What is it?

Persistent Genital Arousal Disorder (PGAD) is a rare and distressing condition characterized by persistent and unwanted sensations of genital arousal in the absence of sexual desire or stimulation. It is also known as Persistent Sexual Arousal Syndrome (PSAS).
PGAD is a complex and poorly understood condition that can have a significant impact on a person's quality of life. It can affect both men and women, although it is more commonly reported in women.

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Persistent Genital Arousal Disorder.

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Signs & symptoms

The main symptom of PGAD is persistent and uncontrollable feelings of genital arousal that can last for hours, days, or even weeks. The arousal is not associated with sexual desire or stimulation, and can be triggered by a wide range of stimuli, including:

- Sexual thoughts or fantasies
- Tight clothing or sitting in a certain position
- Vibrations from a vehicle or machine
- Urination or bowel movements
- Exercise or physical activity

Other symptoms of PGAD may include:

- Pain or discomfort in the genital area
- Anxiety, depression, or embarrassment
- Insomnia or sleep disturbances
- Reduced quality of life


Diagnosis of PGAD can be challenging, as there is no specific test or diagnostic criteria for the condition. A thorough medical and psychological evaluation is usually necessary to rule out other conditions that can cause similar symptoms, such as urinary tract infections, nerve damage, or pelvic floor disorders.


Treatment for PGAD is often multidisciplinary and may include a combination of medical, psychological, and behavioral interventions. Some treatment options may include:

- Medications such as antidepressants or anticonvulsants
- Nerve blocks or surgical interventions to relieve pain
- Pelvic floor physical therapy or biofeedback
- Counseling or therapy to address underlying psychological factors such as anxiety or trauma
- Lifestyle modifications such as avoiding triggers or wearing loose clothing

☝️ This is not a substitute for professional medical advice. Please consult with your physician before making any medical decision.

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