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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.
In fact, this happens so frequently that pudendal neuralgia, a type of chronic pelvic pain caused by entrapment or compression of the pudendal nerve, is often referred to as Cyclistâs Syndrome. Sitting on some types of bicycle seats for long periods of time puts pressure on the pudendal nerve.