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Persistent Genital Arousal Disorder

September 24, 2009 - 7:31am 1092 reads 1 comments

Recently I saw a patient with an interesting and peculiar complaint: she felt constant clitoral arousal that lead to pressure that she could not relieve. It was leading to anxiety and disrupting her life and activities. Even after achieving orgasm from masturbation, she would still sense the clitoris to be stimulated.

It was fortuitous that I read about this condition about 3 months before I saw the patient in the office. It is a little known condition that was first described in 2001. It is a problem of genital arousal, not sexual arousal. Patients will experience tingling, pressure, irritation, congestion, throbbing, pain or vaginal contractions. Only sometimes can sexual intercourse or masturbating alleviate the sensation. In a recent Dutch study, there appears to be a correlation between PGAD, overactive bladder and anxiety.

In my patient’s case, as is described for PGAD, the patient felt genital/clitoral arousal the entire day; it was unwanted and intrusive to her life; it was triggered by non-sexual activity (she had a UTI that preceded it); it lead to distress; it was not associated with a psychological condition.

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Anonymous

I thought ,that I was just over sexed.Because I'm this way,when driving a car and putting on the brakes. Or riding my exersize bike. Or just wearing tight jean's. walking really hard and fast.Or just crossing my leg's.Is this why I wake up through the night humping air. Or setting at the computer desk sometimes. Is there really any help for this,how do you get dianoisas for this. My docter say's just some women are like this,it's normal.

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