PUDENDAL NEURALGIA (AKA THE MOST IMPORTANT CAUSE OF PELVIC PAIN THAT YOU HAVE NEVER HEARD OF)
Why this resource is helpful:
PUDENDAL NEURALGIA (AKA THE MOST IMPORTANT CAUSE OF PELVIC PAIN THAT YOU HAVE NEVER HEARD OF) I learn a lot from my patients. Sometimes, more than I would like to admit. Yes, we doctors may disparage our patients who consult Dr. Google before seeing us and there is a lot of misinformation out there. But sometimes we are reminded that most of our medical education happens long after medical school or even residency. Five years ago, I had a 30-something patient who presented with intense vulvar pain. She explained to me that she had rough (consensual) sex a month prior...Quoted From: https://localhealthconnect.com/blog/pudendal-neuralgia-aka-the-most-important-cause-of-pelvic-pain-that-you-have-never-heard-of.html
"I learn a lot from my patients. Sometimes, more than I would like to admit.
Yes, we doctors may disparage our patients who consult Dr. Google before seeing us and there is a lot of misinformation out there. But sometimes we are reminded that most of our medical education happens long after medical school or even residency.
Five years ago, I had a 30-something patient who presented with intense vulvar pain. She explained to me that she had rough (consensual) sex a month prior and ever since then, she had a burning sensation. She had done her research online and concluded that this might be Pudendal Neuralgia. I nodded knowingly, implying that of course I had heard of this, being a board-certified gynecologist. While I left the room to have her undress, I quickly ran to my laptop to google 'What the heck is Pudendal Neuralgia?'
Her exam confirmed that pressure on her pudendal nerve reproduced her pain, I gave her a prescription for Amitriptyline and had her follow-up with me a month later. Had I been more experienced with this disorder, I would have also referred her for Pelvic Floor therapy. Fortunately, the medication worked and her symptoms slowly resolved.
What is Pudendal Neuralgia (PN)? PN is a nerve pain caused by damage, inflammation or entrapment of the Pudendal Nerve. In women, this supplies innervation to the vulva, perineum and lower buttocks. It travels through a small space deep in the pelvis called 'Alcock's Canal,' named after Dr. Benjamin Alcock, an Irish anatomist in the early 1800s who dissected a lot of pelvises."
Additional Recommended Resources:
WAIT, NO PELVIC EXAM?
When I was in residency (before computers or Snapchat or memes! Yes, I am old!), we were encouraged to do A ...
WAIT, NO PELVIC EXAM?Family Planning And Counseling
With so many birth control options available, it can be hard to know which option is right for you. At Evergreen ...
Family Planning And CounselingLet's Make a Health Connection Podcast - Series #3 with Dr. Cynthia McNally, OB/GYN in Vancouver Washington
Today we're talking to Dr Cynthia McNally she is a board-certified OB/GYN and owner of Evergreen women's health right here in ...
Let's Make a Health Connection Podcast - Series #3 with Dr. Cynthia McNally, OB/GYN in Vancouver WashingtonRecommended By:
