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Systematic review article link for sexual dysfunction caused by pudendal nerve entrapment: doi: 10.21037/tau-21-13


 * In 2021, a systematic review of seventeen clinical studies found that various sexual dysfunctions were due to pudendal nerve entrapment. Sexual dysfunctions include PGAD, ED, PE, and vestibulodynia.

Statpearls publishing of Pudendal Neuralgia:

Various tests can be performed to further the support the diagnosis. Diagnostic blocks can be used to confirm the pudendal nerve is the source of pain through relief from the procedure. Quantitative sensory threshold testing can be used to detect the inability to sense temperature changes. High-frequency ultrasonography can be used to identify the location of pudendal nerve compression. Doppler ultra sound can be used to detect vein compression, a result of nerve compression. Diagnoses are made through neurophysiological testing rather than imaging. However, MRI and CT imaging may be used to exclude other diagnoses. Medications: Often times polypharmacy is used to treat the symptoms associated with the syndrome. Pudendal nerve entrapment is difficult to diagnose and while there are many diagnostic test available, there is not specific exam that can clearly confirm the diagnosis. Many physicians have adapted the use of the Nantes Criteria, which consists of inclusions and exclusions of the syndrome created by Dr. Roger Robert.

Nantes Criteria
Inclusion criteria includes


 * Pain is anatomically associated with the pudendal nerve
 * Pain is mainly experienced when in a sitting position
 * Pain does not cause nocturnal awakenings
 * Sensory function is intact
 * Pudendal nerve block diagnostic test results in pain relief

Exclusion criteria includes


 * Imaging used for exclusion

Complementary criteria includes


 * Nerve pain associated with extreme sensitivity to touch
 * Posterior pain following defecation

Peer Review Draft:


 * I believe the group was able to complete their goals of improving the article. The goal of adding more information on female survival advantage was completed and well written. The group was also able to add more references and added missing citations from the article. The article was written with neutral language and and provides balanced information as well as a potential bias portion. Currently some improvements can be made with citations. Citation # 23 for "Gender differences in Mental Health" should be fixed. The link directs to a page that is not found. Citation for "Why women live longer than men: Sex differences in longevity" was cited multiple times as #43 and #47. For information rearrangement, the social and biological factors section contains genetic information about the paradox that may be better placed into the genetic and physiological factors section.