We all know that the feeling of an orgasm is very pleasurable, but what if we tell you it might also be distressing and unpleasant?
These sensations are caused due to a sexual disorder known as Persistent Genital Arousal Disorder (PGAD) or Genitopelvic Dysesthesia (GD).
PGAD is a rare sexual disorder causing unpleasant, distressing, and unwanted arousal.
In this article, we will understand Persistent Genital Arousal Disorder and its symptoms, causes, and treatment. So let us dive deep into the article and learn about PGAD in detail.
What is Persistent Genital Arousal Disorder
Persistent Genital Arousal Disorder, or PGAD, is a sexual condition where an individual experiences uncontrollable sensations of arousal.
These arousals are caused without any sexual desire, thought, or contact.
A person with PGAD can feel arousals even after sexual intercourse or masturbation.
Persistent Genital Arousal Disorder can occur in both men and women. However, it is more common in women than in men.
Do not confuse Persistent Genital Arousal Disorder with Female Sexual Arousal Disorder.
It is important to know the difference between both of these disorders. In Female Sexual Arousal Disorder women experience a lack of sexual arousal during sexual activity.
Symptoms of Persistent Genital Arousal Disorder

There are various symptoms of Persistent Genital Arousal Disorder.
The symptom of PGAD in women includes feeling uncomfortable sensations such as wetness and itching around genital tissues, including the clitoris, labia, and vagina.
These sensations may lead to the feeling of orgasm in women without any sexual arousal.
In men, the symptoms of PGAD include pain in the erections or penis, lasting for several hours.
Apart from these symptoms, the common symptoms of PGAD for both men and women are-
- Abnormal high blood pressure
- Abnormal high heart rate
- Shallow, rapid breathing
- Blurred or spotty vision
- Pain in the genital area
Causes of Persistent Genital Arousal Disorder
Once you start experiencing the symptoms of PGAD, it is crucial to find the causes for the effective management of PGAD.
A medical expert or professional can aid in diagnosing the causes of PGAD.
Persistent Genital Arousal Disorder might be caused due to stress and Tarlov Cyst. According to a study, 66.7% of women with Persistent Genital Arousal Disorder had Tarlov Cysts.
However, it is difficult to diagnose the leading cause of PGAD.
Let us look at the common factors that might cause Persistent Genital Arousal Disorder.
- Genital infections
- Side effects of consuming Selective Serotonin Reuptake Inhibitors (SSRIs)
- Pelvic varices
- Periclitoral masses
Treatment of Persistent Genital Arousal Disorder
Persistent Genital Arousal Disorder is a treatable condition. Its treatment depends on its causing factors. By managing the causes, PGAD can be treated effectively.
Several treatment options, such as psychological treatment and medications, might help manage the causes of PGAD.
Let us look at the effective treatment options for PGAD.
Psychological treatment

Psychological treatment such as Cognitive Behavioral Therapy (CBT) might as well help to treat PGAD in women.
CBT might also help to manage the factors such as Anxiety and Depression that may worsen the side effects of PGAD.
Therapies might also help to manage distress, panic attacks, and frustration caused due to PGAD.
If the PGAD is severe, doctors may prescribe undergoing Electroconvulsive Therapy (ECT) to manage PGAD. ECT might provide positive effects on PGAD.
Medications
Several medications might help to manage PGAD. Doctors may prescribe antidepressants, antipsychotics, and mood stabilizers to treat PGAD.
If the side effects of medicines cause Persistent Genital Arousal Disorder, the doctor may change the dosage of that medication or may prescribe some other medicines to manage PGAD.
Kegel Exercises
Apart from medications and psychological treatment, Kegel exercises or pelvic floor exercises might also help manage PGAD if it is caused due to pelvic issues.
Key Notes
Persistent Genital Arousal Disorder is a sexual dysfunction that causes uncontrollable sensations of arousal. It can affect both men and women.
It is essential to look for the symptoms and causes of PGAD for its effective treatment.
The common symptoms of PGAD include abnormally high blood pressure, increased heart rate, shallow or rapid breathing, and blurred or spotty vision.
It might be caused due to genital infections, pelvic issues, and Tarlov Cysts.
However, the good thing is it’s a treatable condition. It might be treated with the help of medications, kegel exercises, and psychological treatment options.
It is essential to contact a doctor for the safe and effective treatment of Persistent Genital Arousal Disorder.
Frequently Asked Questions
Do lifestyle changes help alleviate PGAD symptoms?
Yes, a few lifestyle changes such as meditation, regular exercising, and avoiding stress might help to manage the symptoms of PGAD.
Which factor can trigger Persistent Genital Arousal Disorder?
Various factors might trigger PGAD. These factors include sexual stimulation, masturbation, Anxiety, and stress. Consult your healthcare provider for the management of PGAD.
Is PGAD a common condition?
No, PGAD is not a common condition. Approximately 1% of young women are affected by PGAD, making it a rare condition. However, it’s also essential to note that many people do not visit a doctor to report and treat PGAD due to shame and embarrassment.
Are there any complications or health risks associated with PGAD?
Yes, PGAD has a few complications and health risks. PGAD might cause genital pain, relationship issues, pain during sexual activity, and psychological health conditions such as Depression and Anxiety. It would be best to consult a medical expert if you are experiencing complications and health risks due to PGAD.
How does PGAD differ from normal sexual arousal or desire?
PGAD is a disorder that causes extreme arousal without any sexual touch, whereas, in normal sexual arousal, a person gets aroused after erotic thoughts and sexual contact or touch.
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