Persistent genital arousal disorder PGAD is characterized by unrelenting, spontaneous, and uncontainable genital arousal, mostly in females. A woman with PGAD can experience spontaneous orgasms that do not resolve arousal. PGAD can lead to ongoing physical pain, stress , and psychological difficulties due to an inability to carry out everyday tasks. The condition can affect women of all ages. Experts have not clinically confirmed the incidence of PGAD, as many people with the condition feel too embarrassed or ashamed to seek medical help. The primary symptom of PGAD is a series of ongoing and uncomfortable sensations in and around the genital tissues, including the clitoris, labia, vagina, perineum, and anus. These can lead the person with PGAD to feel consistently like they are about to experience orgasm, or they may experience waves of spontaneous orgasms. However, these symptoms happen in the absence of sexual desire. Climaxing may temporarily alleviate symptoms, but they may return suddenly within a few hours.
Colleague's E-mail is Invalid. Your message has been successfully sent to your colleague. Save my selection. Tel: ; fax: E-mail address: emailsaurabhsharma gmail. Sponsorships or competing interests that may be relevant to content are disclosed at the end of this article. The work cannot be changed in any way or used commercially without permission from the journal. Most patients are referred for mental-health treatment, but as research suggests associations with neurological symptoms and conditions, there is need to analyze cases comprehensively evaluated by neurologists. The IRB waived consent requirements for this retrospective university-hospital study.
Persistent Sexual Arousal Syndrome
Persistent genital arousal disorder PGAD is a phenomenon, in which afflicted women experience spontaneous genital arousal, unresolved by orgasms and triggered by sexual or nonsexual stimuli, eliciting stress. The current case is a year-old female who experienced such orgasms for about a month. Physical examination, investigations, and psychological testing were noncontributory. Carbamazepine mg was discontinued due to a lack of response. She improved significantly with supportive therapy. Various neuropsychological conditions, pelvic pathology, medications, etc. Pharmacologic strategies have included the use of antidepressants, antipsychotics, mood stabilizers, and analgesics.
This program was held for those with PSAS and their loved ones. The opening session was on psychological considerations, presented by Dr. Stanley Ducharme and Julie Johnson. This was followed by a presentation of the biological issues by Dr. Irwin Goldstein. The occurrence of PSAS for a woman is unrelated to demographic concerns such as age, socioeconomic level, childhood experiences, marital status, education level or family history. Distinguishing characteristics are genital and breast vasocongestion and sensitivity, with little or no relief form orgasmic experience. The arousal is unrelated to sexual excitement or desire.