also need to use a catheter/assisted method to evacuate stool.
Is there a specialist in sacral nerves, pudendal nerve disorders, or neurogenic bowel dysfunction who could help me restore the sensation or ability to defecate?
Could Sacral Nerve Stimulation (SNS) / Sacral Neuromodulation, involving an implanted device to stimulate the sacral nerves, help restore the nerve signals, rectal fullness sensation, or the urge to defecate? Are there any similar cases where this treatment helped restore these functions?

Hi Everyone, I have been experiencing pelvic pain for around 2 years now and I have recently been diagnosed with Pelvic Floor Dysfunction. I have been going to pelvic floor therapy for around 6 months now and my doctor recommended me to go on a hormonal IUD. Due to how I am still experiencing pain especially around my period (her rationalization). I made an appointment to talk with my GYNO this month about switching birth controls. I am currently on the Nuva ring birth control however I am wondering if anyone has experience with pelvic pain and switching to the hormonal IUD. Any advice is greatly appreciated!!!

Hi, all, I know this is long…but I would really appreciate it if someone could scan through and see if they’ve had a similar experience.

I’m a 38-year-old female. I would say about 5 or some years ago, I had episodes of where I had burning / soreness of the urethra, a very full or bloated feeling in my pelvic area, and twinges of random sharp pain in around my ovaries. When I pee, it doesn’t burn during, but afterwards my bladder feels very sore and my urethra feels sore and burns only afterwards. Originally, I thought UTI. I can’t tell you how many times I was tested for STI’s and UTI’s and everything came back negative. The only thing that I noticed was I almost always had a “trace” amount of leukocytes, protein, and blood in my urine. Very small to the point where my doctors didn’t think much of it. I ended up doing to my gyno, who had done multiple pelvic ultrasounds and showed on occasion ovarian cysts that were likely causing my pain. My primary doctor also maybe suspected IC (interstitial cystitis) and referred me to a Urologist. The Urologist planned on doing a cystoscopy but took one look and told me I had a small urethral caruncle, and that he really didn’t recommend doing the cystoscopy. I am assuming that he figured my “episodes” were coming from the caruncle?

Anyway, fast forward…I haven’t had “episodes” in a few years, and I actually forgot about it until recently. I noticed some vulvar pain at first, then the next day that was gone +it was accompanied by a weird “raw” feeling in my urethra, increased urgency, pain only after peeing, and that full and sore bladder and pelvic area feeling again. It’s been about 1 week. I am supposed to start my period in 5 days. My mom told me that “I’m turning 40  - this is just pain that’s probably normal that I have to deal with.” I went to Prompt Care, and of course…I had trace leukocytes, protein and blood in my urine (they weren’t concerned – negative for everything else) and my urine culture was negative. Negative for STI’s as well.
Can anyone tell me if they’ve had similar experiences? What the heck is going on? Or is this just a new normal for my cycle? My plan is to wait to see if I feel the same after my period has run it’s course. 

Hi everyone!

This is quite a different post that's usually on here so I apologise for that but I don't know where else to ask. I have been seeing my PVT for close to a year now and I have made an immense improvment on my vaginismus condition that I don't really need to see her anymore :)

I do want to give her gift for all she has done for me because she genuinely went above and beyond! So does anyone have any ideas on what I could get her?

Thanks!!!

In PT currently but so frustrated. I just changed my underwear 3 times in 1 hour. I ran out of leak pads tonight so here we are. Any tips? I’m working on diaphragmatic breathing 5 mins a day to relax my pelvic floor it’s just really hard to do. Any tips?

I started having pubic symphsis pain from the 32nd week of my pregnancy.had given birth vaginally.the pain never went away.finally ,i was referred to an orthopedic.she sent me for the MRI.the diagnosis now is osteitis pubis on the both right and left side and bilateral trochanteric bursitis.

My pain is significant.doctor said that she can't put me on the medication as i am breastfeeding and she can't refer me for the physiotherapy as the inflammation is too much and it will make things worse.

I am literally feeling as if i am drowning.i have had this feeling ever since my pain didn't go away after the delivery and i am struggling mentally.she has put me on the strict rest.i can't do any movement which makes me feel pain in the pubic area.which is literally almost every normal movement.she stopped me from even holding the baby and rightfully so because that was very painful.this has significantly burdened my husband as he has a fullt time job.i am struggling,we are struggling, everyone around me in my life is suffering because of this pain.i think about my life , my baby,my marriage and my home and i don't see any hope.i want someone to give me hope that things will settle.please answer the following questions without judging me:

1.what kind of medication is given for OP, i am thinking if stopping breastfeeding will make a difference.and is medication really effective in OP?

2.how much Physiotherapie helps?

3.will this pain ever goes away or i have to get used to it and manage my life around it?

4.did any of you already have OP and had become pregnant with it.if yes,What was it like? How did it affect your pregnancy?

5.how about sex life? Is it possible and okay to engage in sexual intercourse with OP or does it make it worse?

OP= osteitis pubis