I am a 49 year old and about 18 months ago had a severe bout of cystitis which I didn't recover properly from despite antibiotics. About 3 months later I was still experiencing what felt like pressure on the bladder and had an ultrasound of my bladder but was told everything was okay. The next symptoms were hypersensitivity in the clitoris and a constant feel of sexual stimulation in that area along with the continued feeling of needing to urinate although the frequency had become normal again. A couple of months ago I was disagnosed with vulvadynia. When researching I discovered pudendal nerve irritation which seemed to fit with my symptoms, i. I saw an osteopath and he thinks I have a back issue which is causing the pudental nerve irritation.
Restless Genital Syndrome, treatment by Dr. M. Waldinger
The weird sensations consist of tingling, itching-like and wave-like sensations, small shocks or cramps in or around the clitoris and vagina. Women usually experience a close to orgasm sensation as if they are on the verge on getting an orgasm. These feelings do not cease like in a genuine orgasm but lead to an imperative urge to masturbate or to have intercourse in an attempt to get rid of these feelings. While having these sensations, women do not long for or fantasize about sex. Masturbation or intercourse do not lead to a diminishment of the genital sensations, but, usually, aggravate the sensations.
Restless genital syndrome refers to excessive and persistent sensations of genital and clitoral arousal with the absence of conscious feeling of sexual desire. These sensations have been linked to symptoms of restless legs syndrome RLS or an overactive bladder. Restless genital syndrome may be related to small fiber sensory neuropathy of the dorsal nerve of the clitoris, so it more frequently occurs in women. The association with RLS suggests a possible dopaminergic mechanism. We report a case of a year-old woman who presented restless genital symptoms every night in association with RLS symptoms.
Pudendal neuralgia is an important but often unrecognized and undiagnosed cause of pelvic floor pain. Its incidence is unknown, and there is relatively little data and scientific evidence in the literature on its diagnosis and treatment. However, I believe that a significant number of women who have burning pain in the vulva, clitoris, vagina, perineum, or rectum — including women who are diagnosed with interstitial cystitis, pelvic floor muscle spasms, vulvodynia, or other conditions — may in fact have pudendal neuralgia. Indeed, pudendal neuralgia is largely a diagnosis of exclusion, and such conditions often must be ruled out.