VULVODYNIA VERSUS PUDENDAL NERVE NEURALGIA — Two Painful Conditions Effecting Women

Vulvodynia Versus Pudendal Neuralgia

VULVODYNIA VERSUS PUDENDAL NEURALGIA are complex pain conditions that can profoundly impact the quality of a woman’s life including her sex life.

These conditions involve intricate interactions within the pelvic region, and understanding their distinctions is crucial for effective management and relief.

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Vulvodynia Versus Pudendal Neuralgia

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VULVODYNIA

VERSUS

PUDENDAL NERVE NEURAGLIA

Vulvodynia Versus Pudendal Neuralgia

Vulvodynia and Pudendal Neuralgia (PN) are two distinct pain conditions that can affect primarily women, though pudendal neuralgia can also extend to men. Both conditions share the characteristic of causing chronic pain, which can significantly impact the overall quality of an individual’s life.

In Australia, the prevalence of pelvic pain is a significant concern, affecting a substantial portion of the population. Surprisingly, statistics indicate that approximately 1 in 5 women and 1 in 12 men experience pelvic pain annually, rendering it as commonplace as conditions like shoulder and neck pain. This high incidence underscores the magnitude of the issue and its far-reaching impact on individuals’ lives.

Women, in particular, experience a range of effects, from challenges to their mental well-being, anxiety & depression, intimately in their sex life and with disruptions in their social and occupational activities in their daily lives. The critical contrast between vulvodynia and pudendal neuralgia lies in their specific manifestations.

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VULVODYNIA

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Vulvodynia is a chronic pain condition characterized by persistent and unexplained pain in the vulvar area, which encompasses the external genitalia of women. Vulvodynia can manifest as various types of pain, including burning, stinging, throbbing, itching, or soreness. The pain may be localized to a specific area or more widespread, affecting the entire vulvar region.

Pain in vulvodynia can be triggered or exacerbated by touch, pressure, sexual intercourse, tampon insertion, or even extended periods of sitting. The pain can also be constant or intermittent. Apart from pain, vulvodynia might cause discomfort during activities such as urination or wearing tight clothing. It can lead to heightened sensitivity or tenderness in the vulvar area.

There are two subtypes of vulvodynia. The first subtype is called  generalized Vulvodynia which is described as widespread pain throughout the vulva. The second subtype is Vestibulodynia which is pain specifically localized to the entrance of the vagina.

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PUDENDAL NEURALGIA

Vulvodynia Versus Pudendal Neuralgia

Pudendal neuralgia is a chronic pain condition arising from the irritation, compression, or dysfunction of the pudendal nerve, a significant nerve situated within the pelvic region. This condition gives rise to persistent and often incapacitating pain that extends across the regions innervated by the pudendal nerve. These encompass the genital area, perineum, anus, and lower back.

At the core of this affliction lies the pudendal nerve, a critical nerve that administers both sensory and motor functions to a range of pelvic structures. These encompass the external genitalia, the perineum, the anal sphincters, and the muscles of the pelvic floor. Notably, the pudendal nerve serves a pivotal role in functions like urinary and bowel control, as well as sexual sensations.

A hallmark of pudendal neuralgia is the presence of neuropathic pain, which manifests as sensations akin to burning, shooting, stabbing, or electrical impulses. The pain typically originates within the pelvic area, encompassing the genitals and the perineum. Often, this discomfort radiates to adjoining regions like the inner thighs and lower back.

Symptoms indicative of pudendal neuralgia include pain that is aggravated when sitting, discomfort during or following sexual intercourse, sensations of unease during urination or bowel movements, tingling or numbness affecting the pelvic area, and heightened sensitivity to tactile stimuli.

Numerous factors can contribute to the emergence of pudendal neuralgia. These comprise the exertion of pressure on the pudendal nerve due to anatomical structures or adjacent tissues. Additionally, injuries sustained in the pelvic area, whether during childbirth, surgical procedures, or accidents, can play a role in the onset of this condition. Furthermore, repetitive activities that place strain on the pelvic area, such as prolonged sitting or cycling, can also contribute. Inflammatory conditions impacting the nerve itself or the tissues surrounding it are also implicated.

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Vulvodynia Versus Pudendal Neuralgia

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VULVODYNIA – VULVA PAIN

Vulvodynia Versus Pudendal Neuralgia

Vulvodynia delves into the realm of unexplained and enduring discomfort in the vulvar area, a situation that transcends age and can evolve into a distressing long-term issue.

Symptoms associated with vulvodynia span a spectrum of sensations, including ongoing pain in and around the vulva and vagina, characterized by burning, stinging, throbbing, or soreness. The discomfort can be aggravated by touch and often persists as a constant background sensation. This pain can escalate when sitting and may even extend beyond the vulva to involve wider areas, spanning from the vagina to the anus.

Additionally, a myriad of symptoms like vaginismus, interstitial cystitis, painful menstruation, and irritable bowel syndrome (IBS) can intertwine with vulvodynia’s complexities.

Potential causative factors include nerve injuries in the vulvar vicinity, previous vaginal infections, sensitivities, hormonal shifts, muscular spasms, and pelvic floor weakness.

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PUDENDAL NEURALGIA

CHRONIC PELVIC PAIN

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Pudendal neuralgia paints a different picture, characterized by the chronic pelvic pain it inflicts. This pain results from irritation or damage to the pudendal nerve, a pivotal nerve in the pelvic region.

The pudendal nerve extends its reach to vital areas such as the lower buttocks, the spaces between the buttocks and genitals, the regions around the anus and rectum, as well as the vulva, labia, and clitoris in women, and the scrotum and penis in men.

The pain associated with pudendal neuralgia presents as diverse sensations, encompassing burning, crushing, shooting, or prickling feelings. This pain can manifest suddenly or gradually, existing as a constant presence and intensifying when seated.

An array of accompanying symptoms includes numbness, heightened pain sensitivity, swelling, increased frequency of urination, and challenges during sexual activity or erectile function.

The root causes of this condition span compression of the pudendal nerve due to neighboring muscles or tissue, extended periods of sitting, activities like cycling or horse riding, as well as pelvic surgery, fractures, childbirth-related nerve damage, and benign growths pressing upon the pudendal nerve.

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VULVODYNIA & PUDENDAL NEURALGIA

Vulvodynia Versus Pudendal Neuralgia

The parallels between these conditions are evident, as both afflict women predominantly and can entail similar symptoms, triggers, diagnostic approaches, and treatment pathways.

It is vital to highlight the significance of medical intervention in effectively managing and addressing the challenges posed by vulvodynia and pudendal neuralgia.

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THE TRADITIONAL APPROACH OR THE CHOICE

OF AN ALTERNAIVE BODYWORK APPROACH?

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Many women facing conditions like Vulvodynia and Pudendal Neuralgia often opt for traditional medical approaches, which may include medications, physical therapy, and lifestyle adjustments.

However, it’s important to recognize that there are alternative paths to explore, and one such avenue is seeking the expertise of a certified Sexological Bodyworker, also referred to as a Somatic Sexologist.

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Vulvodynia Versus Pudendal Neuralgia

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AN ALTERNAIVE & HOLISTIC

APPROACH TO VULVODYNIA

AND PUDENDAL NERVE

NEAURAGLIA

Vulvodynia Versus Pudendal Neuralgia

While traditional medical interventions have their merits and are backed by scientific research, some individuals are drawn to holistic and alternative approaches that address the emotional and physical dimensions of their conditions.

Certified Sexological Bodyworkers are trained professionals who specialize in providing intimate massage bodywork that emphasizes somatic experiences and sexual well-being. This form of alternative therapy involves the use of specialized techniques and rejuvenating oils to target areas related to the pudendal nerve and alleviate discomfort.

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COMPLEMENTARY SEXOLOGICAL BODYWORK

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The alternative approach offered by Sexological Bodyworkers can be seen as complementary to traditional treatments. It focuses on a comprehensive understanding of the body-mind connection, aiming to release tension, improve circulation, and potentially reduce pain. This holistic approach can provide emotional relief and enhance overall well-being.

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ACSB

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CONSIDER YOUR OPTIONS

Vulvodynia Versus Pudendal Neuralgia

It’s important for women to make informed choices about their health and consider all available options. Consulting with healthcare providers and researching certified practitioners in the field of Sexological Bodywork can empower a woman to decide on a treatment plan that aligns with their personal preferences and needs.

Integrating alternative approaches like intimate massage bodywork with traditional medical care may offer a balanced strategy for managing the challenges associated with these conditions. Ultimately, the key is to explore what works best for each individual, taking into account their unique circumstances and preferences.

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MEDICAL DISCLAIMER

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The information provided in this content is for educational and informational purposes only and is not intended as a substitute for professional medical advice, diagnosis, or treatment.

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Vulvodynia Versus Pudendal Neuralgia

Ms. Aleena Aspley Certified Somatic Sexologist Brisbane

Written by Aleena Aspley who is a Certifed Sexological Bodyworker / Somatic Sexologist & NEO Tantra Intimacy Coach. Aleena’s bodywork studio is located in North Brisbane and is by appointment only.

Bodywork Directory — www.AleenaAspley.com
Women — www.YoniWhisperer.com.au
Men — www.LingamWhisperer.com.au
Couples — www.TantricWhisperer.com

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Vulvodynia Versus Pudendal Neuralgia

2 thoughts on “VULVODYNIA VERSUS PUDENDAL NERVE NEURALGIA — Two Painful Conditions Effecting Women

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