Abstract
Persistent Genital Arousal Disorder (PGAD) is characterized by persistent or recurrent, unwanted or intrusive, bothersome or distressing feelings of genital arousal or being in the verge of orgasm (genital dysesthesia) not associated with concomitant sexual interest, thoughts or fantasies. PGAD most commonly occurs in sexually active adults, mostly women, who have already experienced sexual desire, arousal and orgasm. PGAD has not been previously reported in an adolescent, naïve to sexual activity, who describes her PGAD as “feelings”. This adolescent has despair, bother, emotional lability and difficulty attending school. A 13 year old female, accompanied by her mother, presented with unwanted and unrelenting “feelings” lasting up to an hour at a time, recurring up to 6 times a day, that worsened with anxiety and stress and after swim team, and were unrelated to any known direct injuries to her genital area. She began having “feelings” around age 6 and by age 9 she needed to cross her legs to help relieve symptoms.
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