Persistent Genital Arousal Disorder-Case Report-Review Of The Literature
IUGA Academy. Demir O. Jun 30, 2018; 212784
Topic: Sexual Dysfunction
Omer Demir
Omer Demir

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Persistent genital arousal disorder-Case report-review of the literature

Gungor Ugurlucan, F1;Demir,2; Tas, S1; Yasa, C1; Engin Akhan, S1

1: Istanbul University,Istanbul Medical Faculty; 2: Erzurum Karayaz? State Hospital

Introduction: Persistent genital arousal disorder (PGAD) is a condition involving unpredictable and undesired stimulation of the genitalia without sexual arousal. Disorder was first described by S. Leiblum and S. Nathan in 2001.To date, several case reports have been published describing individual cases or small groups diagnosed with this disorder.Diagnostic criteria for PGAD were developed in 2010 and include the following:

1-spontaneous genital arousal that persists for extended periods of time (hours, days, months);

2-persistent arousal that does not resolve with an orgasm;

3-arousal that is not accompanied by a sexual desire;

4-arousal that is unwanted;

5- the symptoms cause distress.

Until now, the incidence of the disorder has not been clearly determined.

Objective: This article is written to show how we have established PGAD and how we are approaching it and how it is approached in the literature.

Case: A 21-year-old female patient presented with complaints of burning in the sexual area and nausea. Her complaints arise during evening, especially during bedtime, and she does not have any complaints during physical activities along the day.The sister who lives with the patient in the same room talked about moving at night and complained about it. The sensation of movement in the sexual area of ??the patient can only be improved with walking and moving, but repeating the bed. The patient has never had sexual intercourse before, and these complaints indicate that the sexual dysfunctions did not come before the start of the complaints, and that they were not following sexual desire. The patient was embarrassed by the question of whether she was masturbating for her complaints and said she did not want to answer this question. The patient's medical history and family history had no traits. The general physical examination was normal. Basic biochemical and blood count tests were normal, and serum iron, iron binding, ferritin, thyroid function tests were within normal limits. No pathology was detected in the menstrual cycle pattern. The patient stated that his complaints were independent of menstrual periods. The patient was diagnosed with PGAD due to compliance with the PGAD diagnostic criteria, and TENS and Clonazepam treatment was administered. The patient did not accept TENS treatment considering the possibility of disrupting the school, but she agreed to use it for drug treatment and was directed to simultaneous psychotherapy. Following the 3-month treatment of clonazepam, the patient stated that her complaints had completely passed and healed.

Conclusion: PGAD is a rare problem but it is easy to identify.Having a low incidence of the described problem leads to an inability to give a clear picture of how effective the treatment is, but when we see these different treatment modalities and successes, we have an idea of ??what kind of approach we should take in our lives. With increasing awareness of these symptoms and more experience on new treatment modalities, this problem will be easier to manage.


Work supported by industry: no. A consultant, employee (part time or full time) or shareholder is among the authors (Istanbul Medical Faculty).

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