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Hi Toffee
How has it been over the last 2 days?
From the research I have done on this area, it tends to be multi-faceted. There are a lot of women who have a similar condition, but there are many variations. From the little you have said, I think it may be nerve entrapment which might be alleviated by pelvic massage. One of the nerves involved is probably the pudendal nerve which feeds the dorsal nerve to the clitoris. The other may be the psoas. Nerve 'damage' sounds drastic, but it may be more 'irritation' or perhaps minor damage which can be dealt with.
You haven't given your age and marital circumstances, but often this occurs in women who have had children, and also with post-menopausal women. Do you have varicosed veins?
It also helps to identify triggers. It has been noted that links to past experiences, perhaps when young, can trigger symptoms of PSAS or PGAD. It can also result from certain movements which cause tension in certain muscles.
The restless legs would indicate to me nerve involvement - possibly the psoas.
This is an involved area, so I will just make a few comments now. If you want to discuss it more, please feel free to do so; privately if you prefer.
I hope this helps as a start.
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Hi Toffee
I was not suggesting that it could be a lack of sex. In fact does not seem to be the reason. There are a number of scenarios that could trigger the condition you experience.
Your sexual abuse when young is very likely a factor. Anti-depressants often do lower libido, but I don't think what you are experiencing is related to libido. I think it is mainly from the impact on your pudendal nerve.
The pudendal nerve comes down from sacral nerve roots 2, 3 and 4, passes through several muscle/ligament channels, and divides into 3 branches: inferior rectal nerve, perineal nerve, and dorsal nerve of clitoris (or penis for a male). So it is likely to be the dorsal nerve of clitoris that gives you the tingling in your clitoris, and the perineal nerve that causes the vaginal sensations.
A diagram of the anatomy of the female pudendal nerve <> might help. A more simple diagram is <> But they are within an article 'Anatomy of the Pudendal Nerve' <>
You can Google the Psoas and find out about it and how to massage that muscle. The nerves associated with that are possibly causing the leg muscle twitching. However, you wouldn't massage the pudendal nerve as such. It is the muscles in the pelvic area that can be massaged (I can talk about that separately if you wish, and how I would go about such a massage).
The adductors to the hip might also benefit from massage.
Given the possible impact of your abuse, it might help to talk about that, although I realise that might be difficult. In fact, that might be better detailed in private, if you wish.
This is a very simple start to the subject, and I hope it helps a bit more.
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Links seem to have disappeared!
http://www.pudendalhope.info/sites/default/files/HealthOrganisationforPudendChronicPainBro1-2.jpg
http://www.pudendalhope.info/sites/default/files/FemalePudendalNerve.jpg
http://www.pudendalhope.info/node/13
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This is definitely PGAD. It's commonly associated SSRI anti depressants, particularly taken by individuals with bi polar disorder. Symptoms include: restless leg syndrome, overactive bladder, spams in the clitoris, hypersensitivity (although some people actually have less sensation but still get the tingles) and a strange "warm" sensation all over the body like during an orgasm. I got this from taking Zoloft for less than two weeks. Mine comes and goes, thankfully, as it is extremely uncomfortable and NOT pleasurable at all. The good news is it may not be permanent, but you need to slowly taper off the antidepressants. Abruptly withdrawing raises your risks of having this life long, and continuing to take it may make it even worse over time. This isn't related to libido at all, it's basically a combination of female priapism and wonky dopamine receptors creating a feeling of constant genital engorgement.
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