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, stressand 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.
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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. Episodes of intense arousal may occur several times a day for weeks, months, or even years.
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The condition can lead to psychological symptoms due to the persistent discomfort and impact on day-to-day living. People with chronic, or incurable, persistent genital arousal disorder may eventually lose their notion of sexual pleasure, because the orgasm becomes associated with relief from pain rather than an enjoyable experience.
Some doctors class priapism in men as a type of persistent genital arousal disorder. Priapism is a persistent and unrelenting penile erection without sexual desire. PGAD is not associated with hypersexuality or an elevated need for sexual gratification, otherwise known as satyriasis in males or nymphomania in females. Sexual stimulation, masturbation, anxiety, and stress can trigger PGAD.
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Some people find that going to the toilet in such severe arousal as to be painful. However, the person with PGAD cannot usually identify the triggers to avoid them, and the causes of the ongoing condition are largely unknown. In some women, stress causes the onset of the disorder.
Once the stress is alleviated, the condition tends to calm.
Some, therefore, think that PGAD may be psychological in nature. However, this is not the case in every presentation of PGAD. Research has implied a link between PGAD and the veins, hormones, nervous system, and chemical balance after using some types of medication. Research has shown that Tarlov cysts may also cause the condition. Tarlov cysts are sacs filled with spinal fluid that appear on the sacral nerve root.
Sacral nerves at the bottom of the spine receive electrical als from the brain, and they relay these instructions to the bladder, colon, and genitals. In a study, MRI showed that This does not for every case but, in some cases, PGAD may be considered a reaction to a Tarlov cyst. Antidepressants like trazodone have been linked to the inflammation of symptoms, as well as sudden withdrawal from selective serotonin re-uptake inhibitors SSRIs used to treat depression.
However, in many cases, the cause is unknown. This creates difficulty in diagnosing and treating the disorder. Medical literature has only recently classed PGAD as a distinct syndrome. Sandra R. She listed 5 criteria for an accurate diagnosis of PGAD.
The treatment of PGAD usually centers on managing symptoms, due to the often-unclear causes of the condition. Psychological treatment such as Cognitive Behavioral Therapy CBT can help women identify their triggers and can also provide some coping mechanisms and distraction techniques to manage the physical symptoms of the PGAD. CBT can also help in managing the stress, anxiety, and depression that often accompany and worsen this condition.
In severe cases, electroconvulsive therapy ECT has also been shown to make a positive impact. A person with PGAD may physically manage the pain and discomfort by applying ice to the pelvic area or taking an ice bath. A variety of topical painkilling agents is also available. Topical applications can be applied to the skin to help the relief of symptoms.
In ECT, small electrical charges are passed through the brain of a sedated patient. These trigger rapid changes in brain chemistry to treat a psychological symptom. Prescribed medication or changes in medication can help to manage the condition. Changing current medications by removing drugs with herbal estrogen or known aggravators of PGAD has been shown to improve symptoms.
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Antidepressants and anti-seizure medications have been demonstrated as particularly effective as well as medicines that increase the level of prolactin, or milk-stimulating hormone, in the blood. In nerve-related cases, such as a Tarlov cyst, the treating doctor may suggest surgery such as releasing the nerve from entrapment. If suspected, it is crucial that women with PGAD do not feel marginalized or embarrassed, and seek medical assistance. PGAD is not yet curable.
However, its symptoms can be managed on an ongoing basis to improve the quality of life of people with the condition and to reduce the psychological harm of PGAD. Biphobia monosexism refers to the stigma, prejudice, and discrimination toward those who are bisexual.
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What is persistent genital arousal disorder PGAD? Symptoms Causes Diagnosis Treatment Outlook Persistent genital arousal disorder PGAD is characterized by unrelenting, spontaneous, and uncontainable genital arousal, mostly in females. The condition often involves symptoms depression and anxiety, related to the debilitating and sensitive nature of the condition. However, a gynecologist will be able to advise pain relief and symptom management methods. Share on Pinterest Electroconvulsive therapy can assist the symptoms of PGAD, especially if stress or depression has triggered the onset.
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