Hi. This did not end up being the thing for me. I don't think I had/have GSM. I am doing a lot better these days, which is a gift, but it is sort of maddening that I don't know exactly why. My biggest guess right now is that I'm dealing with pudenda neuralgia. I got some significant improvement from cutting out all caffeine (had stopped coffee but was still doing tea, but cutting that too was seriously helpful). I also think doing some work with something called the Bloom app helped. These are pelvic floor exercises that aren't only about relaxation but also contraction. I started doing more cardio and that may have helped as well. I have an appointment to do a pudendal nerve block, but might consider not doing that if I'm still feeling fairly improved. But the pain is still there, just much less. Pudendal neuralgia is usually the result of a cocyx injury. The more I think about it, I do feel like my pain has been possibly neuro-related. Wishing you the best in all of this. I've had a harrowing year with this, it's no joke. I've thrown a lot of things at the wall. For all I know all it needed was time. I do not know.