Abstract
Persistent Genital Arousal Disorder (PGAD) or Persistent Sexual Arousal Syndrome (PSAS) is characterized by excessive genital arousal for long periods of time without desire or associated sexual stimulation. Intrusive orgasms arise spontaneously and very frequently, which hinders the patient’s daily routine, work and sleep and leads to significant functional impairment. This condition is unwanted by the individual and perceived as unpleasant and impossible to control. Since it was first described in 2001 [1] several potential causes have been suggested: psychological, pharmacological, neurological and vascular ones.
Highlights
Persistent Genital Arousal Disorder (PGAD) or Persistent Sexual Arousal Syndrome (PSAS) is characterized by excessive genital arousal for long periods of time without desire or associated sexual stimulation
We considered PGAD as a conversion disorder, but we were only able to confirm PGAD diagnosis in the second session when the patient had detailed her symptoms more accurately
One possible explanation is that the diagnosis of PostTraumatic Stress Disorder (PTSD) symptoms does not value conversive dissociative symptoms as part of the diagnostic criteria, even including the new dissociative subtype created in DSM V which considers only depersonalization and derealization as dissociative symptoms [13,14]
Summary
Persistent Genital Arousal Disorder (PGAD) or Persistent Sexual Arousal Syndrome (PSAS) is characterized by excessive genital arousal for long periods of time without desire or associated sexual stimulation. Intrusive orgasms arise spontaneously and very frequently, which hinders the patient’s daily routine, work and sleep and leads to significant functional impairment. This condition is unwanted by the individual and perceived as unpleasant and impossible to control. Since it was first described in 2001 [1] several potential causes have been suggested: psychological, pharmacological, neurological and vascular ones [2]. It was once believed that PGAD only affected women, but recently two cases have been described in men [3]. The embarrassment and prejudice experienced by the patient, family and sometimes even physicians delay diagnosis and treatment
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