Nerve compression in gynecological contexts can be caused by several factors. Pelvic surgeries such as hysterectomy, cesarean section, and endometriosis excision can lead to nerve compression or damage. Pelvic masses or tumors, especially those that are large or invasive, may exert pressure on surrounding nerves. Conditions like pelvic inflammatory disease, adhesions, or scar tissue formation can also contribute to nerve compression. Additionally, pregnancy-related changes in the pelvis can sometimes compress nerves, leading to symptoms.