Sometimes when you’ve tried many things that don’t work, giving up on “trying” can be a good next step. I’m wondering if the pain you feel before even starting sex (if I’m interpreting that right) is a somatic symptom. Somatic issues are very real and distressing, but don’t always have an explainable reason (like something that would show up on a scan). It’s more of a mind-body connection type thing. Have you ever talked about this with a therapist? Just because of how distressing it is in general. I know you mentioned bleeding and other physical symptoms so it seems there’s probably several factors at play/it’s not all somatic. Like @stinaaa said I wonder what taking penetration off the table would do for you, both mentally and physically. Do these things happen when you touch yourself? What about small toys?