What is there left to try? Feeling hopeless

It's been 6 years of unexplained agony - PVD. The below is what I've tried. I'm honestly feeling so hopeless. I'm 28 and my entire youth feels robbed. What on earth is left - aside from surgery? But tbh I don't even think that would help

-Combined HRT testosterone and estrogen cream (for 4 months so far, been applying it twice a day, same dose as Goldstein gives) -DHEA cream 15mg daily -psycosexual therapy -pelvic floor trainers (although I don't really need these) -Pregablin (100mg a day for years) -Lidocaine (useless)

Honestly at a distressing point of wondering if I can get my skin magically lasered off and hope it grows back better!!