Pudendal Neuralgia – The Nerve Pain No One Warned You About
Dear BVTalks,
For almost three years, I’ve had burning pain deep in my pelvis. Sitting for more than 10 minutes feels like sitting on a hot blade. Sex is out of the question. I’ve been tested for infections and had pelvic floor therapy, but nothing helps. My doctor says it’s probably just nerve sensitivity or stress. Could this be something else?
— Burned Out and Exhausted, 38
If you have deep burning, stabbing, or electric shock pain in your pelvis—especially when you sit—you’re not imagining it. This could be pudendal neuralgia.
The pudendal nerve runs from your lower back to your vulva and rectum. When it’s irritated or compressed, it can cause intense, unrelenting pain.
Common signs:
Burning or stinging between the legs
Pain that gets worse when you sit
Electric zaps or throbbing in the vulva or perineum
Pain during or after sex
What can help:
Pelvic floor therapy—focused on nerve release, not just muscle tension
Nerve pain medications (like gabapentin or amitriptyline)
Nerve blocks or injections to calm inflammation
Counseling—because chronic pain is exhausting
This isn’t just “in your head.” It’s real nerve pain, and you deserve treatment. Ask for a referral to a pelvic pain specialist or neurologist familiar with pudendal neuralgia.
If you have deep burning, stabbing, or electric shock pain in your pelvis—especially when you sit—you’re not imagining it. This could be pudendal neuralgia.
The pudendal nerve runs from your lower back to your vulva and rectum. When it’s irritated or compressed, it can cause intense, unrelenting pain.
Common signs:
Burning or stinging between the legs
Pain that gets worse when you sit
Electric zaps or throbbing in the vulva or perineum
Pain during or after sex
What can help:
Pelvic floor therapy focused on nerve release, not just muscle tension
Nerve pain medications (like gabapentin or amitriptyline)
Nerve blocks or injections to calm inflammation
Counseling—because chronic pain is exhausting
This isn’t just “in your head.” It’s real nerve pain, and you deserve treatment. Ask for a referral to a pelvic pain specialist or neurologist familiar with pudendal neuralgia.
You are not alone, and you deserve relief.
BVTalks
