Persistent genital arousal disorder – a case report

Abstract

The persistent genital arousal disorder (PGAD) may coexist with restless legs syndrome and overactive bladder syndrome and share some similarities with these conditions. Thus, the new term: restless genital syndrome (RGS) is proposed. The purpose of this paper is to present a case of PGAD, including the description of the etiology, the diagnostics and the treatment of the disorder. The described patient meets the criteria for PGAD. Organic lesions within nervous and urogenital system were excluded and the psychogenic background of the syndrome was assumed in this case. The patient was diagnosed with personality disorder with a predominance of dependent personality traits and emotional lability. After the failure of pharmacological treatment, systemic psychotherapy with cognitive-behavioral elements was initiated with moderate effect.

Persistent genital arousal disorder: Treatment by neurolysis of dorsal branch of pudendal nerve

“…Most of the literature for PGAD comes from case studies (Bedell et al, 2014;Gaines et al, 2018;Hrynko, Kotas, Pokryszko-Dragan, Nowakowska-Kotas, & Podemski, 2017;Korda et al, 2009;McMullen & Agarwal, 2016;Rosenbaum, 2010). This is the first reported cohort of patients treated surgically.…”

“…Limitations of our study relate to the small sample size and retrospective study design. PGAD is a rare medical condition with no randomized controlled treatment trials existing in the literature (Gaines et al, 2018;Hrynko et al, 2017;Korda et al, 2009;Kruger, 2018;McMullen & Agarwal, 2016;Rosenbaum, 2010). This is the first case-series describing neurolysis of the dorsal branch of the pudendal nerve for the treatment of PGAD.…”

Persistent Genital Arousal Disorder Intervention With Manual Physiotherapy - A Case Study

“…Etiology of the PGAD -Psychological factors such as sex-related emotional problems, anxiety disorder, depressive disorder, and sex-abuse [3], Physiological factors -central mechanisms such as central dopaminergic dysfunction and hormonal [2,3], Pelvic vascular malformation [3], Mechanical -overactive pelvic floor muscles [1], Dietary -phytoestrogens like soy, phyto-estrogens are phytochemicals present in plants are known for their anticancer, antioxidant, immunitypotentiating, neuropharma-cological and detoxifying functions [1,3,4], Medications -such as serotonin [1,3]. Pathogenisis -The neuropathogenisis of PGAD hypothized as stress, drugs, substances, polyneuropathy, menopause, pelvic vascular anomaly, and mechanical irritations affect pudendal nerve and dorsal clistoral nerve, and the product of this will be PGAD along with the RLS/RGS and overactive bladder [1,3]. Stress, drugs, substances, polyneuropathy, menopause, pelvic vascular anomaly, and mechanical irritations affect pudendal nerve and dorsal clistoral nerve, and the product of this will be PGAD along with the RLS/RGS and overactive bladder [1,3].…”

“…Pathogenisis -The neuropathogenisis of PGAD hypothized as stress, drugs, substances, polyneuropathy, menopause, pelvic vascular anomaly, and mechanical irritations affect pudendal nerve and dorsal clistoral nerve, and the product of this will be PGAD along with the RLS/RGS and overactive bladder [1,3]. Stress, drugs, substances, polyneuropathy, menopause, pelvic vascular anomaly, and mechanical irritations affect pudendal nerve and dorsal clistoral nerve, and the product of this will be PGAD along with the RLS/RGS and overactive bladder [1,3]. Diagnostic criteria of PGAD [3] are as follows: (a) Sudden genital arousal that persists for prolonged periods of time (hours, days, and months), (b) persistent arousal which not gets into resolution with orgasm, (c) the sexual desire will never be accompanied with arousal, (d) arousal that will be unwished one, and (e) the symptoms often cause distress in the patient.…”

“…Stress, drugs, substances, polyneuropathy, menopause, pelvic vascular anomaly, and mechanical irritations affect pudendal nerve and dorsal clistoral nerve, and the product of this will be PGAD along with the RLS/RGS and overactive bladder [1,3]. Diagnostic criteria of PGAD [3] are as follows: (a) Sudden genital arousal that persists for prolonged periods of time (hours, days, and months), (b) persistent arousal which not gets into resolution with orgasm, (c) the sexual desire will never be accompanied with arousal, (d) arousal that will be unwished one, and (e) the symptoms often cause distress in the patient.…”