Abstract
Persistent genital arousal disorder (PGAD) is a condition characterized by spontaneous and often unrelenting sensations of genital arousal in the absence of sexual desire or stimulation. These sensations typically do not fully remit with orgasm and are by definition intrusive, unwanted, and distressing. Sufferers tend to complain of genital throbbing and often pain. It is thought to be a rare condition; however, it is likely many sufferers remain undiagnosed. Initial triggers include stress, anxiety, medication withdrawal, or initiation and sexual intercourse. Exacerbating factors include sitting and/or tight clothing, and relieving factors include relaxation and distraction. Possible etiologies of PGAD include pudendal/dorsal clitoral nerve neuropathy and a cognitive disorder related to anxiety, depression, and nonconsensual sex. Management of PGAD requires a multidisciplinary team approach and has to be of a holistic nature. This can include medication, mindfulness cognitive based therapy, and pelvic floor physiotherapy.
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