To @rstollery, I feel your discomfort even though mine is a bit different. I did have months of pelvic floor therapy that did nothing to help but to only aggravate my situation and then almost a year later end up going for bio feedback therapy that was awful and a Tens unit zapping machine that only made my pain worse. Doctors assumed I had a muscle spasm and never did further checking to find out what the real problem was. I was in tears constantly but no one listened to me all my muscles in my rectum and pelvic area are strophic. My pudendal nerve was nicked and not properly handled properly for almost 2+ yrs so I have lost all muscle strength and nutrients to the ligaments. I am not a surgical candidate to have my vagina vault prolapse fixed. Nothing strong enough to attach my bladder and uterus up with. Anal tightness I don’t know what you do for that. Nice warm baths, muscle relaxers, every Doctor has something different to say. How long have you had this problem? Min started 41/2 yrs ago was just fine until a nerve was affected. Happened immediately. Dr’s office never even called to check up on me. My life is forever changed as a very negative person now unfortunately. I hope you get the right help. I have to take Metamucil Dailey And drink prune juice and eat a few pries and some days apple juice so I don't get constipated. Hope that was not to boring. Good luck. I understand