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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.
Nerves are responsible for transmitting information between different parts of the body and the brain. When the nerve receptors become aggravated or damaged, it can result in pain and restricted movement. Pudendal neuralgia results when the pudendal nerve becomes inflamed. It has a tendency to be very painful which often causes people to seek out medical attention. Because pelvic pain can be caused by a variety of ailments, diagnosis can be rather delayed.