Treat Pudendal neuralgia with Dr Leena Daware to Stop pain during sex

Pudendal Neuralgia Treatment Measures

What is Pudendal Neuralgia?


Pudendal Neuralgia is a condition, when the person experiences pain, discomfort, numbness in the perineum or genitals. This usually occurs when the pudendal nerve which supplies these areas is injured due to trauma, get trapped due to any surgical scar around this area or a daily activity of sitting for long periods due to excessive pressure. The pain is inconsistent and can come and go any.


Pudendal Neuralgia treatment is often taken from combined treatments of pelvic floor physiotherapy, lifestyle upgradation, and medicines. A good consultation is required from the pelvic floor physiotherapist for the pudendal neuralgia to be treated.


Your pelvic floor physiotherapist may also give you the checks and tests to be done within a certain period of time along with the treatment. A good revised treatment plan is generated with consistent sessions. Rare cases which don’t improve with pelvic floor physiotherapy require surgery.

Know about the Pudendal Neuralgia Treatment

Seeking Counselling From A Psychologist: You may feel like you are unable to cope with the emotional issues that have led to your pudendal neuralgia symptom onset, but getting in touch with a counsellor who specializes in helping patients overcome emotional issues may help you to come to terms with what has happened.

Treatment for PN is based on relieving pressure on the pudendal nerve. This can be accomplished by decreasing inflammation of the nerve (rest), increasing blood flow to the area (exercise), improving posture and strengthening abdominal muscles (physical therapy), or delivering a local anesthetic to block pain signals (nerve block). Depending on the severity and duration of symptoms, treatment may include the surgical release of scar tissue around the nerve in cases of chronic or severe PN.

        vaginismus cause and cure
Pudendal nerve - Pudendal Neuralgia Treatment

Common Causes of Pudendal Neuralgia


  • Vaginal Delivery - Here the nerve gets stretched during delivery
  • Injury to nerve from surgery of pelvic region from Hysterectomy, Mesh Procedure, etc
  • Pelvic Trauma - Fall on Buttocks , Fracture of Ischial Spine
  • Endometriosis
  • Bicycle Riding/Horse Riding
  • Prolonged Sitting or Faulty Back & Neck Posture
  • Colorectal Surgery
  • Use of Anal Device
  • Excessive Masturbation
  • Infections - Viral, HIV, etc
  • Can be seen as Diabetic Neuropathy

Some of the most common signs and symptoms are pain on sitting, relieved on standing and lying down, pain in genital and anal area, pain type including burning and shooting pain, pain refered to low back and abdomen and posterior thigh, frequent urination, pain on sexual activity, painful ejaculation, increased sensitivity in genital area. Diagnosis is on history with investigation like EMG, MRI PUDENDAL NERVE, DOPPLER US

Treatments for Pudendal Neuralgia

Conservative Treatment

  • Pain medications
  • Antidepressants
  • Muscle Relaxants
  • Life Style Changes
  • Bladder Bowel Management
  • Pelvic Floor Physical Therapy
  • Cognitive Behavioural Therapy if the patient is depressed.

If conservative treatment fails then surgery can be considered to decompress the nerve, simultaneously getting a skilled doctor for surgery is important.

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