Persistent Genital Arousal Disorder ( PGAD ) , also known as persistent sexual arousal syndrome (PSAS), is a very disturbing disease. Because people with this condition feel sexually aroused in the absence of sexual activity or stimulation. 

Although there’s no reason to feel sexually aroused, people with this condition may experience all of the symptoms of sexual arousal, such as an erection or vaginal swelling .

People with Persistent Genital Arousal Disorder may experience continuous orgasms . In some cases, PGAD can last for hours, days or even weeks. This will then interfere with daily activities. 

PGAD is most commonly reported in women. While in men, this condition is often called priapism. Priapism occurs when you have an erection that lasts a few hours or more without any sexual arousal that causes an erection.

PGAD can be caused by a number of things, but the specific cause is often difficult to diagnose. Pinching or pressing on a nerve called the pudendal nerve that helps you feel sensations around the genitals is thought to cause PGAD.

In men, improper blood flow into and out of the penis can lead to priapism.

Some cases of Persistent Genital Arousal Disorder often occur together with cases of mental health problems. Anxiety, depression, bipolar disorder, OCD, and other similar conditions have been identified in cases of PGAD in both men and women. It is not clear whether this condition causes PGAD, but it generally occurs together with PGAD.

In one case, a woman developed PGAD after undergoing brain surgery to treat problems with her brain’s blood vessels. Some women develop PGAD due to stroke after stopping estrogen or cholesterol therapy. Other women seem to develop PGAD because they stop taking SSRIs for depression.

In men, PGAD can develop due to complications from a vasectomy procedure or a urinary tract infection.

What causes a person to experience PGAD Persistent Genital Arousal Disorder?

There are a variety of factors that can contribute to the development of PGAD, but the specific cause is often difficult to diagnose. The following are a number of factors that can trigger the occurrence of PGAD:

  • Stress

In some women, stress can trigger PGAD. When stress is managed properly, symptoms tend to subside. This makes people think that psychological problems can be one of the triggers.

  • Effects of drug consumption

One study linked PGAD to the effects of taking certain medications. Affected blood vessels, nervous system, and chemical balance in the body due to the use of certain types of drugs can trigger this condition.

  • Tarlov cyst

In one study, it was stated that Tarlov cysts can be the cause of someone experiencing PGAD. Tarlov cysts are spinal fluid-filled cysts that arise in the roots of the sacral (pelvic) nerves.

In a study released in 2012, 66.7 percent of women who had Tarlov cysts showed symptoms of PGAD. Although not all women with Talov cysts develop it, the condition is thought to arise as a reaction to the disease.

In addition to the three factors above, a number of studies have found that PGAD appears as a symptom of certain medical conditions. Some medical conditions that trigger it include Tourette’s Syndrome , trauma to the central nervous system, and epilepsy.

Persistent Genital Arousal Disorder Symptoms

Symptoms of persistent genital arousal disorder can be different for each sufferer. Not only affect the physical condition, psychological symptoms may also be felt by the sufferer.

The following are a number of physical symptoms that are generally felt by PGAD sufferers:

  • Wetness of the genital area in the absence of sexual activity or stimulation
  • Itching in the genital area in the absence of sexual activity or stimulation
  • Feeling like you’re going to have consistently orgasms without any sexual desire
  • The emergence of a burning sensation in the genital area even though you are not doing or receiving sexual stimulation
  • There is an uncomfortable sensation that lasts continuously in the genital area, either in or around the clitoris, vagina, or anus (dysesthesia)

Meanwhile, psychological symptoms that may arise due to this condition include:

  • Depression
  • Frustrated
  • Insomnia
  • Worry
  • Panic attack
  • Guilt
  • Loss of understanding of sexual pleasure because orgasm is considered a way to relieve pain, not enjoy it as something fun

Even if you experience the symptoms above, it’s not necessarily a sign of PGAD. To determine the underlying condition, consult a doctor to find out the cause.

How to deal with Persistent Genital Arousal Disorder?

The easiest way to deal with persistent genital arousal disorder is by masturbating. When you have an orgasm, the symptoms will lessen. 

However, this is only temporary because symptoms may return in the near future. In some cases, frequent masturbation to treat PGAD(Persistent Genital Arousal Disorder) can actually make the condition worse.

If your condition is triggered by psychological problems, cognitive behavioral therapy can help manage your symptoms. Through this therapy, you will be invited to control negative emotions and responses, which can trigger symptoms of persistent genital arousal disorder .

A number of other treatments can help with PGAD, including:

  • Use numbing gel ( numbing gel or anesthetic cream) as recommended by the doctor
  • Take medicines prescribed by a doctor
  • Relaxation techniques such as meditation to help relax muscles and relieve anxiety that trigger persistent genital arousal disorder

How to overcome PGAD must be adjusted to the underlying condition. To get the right treatment, check with your doctor.