Pudendal neuralgia can arise from mechanical or non-mechanical injuries.
The mechanical injury can be due to compression, traction, or stretching for e.g.
excessive bike riding, horse riding, deadlifts, pelvic surgery, prolonged sitting, and constipation that can cause nerve irritation.

Pain of a severe, throbbing, or stabbing character in the course or distribution of the nerve can be experience.

Common Symptoms of Pudendal Neuralgia are:

• Pain with sitting, decreased with standing and sitting on a toilet.
• Urinary dysfunction-Urinary frequency and or urgency, pain during or after voiding, slow hesitant or interrupted urine stream.
• Bowel dysfunction- Pain before, during or after bowel movement. Constipation or difficulty with evacuating, feeling of fullness in rectum.
• Sexual dysfunction- painful ejaculations, erectile disorders
• Pain in the distribution of the pudendal nerve- Genital, perineum, anal pain, and lower urinary tract.
• Burning, shooting, stabbing pain.
• Foreign body sensation in the anus, rectum, urethra
• Decreased tolerance for exercise.