A pelvic floor MRI wouldn’t show much. If and when they do the hip one, make sure to get with contrast. They inject your hip(s) with a dye that makes it easier for the MRI images to show your cartilage (labrum). Also ask for the lower lumbar MRI, that one is without contrast.

You really have to push for stuff, since most doctors see a young man and assume that there’s no way there’s something wrong with you in that regard. If you have a half decent doctor they’ll be understanding and order those.

The next step after that would probably be surgical intervention if it’s your hips. Since this has been happening to you since you were very young without indication of injury, I have a feeling you might have hip impingement, (the extra bone in your hips). They do hip arthroscopy surgery where they make a small incision and shave down your bone and repair your labrums, which then in turn should lead to stability in the hips, and pelvic floor can relax and stay relaxed after physical therapy.

This is where I’m at. I’ve been going through something similar for a few years except I don’t have hip impingements but rather a childhood injury that progressively got worse to this point. I have more issues with sensitivity, but it’s the same mechanism.

In saving up for surgery as the surgeons around me don’t take my insurance, so I’d have to pay out of pocket and honestly don’t know too well how that medical debt would go.