19/08/2025
What is Pudendal Neuralgia?
Pudendal neuralgia is pain caused by the nerve that supplies the skin between your p***c bone and your tailbone.
The pudendal nerve carries the sensations of touch and pain from the skin between the a**s and the cl****is, as well as the sphincters (muscles that keep the openings of the bladder and bowel closed).
What are the signs and symptoms of Pudendal Neuralgia?
The most common complaint is pain with sitting, which gets worse as the day goes on. However, as the nerve is also involved with bladder and bowel function, other problems, such as bladder frequency, the feeling of a bladder infection, pain with in*******se and the sensation of an urgent need to open the bowels, can also occur.
Typically, the pain resolves during the night or when lying down. Pudendal neuralgia can be related to intense physical exercise involving the pelvic floor and neighbouring muscles. The exercises that are most commonly associated are: ‘Kegel’ exercises (exercises to strengthen the pelvic floor muscles), cycling and weight lifting/ bench pressing.
The most common association however is with childbirth. During va**nal delivery, the pudendal nerve is slightly stretched and may therefore malfunction and cause symptoms. This resolves spontaneously in most cases within a few weeks. Some women, however, will continue to suffer pain for longer periods of time, or the pain may come back months or years after the delivery.
Some types of surgery can lead to persistent postoperative pain. This surgery might have been a simple cut for the removal of a cyst or following childbirth (episiotomy) or a more complicated procedure, such as for correction of prolapse, for example. We do not have any way of predicting who will develop chronic pudendal pain after surgery.
Pain after surgery is not necessarily the result of incorrectly performed surgery.
If you would like to arrange an appointment with one of our specialists, contact us on 021 024 51019 or email admin@ascgynaecology.co.nz.
www.ascgynaecology.co.nz/contact
ASC Gynaecology offers individualised centered care for women in all stages of their life.