Monterey Pelvic Medicine and Pain Management

Painful External Organs of Vagina, Vulva, Clitoris, and Anus

Painful External Organs is usually exaggerated with with sitting and include:

Tailbone or lower back pain

Sacroiliac or hip pain

Clitoral/vaginal/vulvar burning or pain

Penile/scrotal/testicular pain/ perineal (“crotch”) pain

Vulvodynia (vulvar pain)

Clitorodynia (Clitoris Pain)

Local causes of genital pain such as irritation, allergy, infection, skin disorders that should be carefully identified and properly managed.  Two other conditions that are frequently overlooked and missed in diagnosis and treatment: Pdendal Neuralgia and Pudendal Nerve Entrapment.

Pudendal neuralgia (Disorder that affects the pudendal nerve runs through pelvic region, including genitals, urethra, anus, and perineum).  This causes pain alongside the course of the nerve without any abnormality of affected organs.

Pudendal nerve entrapment ( Pudendal nerve is entrapped or compressed. Pain is positional and is worsened by sitting. Other symptoms include genital numbness, fecal incontinence and urinary incontinence)

Evaluation Treatment Plan