Hello,
With such presentations in my clinic, I would first rule out (pudendal neuropathy) and if confirmed clinically I may advise you little lifestyle change like as below:
a) Avoid prolonged sitting and forceful bending
b) Avoid
constipation and as per your doctors advise you can take any laxative of your choice
c) Try to avoid certain exercises like (squatting, cycling, piriformis stretches, gym workouts, stair master, ellipse, exercise cycle, lifting, bowling, ab crunches, leg presses, pilates,
step aerobics,
yoga, skiing, sit-ups, jogging and spinning)
You may be advised to a physiotherapist who will assist you to eradicate your pain by physical exercises. For prescription medications ask your doctor who will prescribe it for you because all medication for pain requires a doctor's prescription. So nothing to be worried at all.
Hope I have answered your query. Let me know if I can assist you further.
Regards,
Dr. Uday Nath Sahoo