I have had bouts of this off and on for quite a while .I finally had a Urologist diagnose this for me she got me in to see a physical therapist that specializes in Pundendal issues. And yes in all the very private parts they specialize in internal physical therapy. Yes yes it is very intimidating but i had a wonderful compassionate therapist and was able to get to a point where it was bearable .Alas my new and improved insurance will no longer cover anything that will help me just pills and more test .I hope you find your best for you T