Bob, I'm not 100% sure what the answer is to your question because the toilet seat was not pain relieving to me that I recall, but I had pain in all positions and nothing really relieved it other than narcotics taking some of the edge off of the pain. My understanding is that if you experience relief sitting on the toilet seat, it is associated with there not being pressure on the genital area.
Violet
PNE since 2002. Started from weightlifting. PNE surgery from Dr. Bautrant, Oct 2004. Pain now is usually a 0 and I can sit for hours on certain chairs. No longer take medication for PNE. Can work full time and do "The Firm" exercise program. 99% cured from PGAD. PNE surgery was right for me but it might not be for you. Do your research.
Sitting on a toilet seat isn't meant to be a type of therapy that gradually relieves you of pudendal pain. What they're talking about is it's an indicator of fitting a diagnosis of pudendal pain if you get immediate relief of pain when sitting on a toilet seat, because most seating presses on your pudendal nerve, but a toilet seat doesn't press on the pudendal nerve. Hope this helps.
5/11: burning in all areas innervated by PN; self-diagnosed PN
5/11: pelvic floor PT (PT #1) did not help after 2 sessions; she gave up
12/11: Kalinkin MRI doesn't show anything significant
12/11: Consult with Hibner; agreed with PN diagnosis, likely due to tight pelvic muscles
12/11 - 12/13: Tried 4 other pelvic PTs - tbh, they weren't great - no results
1/14 - 11/15: pelvic PT with PT #6 (better results, feel about 30% better after 2.5 years of PT)
Related conditions: MPS, S.I dysfunction