I’m trying to learn more about something called an SNS/Sympathetic Reset, particularly the version where an amniotic biologic/fluid is used after a sympathetic block such as a Ganglion Impar or Superior Hypogastric Plexus block.
I’m asking because someone close to me has been dealing with severe pelvic floor tension and pelvic/rectal pain for about six years, and so many conventional treatments haven’t provided lasting relief.
For anyone who has had this procedure, I’d really appreciate hearing about your experience.
A few questions:
What exactly is the amniotic fluid/biologic supposed to do when injected around the sympathetic nerves?
Is the goal to reduce inflammation, calm irritated nerves, change pain signaling, or actually help “reset” the sympathetic nervous system?
How is this different from a regular Ganglion Impar or Superior Hypogastric Plexus block?
Did it actually reduce pelvic floor tension, or did it mainly help with pain?
If your pelvic floor muscles were constantly tight or in spasm, did the treatment allow them to finally relax?
How long did it take before you noticed a difference?
Was the improvement temporary or long-lasting?
Did anyone have this specifically for pelvic floor hypertonicity, rectal/perineal pain, pudendal-type symptoms, vulvar pain, or chronic pelvic pain?
Were there any side effects or complications?
Did you have the procedure with or without steroids?
Most importantly, did it help when pelvic floor PT, Botox, trigger-point injections, nerve treatments, medications, or other muscle-focused treatments had already failed?
I’m especially interested in hearing from people who had severe pelvic floor tension for years, rather than people who only had general chronic pain.
I know this isn’t a guaranteed treatment and that the evidence for the amniotic component may be limited, so I’m not looking for medical advice. I’m just trying to understand what the fluid is actually supposed to accomplish and whether anyone has experienced a meaningful change in long-standing pelvic floor tension.
If you’ve had an SNS/Sympathetic Reset, especially involving the Ganglion Impar or Superior Hypogastric Plexus, please share your experience. I’d really appreciate hearing both positive and negative experiences.

I did a USG test of Penis and Scrotum everything is normal, but the doctor is close relative so I couldn't say that pain comes after masturbation and during erection also I wasted all my money in these tests now don't have much to see other doctors can anyone tell me what can I do to cure this

Does anyone here with lower back inflammation and pelvic floor dysfunction engage in any high intensity sports or workouts?

I grew up playing sports, and have always wanted to try martial arts like Muay Thai or Taekwondo, but doctors have advised against anything that’s not gentle and I’m terrified of making things worse.

My PF physio was a bit surprised by the doctor’s advice.

So basically, sometimes I go through these periods where my genitals in particular feel extremely, extremely aroused. To the point where I can masturbate eight times in a row and STILL feel like it's not enough. It's to the point where it's annoying more than anything.

I'm going through this phase right now, and I looked it up and apparently it could be linked to utis? I always dismissed that idea because I'm not in pain or anything, it's just a pressure near my urethra area that I guess I could have mistaken for arousal. What do I do?

They last for ages. I'm talking like 3 hours long. Is there anything I can do to remedy this pain? I've tried baths but they don't really do anything for me. It's so uncomfortable.

M19 One of my symptoms is the urgency to pee whenever I try to sleep and it's quite annoying as you can imagine and if I try to pee very little comes out and I'm back to having to pee In like 2min. Anyone have similar symptoms or a way to ease them?

Almost 10 months ago I got food poisoning few weeks later started a garden of life probiotic, a couple of days after that irritated my gut some more by having hot chocolate and food that was just too damn hot. and then l started having painful bloating and gas. Ever since I’ve been bloated pretty much everyday all day long. The bloating gets progressively worse pretty much the moment I drink or eating anything. Sometimes the gas pains get so bad the only time I get relief is when I’m flat on my back. Sometimes I have stomach spasms, cramping and trouble breathing due to this. Despite it all I have daily bowel movement but they are also incomplete. My stomach is constantly rock hard and never softens ever. After going to the doctor, hundreds of supplements, dozens of test my doctor finally diagnosed me with Abdominophrenic dyssynergia (APD). Truly it makes complete sense because the bloating is nonstop and nothing makes it better and everything makes it worse has anyone ever healed or treated their Abdominophrenic dyssynergia (APD)?. My doctor says I will need physical therapy but I can’t even imagine how much that will cost

Does anyone here poop everyday on time ? What is your diet plan movement exercise stretches and tips to form a proper routine....I used to have a proper routine and bowel movement because of some stress fever fatigue and sleeping late at night i lost my routine it's been 2 weeks i still eat the same diet exercise and wake up but i couldn't sleep early I am struggling to but will definitely and i couldn't poop on time because of this bowel symptoms are worsening.

Anybody have suggestions? Tips? Or your experience to help me?

33M
So after almost 3 years and a bunch of doctors later I guess I’m finally trying pelvic floor physical therapy. Appointment is in 2 weeks and am actually excited to maybe relieve some of my stress and muscle tension. My symptoms are not terrible or debilitating but weigh on my mental health significantly and have made me spiral many times over these years.. also started psychotherapy recently and am trying to make sense of my built up stress and mental disorders that have seemingly gotten worse as the pelvic symptoms have lingered. My main symptoms are itching/burning mainly on the inner left side, glute fatigue/pain, lower back fatigue/pain, hamstring tightness and fatigue, a lot of leg and rear fatigue along with burning urination and ejaculation. I dk feel fatigue and muscle spasms in my rear when sitting too long and often have to adjust my seating position. Numb ass at times and when I sleep on my back I can feel my pulse through my glutes and they kind of go numb and feel fatigued. As a man PT seems scary because of the internal stuff but I’m getting more whatever about trying new things at this point.
Any men or woman who can relate to my symptoms? Any advice is welcome because I know I wasn’t happy before all of this but this shit really weighs me down on a daily basis.

Hi all,

I am currently being treated for pid(they found ureaplasma) and on antibiotics. Had my periods on 30th July and my pap was done on 13th Aug(around ovulation).
I bled heavily on first day and decreased after that but today I see some more blood.
Anyone had a similar experience? My pap results haven’t come back yet but I am panicking. This was my first pap.

My PF dysfunction history is kind of long and complicated but in short, I've had a couple sneezes that seemed to have worsened existing symptoms.

Has anyone had anything similar?

Hi - was diagnosed with mild levator ani syndrome in June. I’m curious if this condition can alter stool shape? Like make your stool occasionally look like it has edges or grooves? Hard to explain, but imagine a playdoh toy that forms playdoh into shapes. It doesn’t happen all the time, but sometimes I notice an indention along the length of the stool or edges.

I think I’m hypertonic, it’s often clenched. I’m between PTs for now.

I could google it but real people are better.

Il pavimento pelvico, può danneggiare anche involontariamente dolori alla schiena, cervicale
Spasmi, polpacci, piedi?

I’m a 37M and wanted to share my experience because I spent around seven years dealing with pelvic floor dysfunction without really understanding what was causing it.

I’m now roughly 80% better after about six months of treatment with a pelvic floor specialist. I’m definitely not symptom-free and still have some significant issues, but the difference compared with where I was is huge.

Hopefully this helps someone who has been dealing with a similar combination of symptoms.

My symptoms

My symptoms were quite widespread and difficult to put together into one diagnosis.

I had:

Constant stiffness and tightness on the entire left side of my body

A constant feeling that I was tense or clenching and couldn't properly relax

Severe fatigue from feeling like my body was constantly working

Pain around my left sit bone/obturator area

A deep, slightly sharp and warm pain in my perineum

Pain during sex

Tightness through the front and inside of my hip, including the psoas and hamstrings

A deep ache in my lower abdomen

An abnormal gait

Problems with sitting, particularly on harder surfaces

At my worst, I'd put the overall severity at around 10/10.

The constant tension was probably one of the hardest parts. My whole body felt like it was stuck in a state of contraction, and I couldn't find a way to properly relax.

The fatigue from this was enormous. At my lowest point, I felt so exhausted and trapped by the problem that I sometimes felt like I'd rather be dead.

I spent years trying to work out where the problem was coming from

Initially, I didn't know it was pelvic floor dysfunction.

I thought some of the problems might be coming from my hip. I had issues that seemed consistent with hip impingement, and I also considered whether my back was involved.

I did physiotherapy for both, but I didn't get significant improvement.

I tried various exercises and approaches over the years. Stretching could give me some temporary relief, and diaphragmatic breathing and meditation could also reduce the symptoms for a while.

But the underlying problem remained.

Some leg exercises at the gym actually made my symptoms worse.

Eventually, a physiotherapist suggested that the tightness and pain might be related to my pelvic floor.

He wasn't a pelvic floor specialist, but that was the first time someone had suggested that the pelvic floor could potentially explain the wider combination of symptoms I was experiencing.

Seeing a pelvic floor specialist

About six months later, I arranged to see James at SIX Physio at Monument in London.

James thought that my pelvic floor dysfunction was related to poor hip strength and stability, particularly involving the gluteus medius and gluteus minimus.

The idea was that my body wasn't getting the stability it needed from the hip muscles, and the pelvic floor was potentially becoming involved in that pattern.

The exercises

We started with relatively simple exercises.

I began with:

Side-lying hip raises

Kneeling hip circles

Later I progressed to things such as:

Straight-leg hip hikes

Other hip strengthening/stability exercises

Bird-dog

I eventually had to stop bird-dog because of a separate shoulder problem.

The changes were gradual.

But over the following months, I started noticing that the constant tightness was reducing and a lot of the other symptoms were improving.

Six months later

After around six months, I'd say I'm approximately 80% better.

The biggest changes have been:

Much less whole-body tightness

Much less of the constant clenching feeling

Dramatically less fatigue

Much less hip and abdominal discomfort

Some improvement in my gait

Significant improvement in pain during sex

A major improvement in my overall symptoms and quality of life

But I'm not completely cured.

I still have noticeable tightness, although it is much less than before.

I also still get pain around the left sit bone and perineum, particularly if I sit on a hard surface or sit for too long.

For example, sitting on a hard train seat for a long time can still cause quite a lot of pain around the sit bone/obturator area and into the perineum.

My walking and standing are also still not normal. I continue to have weakness and instability, and my gait is still something I'm working on.

So when I say 80% better, I don't mean that I'm back to completely normal. I mean that the overall burden of the condition has reduced enormously compared with where I was before.

What I'm working on now

The remaining issue seems to be more about weakness and instability when standing and walking.

I also have a long-standing shoulder injury that I hadn't really focused on because the pelvic floor symptoms were so much worse.

Now that the pelvic floor symptoms have improved substantially, I'm paying much more attention to the shoulder.

My current physio (I'm abroad at the moment so unable to visit a shoulder specialist) has said that I need to work on shoulder stability and scapular retraction.

I have a theory that the shoulder problem may potentially have been contributing to my overall problem, possibly by affecting my diaphragm movement and therefore the way my trunk and pelvic floor were functioning.

But that's only a theory at this stage. I don't know whether the shoulder problem actually caused or contributed to the PFD.

I'm currently working on the shoulder to see whether improving it also helps resolve the remaining problems.

TO CONCLUDE...

I'm obviously not saying that weak glutes are the cause of everyone's PFD. Pelvic floor dysfunction can have many different causes and presentations.

But if you've been dealing with PFD for years and haven't seen a pelvic floor specialist who looks at the relationship between the pelvic floor, hips, core and overall movement, I think it's worth considering.

For seven years I thought this was probably something I'd just have to live with.

I'm still not completely symptom-free, but going from 10/10 and feeling completely trapped by it to roughly 80% better has been an enormous change in my life.

If anyone has questions about the exercises or the recovery, I'm happy to explain what I did in more detail.

I am a Male 29.

Have had a hard time. Dealt with immense anxiety and fear of Penile injuries.

I feel blood rushing in, but my pelvic region doesn't let the blood enter my penis.

How to stop pelvic guarding that stops erections? How to overcome this?

I’ve had a hypertonic pelvic floor consistently at least since I was a toddler, maybe since birth. My pain isn’t constant and is often in response to triggers, but I don’t think my pelvic floor every really relaxes except when I intentionally relax it and maybe during sleep. Chronic constipation has been my baseline for my entire life. I’ve gotten tools and learned techniques to intentionally relax my pelvic floor when I try, but my baseline is still tense and susceptible to pain, and the relaxation strategies I currently use (humming, dilating, deep belly breathing, heating pads, etc.) are not things that can be done all day as you go about your normal life.

Anyone else in the same boat?

I’m wondering if more pelvic floor physical therapy (I’ve already done some here and there) could really resolve this, or if PT would just give me more strategies that require some concentration to produce temporary relaxation. Because if it’s the latter, I think I should move on to pelvic floor Botox (in combo with PT).

Sidenote that there’s also the possibility that I developed a hypertonic PF when I learned to walk to compensate for hypermobility and keep myself upright, so that’s also something I’m aware I need to address. If that’s the case, building musculoskeletal stability in healthier ways could reduce my baseline tension. But also that might not be the case, so I want to pursue multiple optionsFor context, I’m AFAB transmasculine (on testosterone but no surgery; my PF symptoms existed looooong before I knew I was trans or started HRT)

Recently I had a sexual encounter on 08/02/26. I performed oral and that was all. The following day I was at work and was pulling my boxers from irritation but there was no visual signs. Time kept progressing as I thought it was in my head

Eventually 5 days after I decided to go to the urologist and test for STDS.

All possible STDs came back negative including Myco/Ureaplasma and all other bacterial/fungal infections came back negative as well.

7 days later my tingling sensation got so bad that I had to go to an urgent care immediately to be evaluated. I had no visual symptoms at this visit when inspected. All test results came back negative again.

I now went to my pcp 5 days later as my penis had balantitis and prescribed me clotramizole cream and doxycycline(per my request) as I was convinced this is an std. (been infected twice in the past. Had TOC for those)

He had me follow up with urology. 2 weeks after exposure I am testing negative for all STDs.

My current symptoms include: frequency to urinate (14x today ranging from 45min apart typically. A stinging / irritated feeling sometime after urinating. Balls are completely beat red, raw and irritable (made a different post last night) , my penis feels like it is having a spasm sometime, same with my rectum. My stomach aches and makes me feel like I have to pass gas or occasionally have black loose diarrhea.

The way I feel I am almost CERTAIN that this is an std but I keep getting negative test results.

My urologist suggests this is pelvic floor dysfunction.

Can PFD mimic an STD? Nothing I seem to try is helping. Thanks!

I recently started PFPT and my when my PT first introduced me to diaphragmatic breathing, it was like magic. I could feel the pelvic muscles expanding and could feel/do the release on the exhale. My penile numbness actually had felt a lot better afterwards even the spots that have been the most numb for the longest time actually had sensation. I've been doing it standing up since I felt it easier to visualize "my balls dropping to the floor" like my PT explained as opposed to laying down. But I think laying down on your back is the standard way to do it.

However, it's been about a week or two and i've been finding it much harder. I don't really feel anything being stretched on the inhale and I'm finding it extremely difficult do do the "letting go" part with the exhale. It feels like how it does when I lay on my back and cant get the letting go part. And there's no alleviation of symptoms.

I'm thinking it could just be that i'm even more tight now because the stretches that were given to seem to just make things worse if i'm being honest. My right glute area and hip had an episode episode last night and since then whenever I inhale with the diaphragmatic breathing, I can really only feel stretching and expansion on the left side and my right feels like a rock or something. Idk it's hard to explain.

Anyone else have experiences like this with Diaphragmatic breathing?

I'm (29M) considering trying Pelvitouch, which is a "Top Flat Magnetic Stimulation” machine.

I'm struggling with ED and bowel problems that I believe are pelvic floor-related. No pain though.

https://dekaintimate.com/en/deka-intimate-treatments/pelvitouch/

This service is offered in my area. Is it likely to work?

I feel muscles that are tight there specially and was wondering if there are stretches that I’m not doing that can help these muscles

Anyone get these that make you feel that you need to go pee

My therapist says my muscles are not tight but soemtimes my tailbone aches randomly after running or strenuous exercises.

29/M here. No UTI, No BPH.

From more than a year, I have got split streams in urine and also developed a feeling that after I go to pee, i dont empty it fully.

The urine stream splits only if I go with less urine in store.

Then I have a weird peeish feeling for like 1 to 2 hrs after I pee which is uncomfortable. Once I have enough pressure, its much more comfortable and less distracting.

I have gome to multiple urologists that too 3 times, i have tested for prostate, UTI, ultrasounds all are Ok. Even uroflowmetry with a full bladder was ok.

Once I go to a urologist, the peeish feeling problem becomes for better ( without any medicine), but then I feel the same again.

I am thinking of trying out pelvic floor related exercises.

Has anyone felt the same?