Thank you Bob and Mrsd. I thought about it Bob, and realize what you say about the Drs. Also Mrs d, I know what you mean even about how you look too.. so I basically wake up and shower and dont wear makeup and wear casual clothes... I know you have to think about these things.
I went to my Neuro today too, he is great. He did say Ultram would be fine for me with the dosages of Lexapro and Elavil I am on. I am considering going off ( weaning ) the Lexapro, since it is just 5mg, but it was initially prescribed for GI/nerve gut issues and I have been doing well with GI problems since on the drug, so I am unsure. Magnesium may be a possibility. I still have some constipation issues and I try to drink more water and take stool softeners and such. Thanks for the info on elavil not affecting Seratonin much in low dosages. If I go to 25mg of Elavil, is this still considered a very low dosage? The Elavil and Neurontin are working presently, but I do have times...
I do not think I will visit the PM center again, I am dealing with my Neuro, My PCP doc and PT and will be calling around the major hospitals like Duke, Wake Forrest, UNC to see if there is a specialist in Pudendal Neuralgia, not easy to find in Charlotte.
Thanks for your feedback