Do I have PN? Please help
Due to ketamine I was diagnosed with a hypertonic pelvic floor muscles after I had a spasm attack in my left leg in may 2025. My pelvic floor muscles felt tightened and got somewhat looser the more I did the breath work excersises from the PT.
In september 2025 after a stress situation and weekend of taking psychedelica (shrooms) I felt a strong pulsation in my arteries on my perineum and inside my pelvic floor every time I sat down that went to my brain arteries on both sides of my tempel arteries. My pelvic floor muscles went from tightness to numbness. Breath work from PT doesn't do anything anymore. Sidenote: in december i got an STD that caused me to have great pain in my rectal area. After the pain went away I also didn't feel the pulsations anymore. A week later I putted alot of pressure on my pelvic floor muscles which caused the pulsation to come back. (A dumb decision)
Unfortunaly since two months the pulsation in my arteries got severely increased. First It was just the sitting or walking for long periods that made the arteries pulsate. Weed, alcohol or cafeïne also makes it worse. Since I took Ritalin in februari 1 time everything got much worse (still no stinging pain tho) and yess I know I made a dumb decision again.
Now I'm sensitive for led lights, crowded situations, talking for a long time, using strength like lifting, if I need to do a number 2 badly, if I do stretching or breath work, reading, watching TV, cooking and even meditation. Everything connected to my pelvic floor makes the pulsations worse and I don't know what to do because mentally I feel perfect. In 7 weeks I'm going to the hospital that specializes in pudendus neuralgia, but since I don't feel stinging pain like with normal PN i wonder if it could be anything else. They will be the first hospital to diagnose me. Is there anything else I should ask them to look into? The pulsations are constant coming from my pelvic floor to my tempel arteries.
Thanks alot for all the reactions and I also wish everyone a happy healthy life.