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Dr. Andrew Rynne
MD
Dr. Andrew Rynne

Family Physician

Exp 50 years

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Clitoral Pain, Occasional Pelvic Pain, Normal Cystoscopy. Is It A Nerve Trapped Or Pudendal?

My wife is suffering from on and off clitoral pain and occasional pelvic pain . 6 months now. No uti s. Cystoscopy showed no problem with urethra or bladder . I ve read it could be a nerve trapped? Pudendal perhaps. This is depressing her considerably. Any suggestions or exercises she could try to correct the problem? She is 31 years old with no previous problems. Please help. I feel useless.
Fri, 25 May 2012
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General & Family Physician 's  Response
Hi,



Pudendal nerve innervates the areas adjoining the clitoris and lower part of pelvis. The nerve entrapment is uncommon. We need to find the other reasons for pelvic pain. There is an entity called CPPS, Chronic Pelvic pain syndrome which needs an assessment by an UroGynecologist.



An chronic problem can lead to low moods. Sometimes vice versa. Get her evaluated by competent UroGynecologist.



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Gastroenterologist, Surgical Dr. Ketan Vagholkar's  Response
There is a possibility of endometriosis if the pain is deeply felt in the pelvis. Clitoral pain may not be of much significance. Get a good USG pelvis done. that will help in ruling out the cause of pelvic pain.
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Clitoral Pain, Occasional Pelvic Pain, Normal Cystoscopy. Is It A Nerve Trapped Or Pudendal?

Hi, Pudendal nerve innervates the areas adjoining the clitoris and lower part of pelvis. The nerve entrapment is uncommon. We need to find the other reasons for pelvic pain. There is an entity called CPPS, Chronic Pelvic pain syndrome which needs an assessment by an UroGynecologist. An chronic problem can lead to low moods. Sometimes vice versa. Get her evaluated by competent UroGynecologist.