Pudendal Neuralgia

Find Lasting Relief from Chronic Pelvic Pain

If you’re struggling with persistent pelvic pain, burning sensations, or discomfort when sitting, you may be suffering from pudendal neuralgia. Dr. Karen Toubi, a board-certified OB/GYN in Beverly Hills, specializes in diagnosing and treating this often-overlooked condition, helping patients regain comfort and quality of life.

What is Pudendal Neuralgia?

Pudendal neuralgia is a painful neuropathic condition caused by irritation, entrapment, or damage to the pudendal nerve, a key nerve responsible for sensation in the genital, perineal, and anal regions. This condition often leads to severe, burning pain that worsens when sitting and may also cause tingling, numbness, or a foreign body sensation in the vagina, perineum, or rectum.

Symptoms of Pudendal Neuralgia

Chronic burning, tingling, or stabbing pelvic pain
Pain worsening when sitting
Sensitivity in the clitoris, vulva, perineum, and rectum
A sensation of a foreign object in the vagina or rectum
Sexual dysfunction or pain during intercourse (dyspareunia)
Bladder or bowel discomfort

What Causes Pudendal Neuralgia?

Pudendal neuralgia can develop gradually or result from specific injuries. Common triggers include:

Bicycle riding or prolonged sitting (e.g., spinning, cycling)
Childbirth trauma (especially vaginal deliveries and episiotomies)
Pelvic surgeries (e.g., hysterectomy, prolapse repair)
Coccyx (tailbone) injuries or pelvic trauma
Spinal conditions such as herniated discs or Tarlov cysts
Chronic constipation or excessive straining

Unfortunately, many healthcare providers overlook this condition, leading to misdiagnosis and prolonged suffering.

Pudendal Neuralgia Treatment Options

Early diagnosis and a comprehensive treatment plan are key to managing pudendal neuralgia effectively. Dr. Karen Toubi uses a multimodal approach to relieve pain and improve function:

1. Lifestyle & Activity Modification

Adjusting posture and using a cushioned seat to relieve nerve pressure
Avoiding prolonged sitting or bicycle riding
Pelvic floor relaxation techniques

2. Medication Therapy

Tricyclic antidepressants (amitriptyline, nortriptyline) to manage nerve pain
Gabapentinoids (gabapentin, pregabalin) for nerve stabilization
SNRIs (duloxetine, venlafaxine) to reduce neuropathic pain

3. Pelvic Floor Physical Therapy

Myofascial release therapy to reduce pelvic muscle tightness
Nerve mobilization exercises to improve nerve function

4. Pudendal Nerve Blocks

Performed in-office for pain relief and diagnostic evaluation
Can provide months of relief and help pinpoint nerve involvement

5. Advanced Interventions

Pulsed radiofrequency therapy to desensitize the nerve
Surgical decompression for severe, treatment-resistant cases

Why Choose Dr. Karen Toubi for Pudendal Neuralgia Treatment?

Dr. Toubi is a leading OB/GYN and pelvic pain specialist dedicated to helping women overcome complex conditions like pudendal neuralgia. She provides:

Comprehensive evaluations to accurately diagnose and tailor treatments
A patient-centered approach focused on compassionate care
Cutting-edge treatments based on the latest medical research

If you’re experiencing chronic pelvic pain, burning, or discomfort while sitting, don’t wait for relief. Schedule a consultation with Dr. Karen Toubi in Beverly Hills today to explore personalized treatment options and reclaim your comfort and well-being.