Both clitoral pain as well as loss of clitoral sensation can be related and due to nerve related issues, medications, hormonal changes, especiall if oral contraceptives are used, as well as prior pelvic/genital surgery and childbirth. It would be important to get the full history to make an adequate assessment. The good news is, I have many patients with these similar complaints and there are medical, topical, hormonal, and alternative natural therapies that can help to restore normal function. I would be happy to provide resources and speak with you further.
I think I've done damage to my inner labia with a Hitatchi Magic Wand. One side seems "shredded" and looks like it's going to stay that way. It isn't red or wounded looking. The flesh is separated, almost looking like toes (seriously).
Is this permanent? Is there a way to fix this? I'm embarrassed to go to my dr.
Also, the other side is very itchy between the folds and has been this way for a while.
It is very important that you get a proper diagnosis from a healthcare provider that specializes in vulvar disorders and/or pelvic pain. There is nothing to be embarrased about, but you should get checked out by a specialist.
Re: help, pain around clitoris, scared... Clitorodynia is a subset of vulvodyina caused by damage to the nerves supplying the clitoris. Post-herpetic neuralgia is the most common cause but it can be caused by trauma to the clitoris from very aggressive masturbation, intercourse, or vibrator use.
Treatment are available- most commonly I treat this condition with Neurontin.
Obviously, it is important to find a physician familiar with this disorder to get the appropriate treatment
Andrew T. Goldstein, MD
Director, The Center For Vulvovaginal Disorders
I have a question for Amy Stein at Beyond Basics or for any other physical therapists who may see this posting.
I just recently had a pelvic MRI and what it showed is bilateral compression of the dorsal nerve due to pelvic floor varices (swollen blood vessels) at the vestibule as well as other prominent varices around the cervix.
My question is, have you ever treated patients using PT with pelvic varices that are causing nerve inflammation/compression?
And what are your thoughts on botox as it relates to calming pudendal nerve inflammation/compression/entrapment?
Pudendal nerve blocks and physcial therapy work better for pudendal nerv irriation than the botox. As for the varices, trained Physical therapists should know to work on the muscles without working on the swollen vessels. Working on the muscles in other areas can help with the blood flow. The varices can contribute to ur pain. It is important to eliminate all aggravating factors as much as possible. U should limit sitting bc of the compression to the varices. We fortunately have a certified Lymphedema therapist that is also an expert in pelvic floor dysfunction in our office that treats varices. U can google the National lymphedema Network to see if there is someone in ur area. As well, u can also see a highly trained pelvic floor PT and they should know how to handle ur situation. Good luck!
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