A 56-year-old menopausal woman presents with pain and numbness in her genitalia and rectum lasting

A 56-year-old menopausal woman presents with pain and numbness in her genitalia and rectum lasting for 3 years. She also complains of a foreign body sensation in the rectum for the last 6 months. She experiences incomplete relief despite treatment with multiple analgesics. Results of radiological investigations reveal no abnormalities. She was a marathon runner in her youth and has a history of vaginal prolapse repair surgery. Which of the following is the most likely underlying cause of the patient’s symptoms? A. Excessive running B. Pudendal nerve injury during surgery C. Atrophic vaginitis D. Complex regional pain syndrome

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