Dyspareunia Treated By Bilateral Pudendal Nerve Block

In this report, we present a patient with refractory superficial dyspareunia of unclear etiology, who was successfully managed with a bilateral pudendal nerve block. Initial workup failed to identify an obvious source for the pain and first-line therapy for postmenopausal superficial dyspareunia was not effective. A bilateral pudendal nerve block alleviated the problem to three years followup. In this report, we review the current dyspareunia literature and propose a diagnostic algorithm.