![]() ![]() The chief symptom is pain in the area innervated by the pudendal nerves such that sitting becomes intolerable.Women with severe endometriosis may develop scarring or inflammation if the endometriosis settles on the nerve. Sometimes women develop pudendal nerve pain immediately following childbirth and while often this eventually subsides, for some women the pain does not go away. One theory is that the nerve can undergo a stretch injury if the body is in a certain position for a long period of time during surgery. Pelvic surgery such as a hysterectomy may trigger pudendal neuralgia even though the nerve was not touched directly. Sometimes there is direct trauma to the nerve either from retractors or misplaced sutures. Others report pain after a sacral surgery such as a sacroiliac joint fusion resulting in a tilted pelvis or a pelvic surgery such as a sacrospinal fixation. Some people report their symptoms started after direct shock like a fall on the buttock or a car accident. Some recall the feeling of a lightning electrical shock after a bad move. ![]() Many people however recall one event in particular as the beginning of their symptoms. ![]()
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