ejaculatoryanhedonia.com

General Category => Contributing Factors - Physical => Topic started by: lostmojo on February 15, 2010, 02:44:59 AM

Title: Pudendal Nerve
Post by: lostmojo on February 15, 2010, 02:44:59 AM
I think I just had an "A HA" moment.

From wikipedia: "Many doctors also do not recommend inducing retrograde ejaculation due to the risk of putting pressure on the pudendal nerve. Such pressure can cause numbness in the penis."

(http://www.andrologyaustralia.org/images/pageContentImages/retrograde.jpg)

I am wondering if holding the semen in (like I did many times when I was in my teens) caused it to flow back into the bladder. Therefore this put pressure on the pudendal nerve, which is why I have numbness in the penis? Or even if it did not flow back into the bladder it still put pressure on the pudendal nerve.

I'm pretty sure I do not have retrograde ejaculations because I don't recall ever seeing cloudy urine the next time I needed to urinate after sex.
Title: Re: Pudendal Nerve
Post by: lostmojo on February 15, 2010, 02:55:23 AM
"The pudendal nerve is responsible for proper functioning and control of urination, defecation and orgasm in both males and females.

Located deep within the pelvic region, the pudendal nerve emerges from the base of the spinal cord (sacral area), and separates into three branches.

One branch goes to the anal-rectal area. The second branch goes to the perineum - the sensitive area between the anus and penis or vagina. The third branch goes to the penis or clitoris itself."

(http://upload.wikimedia.org/wikipedia/commons/thumb/d/de/Pudendal_nerve.svg/785px-Pudendal_nerve.svg.png)

"Because the it carries signals between the brain and the pelvic organs (bladder, genitals, prostate, colon), serious problems can occur in the event of an injury. These include:

1) Urinary incontinence
2) Bowel problems
3) Prostate disorders
4) Sexual dysfunction
5) Painful sexual intercourse
6) Pudendal neuralgia
7) Pudendal nerve entrapment (PNE)

The last two are chronic conditions which can cause great pain in lower pelvic areas (scrotum and penis, vagina, perineum, anal region).

In short, life loses most of its joys and pleasures when this 'mission control' pelvic nerve is injured. There are many ways that this can happen - cycling, pregnancy, accidents and scarring due to surgery."

Apparently pudendal damage can also happen from western style sitting toilets, for more info see: http://www.toilet-related-ailments.com/pudendal-nerve.html
Title: Re: Pudendal Nerve
Post by: lostmojo on February 15, 2010, 03:04:09 AM
I think this is the only thing that fits for me. I am not sexually sensitive on the penis, the perineum or the anal-rectal area and they all connect up to the pudendal nerve which then relays the information to the brain.

The question is what can be done about it?

"The pudendal nerve, which weaves its way through the pelvic floor muscles, is not designed to cope with the repeated downward movements of the pelvic floor. It can suffer from what is known as nerve stretch injury, when it is stretched by as little as 12%."

I'd like to see this information verified somewhere else besides "www.toilet-related-ailments.com".
Title: Re: Pudendal Nerve
Post by: AlBrown on February 15, 2010, 08:04:48 PM
I'm glad you created a section for this.  The bulk of my research has been in this area and I have seen these exact pictures and many others.  If you really want a good way to see what's going on down there I found the 3D software "Interactive Pelvis and Perineum" to be the best (by Primal Pictures).  You can really follow the nerve pathway and muscles involved.  If interested, email me and I can help set you up.  Also, here is the reply from the other forum:


"I am currently being treated for the pudendal nerve (pudendal neuralgia). Similar symptoms as you, numbness in perineum, penis etc. You are right that the symptoms can be caused without entrapment. As of now they feel my nerve was stretched due to a twisted sacrum (where the nerve originates from) from a bad slip i had (since readjusted). Along with the nerve being stretched, my muscles overcompensated for the displacement and may also be interfering with the nerve. I had biofeedback and my muscles were indeed in an abnormal state of tension. I'm praying this was the problem and hopefully will make some progress.

I'd be happy to answer any questions to help.
Title: Re: Pudendal Nerve
Post by: lostmojo on February 16, 2010, 02:26:47 AM
That's great AlBrown thanks.

My first question to you is what sort of health practitioner(s) are you seeing? This is something I am willing to pursue treatment for but I'm not sure what discipline is best equipped to help.

Like many others I've been going around in circles for the last 2 years with theories about what the problem could be. It's kind of the more you know the less you know.

EDO seemed like a good candidate but somehow it doesn't match up right. I got excited about pudendal nerve entrapment but when I read the symptoms I thought again this is not quite right. That is until yesterday when I found out that you don't necessarily have to have searing pain and other problems for there to be a pudendal nerve problem.

I very well think this might be what myself, needhelp31, MichaelSad, yourself and others from the lack of sexual sensations brigade are suffering from. That is why I called it an "A HA" moment and I was quite surprised that no one else seem interested, until your reply that is.
Title: Re: Pudendal Nerve
Post by: AlBrown on February 16, 2010, 08:22:40 PM
Unfortunately it is a rare condition and overlooked by mainstream medical communites so there are only a handful of people who can help.  I will post my reply to needhelp on the other board to rehash some of the avenues to try


"Yes, the tension was found by manual manipulation (internal and external) , ultrasounds and also biofeedback tests.

To be perfectly honest, I was like you and had none of the symptoms of PN in the beginning...just lack of sensitivity and EA. Over time I have developed a few common ones but never to the degree of some of the horror stories out there. There are a lot of symptoms and they vary on the severity of the nerve disruption and cause. Sounds like if you have it, it is minor but any disruption to this nerve slight or severe, shuts it down and it can sometimes take awhile to recover after it is fixed. I have seen less severe cases are recovered in an average of 6 - 8 weeks, usually within 3 months. More severe cases can take months or sometime years to recover.

As for treatment, a pelvic floor physical therapist who has training in PN is a great place to start. They really understand it and have a lot of tricks up their sleeves and can point you in other areas based on what they find. Finding the cause is the most difficult and it can range from pelvic misalignment, muscle tension, joint or ligament dysfunction, scar tissue, adhesion etc. You just have to keep ruling things out. So far in my case, my sacrum was twisted where the nerve originates so an adjustment was done. As a result my joint was out of place too. Hoping that was it but still trying other things. Either the PT or a chiro can help for that. For the muscles, ligaments, and tendons, depending on the experience of the PT...they can usually do it or they will send you to a good clinical massgage therapist whose has training in trigger point therapy, myofascial release, and sometimes acupuncture. Not a relaxation type massage...this stuff hurts!

As far as doctors, there are very few and the main guy is in France. Dr. Filler in CA has a technology which is debatable but may be worth a try (MR Neurography). Relatively new so not covered by many insurances but supposedly can find pudendal nerve disruptions. You can also have an EMG or a pudendal nerve motor latency test (PNMLT). Dr Antolak in MN is supposedly a good place for this.

This is a very little researched area so not too many mainstream docs can help or even know about it. Hope this helps!"
Title: Re: Pudendal Nerve
Post by: lostmojo on February 17, 2010, 05:48:50 AM
AlBrown it seems to me that an osteopath could be good possibly for pudendal nerve treatment given their knowledge of bones and muscles. Or a non western style therapist, like a chinese doctor who also knows acupuncture.

On another note I have owned one of these for nearly a year: http://www.diadens.com/diadens.html

"The DiaDENS-T and DiaDENS-DT are new devices used for a new method of treatment - dynamic electric neurostimulation. The portable DiaDENS device combines the facilities of reflex diagnos tics and reflex therapy."


To be honest I don't really know how to use it properly but it seems to me like it could be useful for us. I'll have to go back and look at the manuals and see if there is anything that means something to me in relation to the pudendal nerve. You can use it on body meridians or energy points, kind of like acupuncture. I have tried it on my penis directly and after some minutes it resulted in a weak ejaculation with absolutely no sense of orgasm. Makes me think all the more that perhaps everything is ok downstairs but the signals just aren't getting through to the brain.
Title: Re: Pudendal Nerve
Post by: AlBrown on February 17, 2010, 07:59:39 PM
Great find!!! I have read a lot of studies about electric nerve stimulation and had no idea how to go about it.  Most of the studies were for treatment after pudendal decompression surgery and a few from other non related surgeries where the pudendal nerve was injured from doing it in the "prone" position creating traction on the nerve from the pelvic table.  The idea was to help stimulate the nerve into action again and it seemed to have positive results.  Also, this technique was mentioned by one of my PT's claiming it helps getting the blood flow moving, as well as helping the muscles and nerves.  Any kind of stimulation like this helps and I have had similar treatments for back problems.  I'm curious if this device would be an acceptable form for this so I am going to dig around a bit.  Thanks for the info!


Yes, that does sound like someone who can help.  I'm sure you've seen this before from previous posts or research but if not, here is a good list of PT's with training in the pudendal nerve (indicated by **).

http://www.pudendal.info/node/16
Title: Re: Pudendal Nerve
Post by: lostmojo on February 19, 2010, 03:36:03 PM
Electrical acupuncture at the pudendal nerve may be effective in the treatment of pudendal discomfort due to chronic pelvic pain syndrome (CPPS):

http://sciencelinks.jp/j-east/article/200521/000020052105A0812622.php

I realize most of us are not in pain but interesting nevertheless that electrical acupuncture has a positive effect.
Title: Re: Pudendal Nerve
Post by: lostmojo on February 19, 2010, 03:40:10 PM
This is most interesting:
http://slightesttouch.com/for_men.html

"Electro Stimulation is the easiest way to that mind-blowing, full body orgasm."
This is the product http://www.slightesttouch.com/

"By stimulating the exact spot with a mild electrical tickle (delivered by an electrode pad that sticks to the skin), a series of stimulating pulses travel up nerve pathways in the legs to the sexual nerves responsible for arousal and sexual response. There are three main nerve bundles in the pelvic region (in medicine, they are called the Pudendal, Hypogastric, and Pelvic)."

I think we should do some research on the Hypogastric and Pelvic nerves as well.
Title: Re: Pudendal Nerve
Post by: AlBrown on February 19, 2010, 10:27:09 PM
Interesting.  I do believe in the concept but trying to figure out how it can innerverate the pelvis from the ankle.  All of the nerves we are troubled with derive from the sacral plexis.  Certainly wouldn't hurt to try I suppose since most of us are grasping for straws. 

You mentioned that you have issues in all 3 of the nerve branches which seems to indicate the problem may reside somewhere above where the pudendal nerve branches off.  Have you ever had back problems or an MRI in this area?
Title: Re: Pudendal Nerve
Post by: lostmojo on February 20, 2010, 02:42:12 AM
I very occasionally get a sore back, I'm not talking really sore, once maybe twice a year at most. Usually from weight lifting where I might just twinge something and then I'm a bit stiff for 3 or 4 days, certainly nothing chronic. I've never had an MRI anywhere.

All 3 areas that connect up to the pudendal behave the same way. They're not numb but in terms of being touched on any of them it's really not much different to being touched on the arm. That is there is no problems feeling it but there's certainly very little additional sensation.

The only exception is strong touching directly to the frenulum, this does give some buildup but I would guess at an intensity of 1/3 or less than what I would have got from light touching prior to AE. It's as if the signals are getting through but they're greatly reduced. The sort of skin stimulation I get from intercourse can result in almost instant ejaculation, zero buildup, zero orgasm sensation, it's like a reflex action.

I looked up the DiaDENS manual and for sexual dysfunction the points it says to apply the device to are between the navel and pubic bone, the perineum, the scrotum, the lumber region and between the 2nd and 3rd fingers.

I've started using it on myself on those points. That last point is about as abstract as the ankle point used by the "Slightest Touch". Acupressure points are a bit like that, there are all these trigger points in your feet for various internal body organs too.

I'm trying to do some yoga like stretching too, I'm guessing my whole pelvic area is extremely tight. I haven't had many because they don't give me a great deal of pleasure but I have been told by massage therapists that my muscles are very tight, I am certainly not the most supple person!
Title: Re: Pudendal Nerve
Post by: chmchm on February 21, 2010, 05:17:15 PM
I'm trying to do some yoga like stretching too, I'm guessing my whole pelvic area is extremely tight. I haven't had many because they don't give me a great deal of pleasure but I have been told by massage therapists that my muscles are very tight, I am certainly not the most supple person!

I have tried to do some yoga as well, I read somewhere that someone had a spinal injury which resulted in ejaculatory anhedonia, and he had a chiropractor do something to his lower back and he said he had got orgasms back for a little bit.
Title: Re: Pudendal Nerve
Post by: lostmojo on March 04, 2010, 02:17:22 PM
Here's another device that may be of interest:

"The Dr. Erector device is a portable electric stimulator designed for soothing of the rectal muscles and prostate gland by continuous electrical pulses. An electric stimulator allows non-invasive therapy for inflammations and dysfunctions in the rectal area by emitting continuous electrical pulses.

These electrical pulses activate metabolic processes, facilitate a protective reaction, stimulate muscle activity and stimulate blood circulation in the pelvic area. This leads to drainage of blood congestion, cleansing of tissues, restoration of nerve conduction, and greater activation of rectal muscles and the prostate.

Electrical pulses relieve pain and cause a neurotropic effect that stimulates the body's own repair processes. Improvement of neurotropic function and blood circulation influences the brain and spinal cord and leads to greatly improved sexual function."

http://www.drerector.com/how_it_works.php
Title: Re: Pudendal Nerve
Post by: AlBrown on March 04, 2010, 07:54:19 PM
Lostmojo:
 I have been going down this path as well and will let you know my results once the devices arrive.  I ordered one Tens unit and another EMS unit from the following site:

http://www.tens.co.uk/
Title: Re: Pudendal Nerve
Post by: lostmojo on March 06, 2010, 07:16:28 PM
Good find, AlBrown, some of those machines look like much better options than the "Dr. Erector"device. Better to have a general use machine rather than one that can only stimulate one area.

Which EMS are you getting, the Pelvitone for Male Incontinence, http://www.tens.co.uk/acatalog/Pelvitone_for_Male_Incontinence.html ?

With the TeNS are you hoping to stimulate directly, on the acupressure points or a bit of both?
Title: Re: Pudendal Nerve
Post by: AlBrown on March 07, 2010, 07:29:00 PM
For Tens I did the I Touch since it had double the presets than the Smart Tens. Figured since I don't know what am doing yet these presets will be helpful guidance.

http://www.tens.co.uk/acatalog/I-Touch.html

For the EMS, yes I did the male Pelvitone.  Especially curious about the "lack of sensitivty" preset.

http://www.tens.co.uk/acatalog/Pelvitone_for_Male_Incontinence.html

As far as plans, I really have none till I get it and experiment.  Seems like a worthwhile path to go down though.
Title: Re: Pudendal Nerve
Post by: TnT on March 07, 2010, 08:33:54 PM
Don't feel that people aren't interested; They may have not read it, or read and not posted.  This seems really interesting and promising and I look forward to seeing your results!
Title: Re: Pudendal Nerve
Post by: searchingforcure11 on March 07, 2010, 10:25:24 PM
The site dont really explain what it is you are talking about and what it does.  What is this product that you are sending links to?  Has anyone here tried it yet? 
Title: Re: Pudendal Nerve
Post by: AlBrown on March 08, 2010, 08:15:50 PM
I think the gist of it is if someone does indeed have nerve issues, studies have shown electrical stimulation of the nerve and surrounding area can help in many ways and that is what these devices are for.

For me personally, I feel my issues lie within the pudendal nerve and surrounding area.  My nerve may have been stretched and my pelvis a bit misaligned so muscles have taken a toll as well.  These devices are used to help stimulated the nerve and relax the surrounding muscles to their normal state (mainly pelvic floor muscles).  I have had tests showing my pelvic floor is indeed tightened (result from injury) which can also effect the nerve.

They are mainly used by medical community but some sites (such as one mentioned) sell to regular consumers.  Since consumers are unfamiliar with these techniques preset programs are included based on patterns used by the medical professionals.  This is my take on it anyway.  I have seen them used frequently in studies, especially post op pudendal nerve decompression surgeries to aid recovery.

Title: Re: Pudendal Nerve
Post by: AlBrown on March 11, 2010, 07:44:21 PM
I received my units today and will probably start this weekend.  I will keep everyone posted on how it goes.
Title: Re: Pudendal Nerve
Post by: fireman on March 16, 2010, 12:19:03 PM
I received my units today and will probably start this weekend.  I will keep everyone posted on how it goes.

hi albrown. this is my first post so please forgive any mistakes. im intrigued to hear how you have got on with the units. i have had diminishing sensation during sex, but particularly at ejaculation. i also suffer from chronic proctalgia - which is a pain in the a**e, literally. all the tests i have endured have brought no cure or even diagnosis for either condition. this has been happening for 22 years. i realise that at roughly the same time i had a back injury so the pudendal nerve having been damaged is a possibilty. one avenue of treatment i tried briefly was acupuncture and the practitioner pointed out a possible link, based on acupuncture meridians, between these problems and a broken hand that i suffered around the same age as when the symptoms started. ive also had cystoscopy (never again) which only showed that i had severe (or as he put it 'exquisite' ) tenderness of the urethra. other things i have tried include reiki, hypnosis,  - both of which were interesting but didnt provide answers - psychotherapy - havent we ALL got things that need sorting in that department? im currently on antidepressants due to panic anxiety that has reared its ugly head since an unexpected heart attack 4 years ago and i know they dont exactly help this condition but having found this site it has renewed my determination to 'get it sorted'. im of the opinion that the physical sensation of sex/making love isnt the whole story but its like going to the cinema and watching a film through frosted glass with cotton wool in your ears.
sorry for a long first post. i would be keen to hear from anyone particularly who can see a connection with any of the above. thanks
Title: Re: Pudendal Nerve
Post by: AlBrown on March 16, 2010, 07:58:02 PM
Well, it's abit too early to tell as I have only used each once so far.  It is very interesting though...you can really feel the impact it has on the areas.  

The TENS unit is more so for chronic pain reduction and by using the electrodes you can easily isolate the trouble areas (hamstring and adductors for me - buttock and groin pain).  Pretty cool stuff

The EMS is more for the internal pelvic floor area.  Again, you feel it working and the muscles responding.  I did the lack of sensitivty program and the pelvic floor relaxation program.  The next day I had physical therapy and "turned a corner" on my biofeedback tests.  For the first time I was able to keep my pelvic floor at a normal resting tone for a consistent amount of time.  This may be from the EMS unit or the trigger point therapy I started...not sure which.

I figure after a few weeks I will be able to give a definitive review on results but nevertheless, it seems worth a try and it is certainly not a gimmick.  You can tell it's doing the right things.  Whether or not it is the solution for my problem remains to be seen though.
Title: Re: Pudendal Nerve
Post by: AlBrown on April 01, 2010, 09:25:25 PM
Update:

So I have been using the EMS device consistently for a few weeks now.  I like it, it really helps work on the pelvic muscles which is handy since I stuggled to do these on my own.  I can't really identify the movements and whether I am doing them correctly or not so this device does the work for me.  I think it may be beneficial to those working on the PC muscle since it seems to be the same concept.

No results in terms of EA but I do have some improvement in the rectal area which is one of the three branches of the pudendal.  Up till recently I have had no feeling in any of the three areas (genitals, perineum, and rectal) so to finally feel something is encouraging.  My fingers are crossed and hope to see some improvements as time progresses.
Title: Re: Pudendal Nerve
Post by: fireman on April 03, 2010, 11:54:14 AM
thanks for the update albrown. am awaiting your progress with bated breath. the improvement, is it in terms of more sensation generally , or in a sexual sense? my ejaculations are not accompanied by any feelings in the anal / prostate area
Title: Re: Pudendal Nerve
Post by: lostmojo on April 03, 2010, 08:44:40 PM
fireman the general literature is that men should be sexually sensitive in the anal / prostate area. It can range from just enjoying being touched/stimulated there to full blown orgasms, particularly from prostrate stimulation. That's how many (not all) gay men can have an orgasm whilst receiving anal sex, it's not just in their heads.

If I stimulate the prostrate or perineum area I do not get any additional physical sensations apart from feeling the touching itself, that is not normal. I think some sexually functional men get sensations in the prostrate area whilst having an orgasm from regular sexual intercourse, not sure about the perineum. You said "my ejaculations are not accompanied by any feelings in the anal / prostate area", I think that would still be classified within the normal range of experience for men.

Title: Re: Pudendal Nerve
Post by: lostmojo on April 03, 2010, 08:46:40 PM
AlBrown I'm glad you have some improvement, I hope you continue to get that and more.

I too eagerly await your next update.
Title: Re: Pudendal Nerve
Post by: fireman on April 04, 2010, 07:10:41 AM
fireman the general literature is that men should be sexually sensitive in the anal / prostate area. It can range from just enjoying being touched/stimulated there to full blown orgasms, particularly from prostrate stimulation. That's how many (not all) gay men can have an orgasm whilst receiving anal sex, it's not just in their heads.

If I stimulate the prostrate or perineum area I do not get any additional physical sensations apart from feeling the touching itself, that is not normal. I think some sexually functional men get sensations in the prostrate area whilst having an orgasm from regular sexual intercourse, not sure about the perineum. You said "my ejaculations are not accompanied by any feelings in the anal / prostate area", I think that would still be classified within the normal range of experience for men.

thanks for the info lostmojo. i admit my mind is a bit befuddled by the condition and what prospective help there may be out there. i too get no pleasurable sensation from stimulation of the perineum or anal area although this wasnt always the case. im hoping that this can be cured by either realigment of the pelvis, checking out testosterone levels, taking gaba+, experimenting with the same treatment as albrown is currently using, or a combination. i did have a full orgasm after one pelvic realigment session 2 years ago but was never able to repeat it sadly. i appreciate your input

Title: Re: Pudendal Nerve
Post by: lostmojo on April 05, 2010, 05:42:12 AM
i did have a full orgasm after one pelvic realigment session 2 years ago but was never able to repeat it sadly.

Now that is very significant, I wonder how many others have had similar experiences. I hope you can have that happen again.

How was the realignment achieved, chiropractic or other?
Title: Re: Pudendal Nerve
Post by: fireman on April 05, 2010, 09:16:15 AM
i did have a full orgasm after one pelvic realigment session 2 years ago but was never able to repeat it sadly.

Now that is very significant, I wonder how many others have had similar experiences. I hope you can have that happen again.

How was the realignment achieved, chiropractic or other?

yes a chiropractor. also tried a mctimoney practitioner with no success. and interestingly met an acupuncturist a few years ago who believed that a hand injury, which i suffered at about the time the ea ( and proctalgia ) started, was responsible - according to acupuncture meridians. unfortunately he passed away before i could explore this.
Title: Re: Pudendal Nerve
Post by: chmchm on April 12, 2010, 09:46:32 PM
I think it may be beneficial to those working on the PC muscle since it seems to be the same concept.

On people trying to strengthen, control or relax it.
Title: Re: Pudendal Nerve
Post by: AlBrown on April 14, 2010, 08:07:55 PM
To explain a bit more, my whole pelvic area had numbness (scrotum, penis, perineum etc), all innerverated by the pudendal which is why I am going down this path.  As for the rectal area, the sensation I now have is that of my arse being on fire after such things as extremely hot chicken wings or bad case of diarahea.  I also have itching back again.  All of these are things I experienced in my rear before my inury but just forgot about since I have had no feeling for so long.  It's not pretty but any feeling is a welcome change at this point!  :)

Also seem to be getting that "tingling" feeling back in the perineum area on occasion.
Title: Re: Pudendal Nerve
Post by: fireman on April 15, 2010, 10:52:48 AM
To explain a bit more, my whole pelvic area had numbness (scrotum, penis, perineum etc), all innerverated by the pudendal which is why I am going down this path.  As for the rectal area, the sensation I now have is that of my arse being on fire after such things as extremely hot chicken wings or bad case of diarahea.  I also have itching back again.  All of these are things I experienced in my rear before my inury but just forgot about since I have had no feeling for so long.  It's not pretty but any feeling is a welcome change at this point!  :)

Also seem to be getting that "tingling" feeling back in the perineum area on occasion.

hi albrown. that all sounds promising. i hope you continue to find improvements. my symptoms include the area numbness. any increase in sexual sensation/satisfaction?
Title: Re: Pudendal Nerve
Post by: lostmojo on May 31, 2010, 01:30:05 AM
Interesting causes for "Pudendal Nerve Entrapment" listed here:
http://ehealthforum.com/health/ed-and-pudendal-nerve-entrapment-t218469.html

I hope my running has not caused it.  >:(
Title: Re: Pudendal Nerve
Post by: Michael on June 26, 2010, 05:52:27 PM
Here is a list of docs who specialize in the Pudendal Nerve...

http://www.pudendalhelp.com/List_of_Doctors.html

Has anyone, besides Al, in this forum had a Pudendal Nerve Motor Latency Test?

Title: Re: Pudendal Nerve
Post by: bongo on June 30, 2010, 01:42:16 AM
WELL IM EMBARRASED TO SAY IVE TRIED many prostate massagers and have had no pleasurable feeling at all and even reduced semen volume with them , i have recently bough a hitachi wand [ mains masssager]  and im trying to find points on my penis which feel good but none yet theres a point very sensitive but painfully not nice near the head , im wondering why i cant find the equivalent to the clitoris ,, re my other post ,,my rope climbings coming on very slowly  and cant replicate the feeling i had when i was younger ?
Title: Re: Pudendal Nerve
Post by: empathy121 on July 04, 2010, 03:47:25 PM
I believe the cause now to be physical - a result of the pc muscle being too tense for whatever reason. After reading one of the pudendal nerve websites (sorry I'm using my phone so cannot provide quotes) there is a section explaining how the pc muscle can permanently tense up due to being manipulated habitually (sounds like the 'learned' masturbation tensing response discussed here, which I can relate). On another site it highlights one of the treatments of pudendal nerve damage being therapy to relax the pc muscle. I gathered that the pc muscle needs to be fully relaxed before the nerve can recover. Incidentally I did experience a physical trauma to the perenium around the time the EA started. My thoughts are that the trauma caused the pc to tense up and impair the pudendal nerve function - masturbation no longer doing the trick, I reckon I tried to rush things, thus reinforcing the problem. To explain the ssri group, I can testify from being on them that it is impossible to cum - one tries to rush things to force ejaculation as means of easing frustration and thus develops the same pc problem. Fingers crossed for this as it does seem feasable to me. I await news of your experiences.
Best, empathy
Title: Re: Pudendal Nerve
Post by: lostmojo on July 06, 2010, 04:19:17 AM
Very interesting about physical treatment, from:
http://pudendal.info/phpbb3/viewtopic.php?f=22&t=4894&p=41251

"I have finally hooked up with a very experienced PT, Julie Sarton at UC Irvine Medical Center. She came highly recommended by the group in the Bay area, and is listed on the PNE Info site. I have no words, this woman is fantastic. Her interest and area of specialty is precisely what is discussed on this forum. After a thorough assessment, colaborating with both my neurologist and GP, she began a protocol that is similar to that presented in Dr. Wise's book. I have been for a series of seven visits thus far. Treatment includes the relaxation of trigger points, external and internal "crunching" of tightened, contracted mayofacial tissue, and the retraining of the entire muscular behavior of the pelvic floor. Also included is the stretching of every conceivable muscle around the pudendal nerve. Relaxation techniques have been learned, so that I am now on a regemin of nearly an hour of home treatment/daily, along with weekly treatments with Julie."
Title: Re: Pudendal Nerve
Post by: bongo on July 06, 2010, 11:14:30 AM
DEFINITELY ONTO SOMETHING HERE I WAS DEFINITELY TRYING TO RUSH IT WHEN IT FIRST HAPPENED TO ME,  it usedto take ages before , now i can and do come way to quick  how to change it i dont know though , i wonder if surgery could work,  we need cat scans of normal orgasms and then us ..
Title: Re: Pudendal Nerve
Post by: lostmojo on July 23, 2010, 06:22:05 AM
I saw a very good neurologist today, the appointment lasted an hour, he checked out a few things and has referred me for a number of other physical tests, more on them another time. He thinks it more likely that something is wrong in my head, we're not talking psychologically but more something is not working as it should, whether we can find it is another matter but at least he is willing to try.

He also listened whilst we discussed a number of things relating to discussions on the forums and various theories about AE. We discussed the pudendal nerve and he explained that all sense of touch and sensation in the genital/perineal area goes through the pudendal nerve. As I do not have numbness that pretty much rules it out as a cause for me, although it still may be an avenue to explore for others.

I thought it may have been the case that sexual sensation went through the pudendal nerve but general sense of touch followed a different pathway. It turns out this is not the case, so I think I am wasting my time on this theory.

In summary if your pudendal nerve is functioning then you should be able to feel everything from a simple sense of touch, all the way to full on orgasmic sensation and everything in between. If it's not working then you should feel nothing or at least everything should be diminished to the same degree.
Title: Re: Pudendal Nerve
Post by: empathy121 on September 25, 2010, 12:11:49 PM
I haven't posted for a while but here goes... I have had limited success (improved feeling and satisfaction/ release though no proper orgasm). I put this down to exercise, relaxation and supplements (5-htp, b6, zinc&magnesium, the latter being the most effective)

I am quite sure that the problem has something to do with the pelvic floor and all the surrounding muscles being over-tense and blocking orgasm somehow, triggering ejaculation before it happens because of the learned tension that has been made chronic and will likely continue indefinitely. I read a post on here or hisandherhealth about the tension of the pelvic floor through back problems or whatever, that talked about some kind of therapy to relax the surrounding muscles and relieve tension on the pudendal nerve - I will be very interested if anyone has any more info on this! I believe that at least the majority of us have caused this problem by tensing the pc over and over in attempt to cum quicker (the post ssri cases have done enough as confirm this for me because I know from experience it is near impossible to cum on ssris!)

this is the direction I'm taking anyway. I will be very grateful if you could share your ideas! Best, empathy
Title: Re: Pudendal Nerve
Post by: michaelsad on September 25, 2010, 08:54:21 PM
Along the "muscle" direction ...

Doctors suggest hottub to relax pelvic muscle for prostatitis.  Perhaps it is worth experiementing hottub, along with other muscle relax methods and supplements, before sex activities.  



By the way,  many thanks to the information shared by Lostmojo.
Title: Re: Pudendal Nerve
Post by: NoFun on September 25, 2010, 10:09:35 PM
There are some simple things to do to relax the pelvic floor, the most basic of which is called the "constructive rest" position. I prefer the feet off the floor version shown below.

www.downeastschoolofmassage.net/forum/king01.pdf (http://www.downeastschoolofmassage.net/forum/king01.pdf)

Do that, and relax for 15 minutes, focusing on your pelvic floor. That may do it.

There are many things you can do to actively help release the tension of the pelvic floor muscles. Gently, using your back muscles, press your sacrum into the floor as if you were trying to drag the rest of your body toward your feet across the floor. Other things to try are just imagining rotating your pelvis clockwise and counterclockwise without actually moving it. Think of having an erection and drawing clockwise and counterclockwise circles with the tip of your penis.

Anyway, there is an endless amount of theory on this stuff, particularly on how to remove habitual, unnecessary muscular tension from the body through imagined and actual movement.

If you're interested in body work, reflexes, pelvic floor exercises, etc., I'd recommend looking into Moshe Feldenkrais, Mabel Todd, Lulu Sweigart, the Alexander Technique. 

I wouldn't recommend hot tubs, because testicles don't like too much heat, and produce less testosterone when they get it. That's why older guys like me move to boxers over tidy whities.
Title: Re: Pudendal Nerve
Post by: empathy121 on April 17, 2011, 02:15:35 PM
@ Al - What's the latest - have you experienced any more improvement?
Title: Re: Pudendal Nerve
Post by: AlBrown on July 03, 2011, 02:58:45 PM
Some improvement in pain reduction and a few trigger points eradicted.  I have been doing PT for awhile now and my pelvic floor has improved but still seems to want to stay in a tight, contracted state and won't let go.  Saw some improvement with injections then seemed to plateau.  Recently I have been doing a combination of dry needling and MYO facial work and have had great improvements there. 

Unfortunately the penile sensitivity, EA, and ED have stayed mostly the same.  I am still proceeding down the pudendal route since the symptoms match pretty well, the trauma seems likely to have cause it, and the nerve test detected abnormalities.

My new path is the dorsal nerve, one of the three pudendal branches.  I am going for an MRI to check things out.  If you are still pursuing the pudendal angle have a read of this thread below, start to finsh, some great info in there.  These guys have very similar symptoms and recent events have led down this path with one I believe cured in respect to penile issues.

http://www.pudendalhope.info/forum/viewtopic.php?f=17&t=448

Title: Re: Pudendal Nerve
Post by: Michael on December 17, 2011, 04:55:19 PM
just learned info about about the Pudendal Nerve at www.Pudendal.com  --

perhaps, some of our pudendal nerves are malfunctioning

Title: Re: Pudendal Nerve
Post by: zippysidekick on August 27, 2016, 08:36:09 AM
  Good Morning -I have some kind of compromise with my pudendal nerve. This started the same day I had a force pushing unexpectedly hard on my crotch. Since then, I have had little to no sensitivity in my groin and sexual organs and sexual dysfunction is almost complete as far as sensation goes, and thus any enjoyment. I have had to do male kegel excersises to keep my anal muscles tight and not leaking. Ive had MR Neurography on the crotch area that showed nothing serious. Ive tried acupuncture & herbal supplements for long stretches of time - to no avail. Did you look into a pelvic floor physical therapist? Were they helpful? My life in so many ways is ruined and on hold. I need to find a method to assuage these troubles.
Title: Re: Pudendal Nerve
Post by: lostmojo on August 28, 2016, 05:57:24 AM
zippysidekick you can get an MRI done on your pudendal nerve, if it shows a possible problem you can pursue it, otherwise it might be something other than the pudendal.

I also have virtually no sexual sensitivity anywhere, I had a scan done, it didn't show any abnormalities. I was sure it would  :(