@jlharsh - Still struggling. The TAPMI team is leaning towards pudendal neuralgia. I am still undergoing laser therapy as I updated on a couple weeks back and so far have completed 13/24 sessions. The next two weeks of treatments will provide a better understanding on whether this is working. On Monday, I go in for more injections in addition to radio frequency ablation of several nerves. I have attempted to go back to work once a week for 3 hours however, this caused a flare on Tuesday which I have been paying for since and I’m not sure if going back to work for mental health reasons is going to work. Limits and boundaries will need to be set on my end. As for Mayo, I did reach out looking for a second option and assistance however, I received an email back stating they are unable to assist and to continue with my current medical team. I hope this update and my journey can help other sisters in pain. If I can give any advice, it’s don’t quit on yourself, keep advocating for you and don’t take no for an answer.