Hey India
I say insist on second opion too !
I am from the UK and I had LIS , Botox and used the cream - Anoheal/diltiazem in the UK, the latter two just masked my problems - tightness ..
Period times were my worst time too I would feel just about Ok and then whambam period time and a setback would occur, I was back to square one , I do realte..
I too had forceps and epitosomy 12 years ago and there was no problem for me to have LIS but then I did not have nerve damage :roll:
You need to have a proper diagnoses of Proctalgia Fugax / Levator ani syndrome if that is what you think could be the problem, I think we have all thought that at some point !
Valuim will help with spasms also - valerian supplement is au natural to try :)
How long have you been using the cream India ??