What is persistent genital arousal disorder (PGAD)?

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Persistent genital arousal disorder (PGAD) is a chronic sensation of sexual arousal, not related to sexual thoughts or stimulation in any way.

The sensation can last for hours, days, weeks, or months. Unfortunately, the condition is not always taken seriously, and women may feel too embarrassed to discuss it with their doctor. However, women with PGAD do not want to feel sexually aroused. The sensations are not welcome and can be quite distressing.

PGAD affects women of all ages. The condition is possible, but rare, in men.

Women with PGAD may describe the genital sensations as tingling, burning, throbbing, or itching. There can be genital pressure or pain. Some women become lubricated, as if their body is preparing for sex. Vaginal contractions and spontaneous orgasms may also occur.

Orgasm might relieve symptoms for a little while, but the feelings tend to come back.

The exact causes of PGAD are unknown, but stress and anxiety often trigger symptoms, making PGAD even more distressing. Other common triggers are movement (such as while riding in the car) and urination.

PGAD may also be associated with certain medications or other health conditions like Tourette syndrome, epilepsy, and restless leg syndrome.

Because its cause isn’t clear, PGAD can be difficult to treat. Some women find these strategies helpful:

Applying an ice pack to the genitals or taking an ice bath
Topical numbing agents that can be applied directly to the genitals
Pelvic floor physical therapy
Antidepressants or anti-seizure medications
Medication changes (with a doctor’s guidance)
Electroconvulsive therapy (ECT refers to electrical stimulation of the brain while the patient is under anesthesia. This treatment can be especially helpful for women who struggle with both PGAD and depression.)
Surgery (if nerve problems are suspected)

Women with PGAD may also benefit from counseling or support groups. For many patients, managing stress and anxiety is a key way to reduce symptoms. Therapy can also address psychological issues that stem from PGAD itself. PGAD symptoms can start at inopportune moments, and learning how to cope with such episodes in important.

If you’re dealing with constant feelings of arousal, even when you don’t want to have sex, talk to your gynecologist.

Resources

American Psychiatric Association

“What is Electroconvulsive therapy (ECT)?”

(Reviewed: July 2019)

https://www.psychiatry.org/patients-families/ect

Expert Opinion on Pharmacotherapy

Kruger, Tillmann H.C.

“Can pharmacotherapy help persistent genital arousal disorder?”

(Abstract. Published online: September 21, 2018)

https://www.tandfonline.com/doi/abs/10.1080/14656566.2018.1525359?journalCode=ieop20

Medical News Today