Persistent Genital Arousal Disorder

What is Persistent Genital Arousal Disorder?

Persistent genital arousal disorder (PGAD) is defined as a persistent sense of sexual arousal not associated with sexual intimacy, thoughts or fantasies. The condition can affect men or women and can last weeks, months, or years.

Persistent Genital Arousal Disorder Symptoms

Aside from spontaneous orgasms, PGAD can also be associated with the following symptoms:

  • Tingling in the genital area
  • Burning or pain in the clitoral area
  • Buzzing or throbbing in the labia or pubic area

What Causes Persistent Genital Arousal Disorder?

This condition can have various causes. The most common is compression of the pudendal nerve, which is the nerve that is responsible for sensations around the genitals. An overactive pelvic floor, lumbar disc disease, and a spinal cyst called a Tarlov cyst can also be associated with PGAD.  Psychosocial issues such as anxiety, OCD and depression, can also contribute.

Persistent Genital Arousal Disorder Treatment Options

The treatment for this condition depends on the cause and can center around managing symptoms or eliminating the cause altogether. Common treatments may include:


Certain prescription antidepressants, selective serotonin reuptake inhibitors, and anti-seizure medications may be effective in treating symptoms. Medicines that increase the level of prolactin in the blood may also be beneficial. Furthermore, removing current medications that include herbal estrogen may improve symptoms.

Physical Therapy

Pelvic floor physical therapy can also help to ease PGAD symptoms and improve normalized sexual function in women. Treatments such as internal pelvic floor trigger release or myofascial release can help soften tight pelvic floor muscles that may be causing pinched nerves or restricted blood flow.

Psychological Treatment

In cases where mental health issues such as anxiety, stress, or depression are the cause of your persistent genital arousal, certain treatments like electroconvulsive therapy may be beneficial in managing long term symptom relief.

Pain Relief

Individuals can physically manage the discomfort associated with PGAD by applying ice to the genital or pelvic area or taking an ice bath. There are also topical pain-relieving products available that can help to ease symptoms. Treatments like transcutaneous electrical nerve stimulation can also help to relieve pain and discomfort.

Contact Us Today

Individuals who are experiencing symptoms associated with persistent genital arousal disorder should seek out professional care for effective treatment. At Tideline Center for Health & Aesthetics, our team of board-certified physicians are dedicated to providing prompt and professional treatment to each of our patients. Contact our office today to schedule your appointment.

Frequently Asked Questions

How do I stop persistent genital arousal disorder?

Depending on your symptoms, how long theyve been present, and your discomfort level, you can take medications, seek mental health treatments, or physically relieve pain with cold compresses to help reduce PGAD.

Can exercise help persistent genital arousal disorder?

Improving blood flow for those with a relatively sedentary lifestyle might help PGAD but patients should seek a more accurate diagnosis from a doctor who can take multiple factors into account.

What causes persistent genital arousal disorder?

The causes for PGAD can be complicated. Please seek professional assessment for diagnosis.



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