This can be a terrible situation to deal with. Had one case many years ago. Went back to the gynecologist who had nothing to offer. Too tender an area for injections. Now it looks like spinal cord stimulation can help.
Int Urogynecol J Pelvic Floor Dysfunct. 2010 Oct;21(10):1305-7.
Sacral neuromodulation as a treatment for neuropathic clitoral pain after abdominal hysterectomy.
Marcelissen T, Van Kerrebroeck P, de Wachter S. free article here
- Thought damage to pudental nerves
- 51 year old
- hysterectomy with left ovariectomy for atypical endometrial hyperplasia.
- developed hematoma (bruising) after surgery which caused pelvic pain that later shifted to being clitoral pain, worse with stress and any sex.
- All agents either ineffective or not tolerated
- developed bladder emptying and incontinence issues.
- Sacral stimulation was employed re bladder- quadripolar lead into the third sacral foramen for S3 nerve root stimulation.
- Initially helped bladder retention so was implanted – although this did not persist.
- However clitoral pain was near virtually eliminated over the ensuing months.
Comment – just dumb luck they found this effect. A sacral stimulator is such an easy procedure to have done and now it may have new indications.