Pudendal neuralgia is a rare condition characterized by chronic pain in the pelvic region, often described as burning or shooting. It occurs due to compression, irritation, or damage to the pudendal nerve, which supplies the pelvic floor muscles, perineum, and genitalia.

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Pudendal Neuralgia FAQ


What causes Pudendal Neuralgia?

It's often caused by pudendal nerve compression, trauma, or irritation, which can occur during childbirth, prolonged sitting, or certain medical procedures.

Is Pudendal Neuralgia common?

No, it's considered a rare condition, though exact prevalence in Malaysia is not well-documented.

What are the primary symptoms?

Chronic pelvic pain, burning sensations, and discomfort in the genital or anal area, often exacerbated by sitting.

How is it diagnosed?

Through medical history, physical examination, and possibly MRI or nerve conduction studies to rule out other causes.

Can it be cured?

While some cases may resolve, it's often managed with medications and therapies to alleviate symptoms.

What medications are used?

Anticonvulsants (e.g., Gabapentin), antidepressants (e.g., Duloxetine), and sometimes lidocaine injections.

Is surgery an option?

In severe cases, surgical decompression of the pudendal nerve may be considered.

How long does recovery take?

Recovery time varies; some experience symptom relief with treatment, while others manage chronic symptoms long-term.

Can physical therapy help?

Yes, pelvic floor physical therapy can sometimes alleviate symptoms by reducing nerve tension.

Are there alternative treatments?

Some find relief with acupuncture or nerve blocks, though evidence varies.

Does it affect fertility?

Not directly, but chronic pain can impact quality of life and sexual function.

Can men get Pudendal Neuralgia?

Yes, it affects both men and women, though it's more commonly reported in women.

How to prevent it?

Avoid prolonged sitting, maintain good posture, and take regular breaks to reduce pressure on the pelvic area.

It can be associated with conditions like chronic pelvic pain syndrome or interstitial cystitis.

Can children develop this?

Rarely, as it's more common in adults, particularly after childbirth or trauma.

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