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Living with Pudendal neuralgia

Nerve pain in the pelvic area that is often worse when sitting and builds up through the day.

Understanding Pudendal neuralgia

Pudendal neuralgia occurs when the pudendal nerve, which serves the pelvic area, is injured, irritated, or squeezed.

It causes burning pain, tingling, or numbness in the buttocks, genitals, or perineum (the area between them). Symptoms are usually present when sitting and often ease when standing or lying down. Pain tends to build up through the day. It usually starts in adulthood.

Signs & symptoms

Symptoms vary from person to person. GARD lists these among the most common:

  • Burning pain, often on one side
  • Tingling or numbness in the buttocks or genitals
  • Pelvic, buttock, or rectal pain
  • Pain during sex
  • Frequent or urgent urination
  • Pain when touched lightly (allodynia)

Not everyone has every symptom. GARD's list comes from the Human Phenotype Ontology.

Diagnosis

  1. Talk with your doctor

    Share the symptoms you've noticed, when they started and your family health history. Notes and photos can help.

  2. See a specialist

    Specialists who may be involved include brain and nervous system specialists.

  3. Ask which tests can help

    Your care team will decide which exams and tests can confirm the diagnosis.

  4. Connect with expert centers

    The Foundation for Peripheral Neuropathy may keep lists of experts for this condition.

Care & treatment

Care team
Brain and nervous system specialists (neurologists)
Expert care
Expert lists: The Foundation for Peripheral Neuropathy
Treatment
GARD doesn't list specific treatments for this condition. Your care team will tailor care to your symptoms.
Research
Clinical trials and observational studies may be options. See the research section below.

General information, not medical advice. Your care team makes the decisions.

Everyday life

Living with a rare condition is easier with support.

  • Connect with Pudendal Neuralgia Association and other patient organizations
  • Keep notes on symptoms, changes and questions for appointments
  • Ask about patient registries that help research
  • Look into financial aid and travel resources for care visits
Bring these questions to your next doctor visit
What tests can rule out other causes of my pelvic pain?
Which activities or positions may be making my symptoms worse?
Which specialists treat nerve pain like this?

Quick facts

Symptoms usually startAdult

The nerve can be damaged by surgery, childbirth, injury, pelvic floor muscle spasms, or tumors. Some infections, like herpes simplex, and activities like cycling and squatting exercises may also be involved.

Neurological

Also known as: alcock syndrome; neuralgia of pudendal nerve; pudendal algia; pudendal nerve entrapment syndrome; pudendal nerve neuralgia; pudendal neuralgia by pudendal nerve entrapment

Patient organizations

Source: NIH GARD · Pudendal neuralgiaGARD ID 10713 · GARD page updated September 2026 · Plain-language summary by Know Rare; editorial review pending. General information, not medical advice.

You are more than your diagnosis

Perspectives from people navigating life with Pudendal neuralgia.

Explore the Pudendal neuralgia blog

Explore research for Pudendal neuralgia

Explore actively recruiting Pudendal neuralgia studies with HealthSpark.

HealthSpark

Find actively recruiting studies for Pudendal neuralgia with HealthSpark. Share your city to explore research near you.

  • Recruiting studies from ClinicalTrials.gov
  • Share your city to look for research near you
  • Eligibility is confirmed by the study team

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Powered by HealthSpark, our AI chat helper · Study information from ClinicalTrials.gov · Eligibility is confirmed by the study team.

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