Pudendal (or Paracervical) Nerve Block: Confusing Result, please help! | HysterSisters
HysterSisters Hysterectomy Support and Information
Advertising Info HysterSisters Hysterectomy Support Tutorial

Go Back   Hysterectomy HysterSisters > Hysterectomy Support Posts > Hysterectomy Options and Alternatives

HysterSisters.com is a massive online community with over 475,000 members and over 5 million posts.

Our community is filled with women who have been through the Hysterectomy experience providing both advice and support from our active members and moderators.

HysterSisters.com is located at 111 Peter St, Toronto, Canada, M5V2H1 and is part of the VerticalScope network of websites.

With free registration, you can ask and answer questions in our HYSTERECTOMY forum community, get our FREE BOOKLET, access Hysterectomy Checkpoints and more.

You are not alone. The HysterSisters are here for you. Join us today!
join HysterSisters for hysterectomy resources and support

Pudendal (or Paracervical) Nerve Block: Confusing Result, please help! Pudendal (or Paracervical) Nerve Block: Confusing Result, please help!

Thread Tools
Unread 08-12-2005, 01:17 PM
Pudendal (or Paracervical) Nerve Block: Confusing Result, please help!

Hello everyone: After many months of wasting time with a local doctor I didn't care for very much, I returned to the only one I've trusted - an hour's flight away in upstate NY. I felt lucky that he took me back as a patient after referring me to the first similar specialist in my area. If you know anything about my story...this is the physician who performed my only briefly-successful presacral neurectomy two years ago.

He performed a paracervical block. The kit he was using said "Pudendal" on it, so i'm not sure if there's a difference between the two types. In any case, it wasn't so bad. Since my pain became 24-7 nearly five years ago, the worst part of any gyn exam for me has been the insertion of the speculum. Even though my vagina hasn't been part of the pain situation - I've "just" had continuous cramps - the speculum pinches so badly I want to scream. I don't know if it's an aftereffect of having suppressed my period with various progestins, and/or taking painkillers over the long term, but that part is just horrid - if anyone can relate, please tell me....

Anyway, when the doctor injected the anesthetic, my pain level was at about an 8 out of 10 - really bad. I skipped a dose of medication, but since my pain has been so severe lately, I was doubled over long before that.

With the injections, the pain disappeared. Just like that. Instantly. But the relief didn't last as long as the doctor said it would - or could: 60-90 minutes. By the time 40-45 minutes had passed, I was doubled over again. The doctor had said that a sudden return of the pain wouldn't be a good sign. It wasn't sudden, though: the return started as an external stiffness across my stomach muscles - like the way you might feel after holding in your belly for too long before letting it out. Then the pain returned in earnest. I didn't feel better again until DH and I reached the local hotel we'd discovered on our trips to this city and had lunch, so I could take my medication with something on my stomach.

In the first 20 minutes of excitement about the relief, I was so happy. I even booked the surgical date. Now I wonder-did I goof? I didn't stay out in the waiting room for as long as the doctor said to. I got cocky. I lifted a heavy bag. Could not resting/lifting have contributed to the anesthetic not lasting as long as he said it might?

The doctor said that, if we wanted to be super-cautious, we could repeat the block before proceeding to a hysterectomy. The day trip is difficult, but not impossible, for us. To be honest, though, I am just wondering whether to "go for the crown" regardless; my mother died of cervical cancer, and most women in my maternal line have died of one gyn cancer or another. It would be nice to have that off my mind.

In doing a search here on the word "pudendal," though, I came across some info I'd been completely unaware of before; the fact that anticardiolipin syndrome is a contraindication to hysterectomy. I've been to a rheumatologist for other reasons and, in the battery of tests that includes this one, have shown up as "borderline" or "equivocal" for the syndrome. One more fly in the ointment - but as always, I am glad for the information. Better to know, so I can ask.....

But back to my actual question: Has anyone's doctor used a paracervical/pudendal block as a test to see whether a hysterectomy would stop her pain? If so, how did it work for you? Any experiences/thoughts are, as always, very welcome and appreciated.

Thanks to everyone for reading...have a restful, painfree weekend!


Sponsored Links

Our Free Booklet
What 350,000 Women Know About Hysterectomy: Information, helpful hints as you prepare and recover from hysterectomy.
Answers to your questions

Thread Tools

Forum Jump

Similar Threads
From This Forum From Other Forums
4 Replies, Last Reply 07-05-2005, Started By endoplusadeno
1 Reply, Last Reply 10-22-2004, Started By lucifier
9 Replies, Last Reply 10-16-2003, Started By christywisty
15 Replies, Last Reply 08-08-2003, Started By cmghag
2 Replies, The Road Less Traveled
5 Replies, Hysterectomy Recovery (post hysterectomy)
2 Replies, Pelvic Floor and Bladder Issues
2 Replies, The Road Less Traveled
1 Reply, Pelvic Floor and Bladder Issues
22 Replies, The Road Less Traveled
6 Replies, The Road Less Traveled
1 Reply, Hysterectomy Recovery (post hysterectomy)
1 Reply, The Road Less Traveled
13 Replies, The Road Less Traveled


Hysterectomy News

October 27,2020


HysterSisters Takes On Partner To Manage Continued Growth And Longevity
I have news that is wonderful and exciting! This week’s migration wasn’t a typical migration - from one set ... News Archive


Calendar - Hysterectomies - Birthdays

Request Information

I am a HysterSister


Featured Story - All Stories - Share Yours


Your Hysterectomy Date

CUSTOMIZE Your Browsing  

$vbulletin->featuredvideos is not an array!