Today Im fresh out of the office of my amazing private gynaecologist after getting my pudendal nerve and inflammatory myofascial trigger point nodules injected.
This experience has had a profound effect on my body, my emotions, and my mentality.
Today was not just another appointment.
It was another chapter in a long and painful journey of trying to understand what has been happening inside my body for years.
I walked into that room knowing what was coming my nervous system making me shaky, grief brewed for months of dealing with complex multiple chronic pain conditions, pain so bad I was literally down to basic day to day activity’s.
My procedure was so overdue. But it is only every six months it last’s maybe three.
This was not my first procedure, it wont be my last. I know the discomfort, the recovery, and the severe painful flare ups weeks after before things begin to settle (give or take two to three weeks).
But knowing something is coming does not always make it easier when you are living it.
I cried like never before this procedure/block injection was different from the rest. It was a shock to the system four block injections three in the largest myofascial inflammatory trigger points and one in the pudendal nerve. The pain threw me so hard I just cried couldn’t walk properly, even now a few hours afterward Im moving slowly bleeding through period pads and inflamed and internal pain is still there.
The injections were incredibly painful. The kind of pain that takes over your whole body. The kind of pain that shocks your nervous system and leaves you trying to breathe through the moment. I cried a lot. Noone can ever prepare you for this procedure it is cruel but the outcome (even small relief) can breathe life back into my body for a time.
The last time I cried so hard was when I lost my mum, so if you could imagine that comparison thats how intense this procedure was on a pain scale 10/10.
It wasn’t because I was giving up. It wasn’t because I was weak. It was because my body experienced something intense, and for a moment it released everything it had been holding. But the pain of injecting steroid blocks into already inflamed sensitive painful areas is brutally painful.
When you live with chronic pelvic pain, you become incredibly good at pushing through. You learn to function while hurting. You learn to smile while your body is screaming. You learn to advocate for yourself when you are exhausted from having to explain your pain.
But today my body said, “This is a lot.”
And it was ALOT.
After the procedure, I felt dizzy, lightheaded, sore, a random big headache and like my body had been hit by a truck.
Walking slowly and carefully becoming my reality today because of the pain. My pelvis is burning, and sensitive. My emotions are fragile, bleeding and mentally overwhelmed.
There is a strange mixture that comes after a procedure like this.
Relief.
Sadness.
Hope.
Grief.
Gratitude.
Realistic understanding of my pelvic conditions intensity. How it builds up under a multitude of complex chronic pelvic pain conditions.
Relief that I am finally being treated for conditions that have been affecting my life greatly and daily.
Sadness that this is what my life has required me to endure.
Hope that this step may bring some improvement, I know it’s not a cure.
Grief for the years spent searching for answers climbing a very medically broken ladder.
Today I officially carry diagnoses of:
Pudendal neuralgia.
Myofascial pelvic pain syndrome.
Bladder and Bowel (tethered from my bladder dome to my sigmod colon) Endometriosis.
And while those words may sound frightening, there is also something powerful about finally having answers.
For so long, I have felt like I was trying to explain a pain that other people couldn’t see. Having these diagnoses means there is a clearer picture of what my body has been fighting on paper, documented and shared to my GP, Pain Specialist and every other tom dick and harry who needs to see it.
It means treatment can be more targeted.
It means I can stop wondering if I am imagining what I feel.
It means progress ladies!
Living with bladder and bowel endometriosis added another layer to this journey from October 2025 after an MRI Scan, Chronic inflammation, pelvic changes, and nerve involvement can make pain incredibly complex. Sometimes there is no single source of pain, there are many pieces of a very complicated puzzle.
This is why procedures like today matter. They are not a magic fix. They are one piece of a bigger plan to calm the nervous system, treat the pelvic trigger points and pudendal nerve and hopefully give my body some relief even if it is to have a sex life again or to not wake up with pain all crazy hours or first thing in the morning everyday.
There is also the reality nobody talks about enough the cost.
Today’s procedure was $590, plus medication costs. When you live with chronic illness, the financial burden becomes another invisible weight you carry.
You don’t pay these costs because you want to. You pay them because you are fighting for your quality of life. This is someone’s week’s rent! It’s not a luxury it’s a convenience.
And that can be exhausting on my wallet.
But today I want to acknowledge something important.
I showed up.
Even though I was scared.
Even though I knew it would hurt.
Even though I knew recovery could be difficult.
Even though I was completely exposed and vunerable.
I showed up because I still believe there is a version of my life where pain does not control every moment.
Chronic pelvic pain changes you. It challenges your body, your mind, your relationships, your relationship with yourself. But it also teaches you resilience you never knew you had.
Tonight I am resting.
Tonight I am allowing my body to recover.
Tonight I am reminding myself that this procedure was not a sign of how broken I am.
It was a sign of how hard I am fighting for myself.
One step at a time.
One treatment at a time.
One day at a time.
Next on the long list is Endometriosis Excision Surgery till that happens I hope today’s procedure will cover some of the relentless pain I endure daily.
Cassie x
Welcome Beautiful 