We are back to talk about topics that are usually whispered in hushed tones. Persistent Genital Arousal Disorder refers to a condition where individuals experience persistent or recurrent genital arousal without any subjective feelings of sexual desire or pleasure. Yes, you read that right- arousal without desire! Intrigued? Let’s understand more!
Before we start, let’s clear the air. While PGAD is not formally recognized in the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) or the International Classification of Diseases, Tenth Edition (ICD-10), it is a major and life-changing disorder for people who suffer from it.
Unraveling the Why!
Persistent genital arousal disorder (PGAD) is characterised by unpredictable, uncontrollable physical sensations similar to sexual excitement — but without desire. Sexual arousal is usually associated with pleasure, but this isn’t the case with PGAD.
Instead of making you feel sexual, PGAD may lead to feelings of frustration and embarrassment. It’s incredibly uncommon. According to the researchers, it may affect roughly 1% of AFAB (assigned female at birth) patients. It’s tough to say for sure because many people who encounter PGAD symptoms are likely too humiliated to seek help. First, let’s look at the symptoms!
- Involuntary Genital Arousal: The unrelenting sense of genital arousal that occurs in the absence of sexual desire or arousal triggers is the defining symptom of PGAD.
- Genital Sensitivity: Individuals with PGAD may experience increased sensitivity and heightened awareness of their genital area. This hypersensitivity can make even mundane activities uncomfortable or distressing.
- Spontaneous Orgasms: Imagine experiencing orgasms without any sexual stimulation or desire. This can lead to emotions ranging from confusion to frustration.
- Frequency and Intensity: The sensations of arousal and orgasm in PGAD can vary widely in intensity and frequency, leading to unpredictability and feelings of loss of control.
Coming To The Causes!
The causes of Persistent Genital Arousal Disorder (PGAD) continue to be an area of ongoing research and exploration. However, a few causes are probable:
- Psychological Concerns, including Stress: Research suggests that psychological factors, such as anxiety, stress, trauma, or even conditioned responses, may play a significant role in triggering and perpetuating PGAD.
- Medication Side Effects, such as Antidepressants: They have been associated with PGAD as a potential side effect. The influence of these medications on neurotransmitters and hormonal pathways may trigger or contribute to persistent arousal sensations.
- Genital Infections: Infections or inflammations in the genital region may lead to increased sensitivity and arousal sensations. These infections can disrupt the delicate balance of nerve signals in the area.
- Pelvic Issues: Conditions affecting the pelvic area can cause disturbances in nerve function, leading to unusual sensations.
- Hormonal Changes, including Menopause: Hormonal fluctuations, particularly during menopause or after starting/stopping hormone therapy, may influence the sensations experienced in the genital area.
How do they find it out? Well, diagnosing PGAD can be challenging due to the rarity of the condition and its complex nature. But, doctors will conduct a comprehensive medical history review and physical examination to rule out other medical conditions that could be causing similar symptoms and evaluating the patient’s psychological well-being is crucial as well.
And given the recent focus on nerve-related issues in PGAD, a neurological evaluation may be conducted to check for any nerve abnormalities or spinal cord defects. Diagnosing PGAD often requires a team of experts!
Let’s Get To Impact And Treatment Options
Persistent Genital Arousal Disorder (PGAD) can have a significant impact on both the person experiencing it and their relationships. Coping with distressing symptoms might result in emotional difficulties, which can have an impact on mental health and interpersonal dynamics.
Individuals can express their thoughts, manage emotional suffering, and develop coping techniques in a secure environment provided by mental health specialists. Cognitive-behavioral therapy (CBT) and mindfulness-based techniques have shown promise in assisting people with PGAD anxiety and stress management.
Antidepressants, anticonvulsants, and anxiolytics have been used to reduce arousal sensations in some cases. However, the effectiveness of medication varies from person to person, and potential side effects need careful consideration too.
Overall, a complete treatment approach that includes treatments, drugs, lifestyle changes, and self-help approaches can empower patients on their healing journey.
