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There is no one cause of pudendal neuralgia. It may be related to: 1  Childbirth trauma. 2  Gynaecological or colo-rectal surgery. 3  Cycling. 4  Excessive physical exercise. 5  Past pelvic or perineal trauma. 6  Injury. 7  Straining.
Surgeries and other treatments for pudendal neuralgia. If pudendal neuralgia is the cause, it may be possible to alter the pudendal nerve. Surgeries and other treatments to cut the nerve, burn it, or stimulate it with electric current have been tested. This involves the potential for serious side effects.urgeries and other treatments for pudendal neuralgia. If pudendal neuralgia is the cause, it may be possible to alter the pudendal nerve. Surgeries and other treatments to cut the nerve, burn it, or stimulate it with electric current have been tested. This involves the potential for serious side effects.