Hello dear Understand your concern. I think you are suffering from endometriosis. You should consult the best gynecologist or surgeon for better diagnosis Other cause may be hemorrhoids, fissure, Irritable bowel syndrome, Inflammatory bowel disease, protalgia fugax, part of premenstrula symptoms Consult the gynecologist/surgeon and get the following tests done: Pelvic examination and rectal examination Sigmoidoscopy/colonoscopy Abdominal USG Endometrial biopsy Full hormonal assay Meanwhile take following advice Hot sitz bath after bowel movements Tablet meftal spas Take healthy diet with adequate fiber Proper rest and drinks lots of water After diagnosis take proper treatment Hope this may help you Best regards Dr. Sagar