Do I have pudendal neuralgia?

[iwantmymojoback]

I have seen countless doctors over the years - both urologists and GPs and internists, but none have been able to give me a solid diagnosis. Here are the facts: I used to work as a horseback riding teacher over 20 years ago. At the time, I experienced pain in my perineal area from the pounding on the saddle. Around the same time, I had blood in my semen and I started to experience erectile dysfunction. I was able to have sex, but it was painful, and at times I was unable to achieve an erection. It has been like this for 20 years. I was married and able to have sex (I have 3 children), but with each passing year the problem seems to get a little worse. It is now to the point where I need ED drugs, but sex is still painful and not always pleasant. My wife is somewhat aware of the situation, but not completely. This problem has caused both of us a lot of pain. I really do not know what to do. Based on these few facts 1) Do you think that I may have pudendal neuralgia. 2) Can you recommend treatments and tell me about their effectiveness and 3) If you can recommend any good doctors or therapists in Asia, Australia or New Zealand, Europe or the US.

Thanks