PGAD (Persistent Genital Arousal Disorder, formerly known as Persistent Sexual Arousal Syndrome), a very new disease that was first identified in 2001, is a condition in which involuntary orgasms are experienced during the day, and occurs without any sexual stimulation or desire. If it is accompanied by restless legs syndrome and urinary tract problems, it is called Restless Genital Syndrome.
Experienced This involuntary, sometimes painful orgasm is not a full ejaculation, that is, a false orgasm, so the person cannot truly relax and unwind. Unable to experience relaxation can cause tension. If this situation occurs involuntarily and cannot be prevented after a while, it may cause anxiety, stress and depression in the person, and problems may occur between partners. The body reacts as if it were in intercourse or masturbation, but the most important difference here is that there is no desire and most of the time there is no pleasure. Similar reactions occur, such as rapid breathing, accelerated heartbeat, tingling, contractions, and redness in the head and neck.
It can be seen in all age groups and may also occur during menopause. Although the exact number is unknown, it is estimated to occur in 1 in 100 women. The causes, as in every disease, can be examined under two main headings: psychological and organic reasons; There are many different causes such as intense anxiety, depression, bipolarity, antidepressants used, varicose veins, diet habits, tarlov cysts, epilepsy, urinary tract problems, and of course, there are cases where the cause is not clear. In other words, many reasons cause the disease to occur as a result of vasocongestion (blood accumulation) and nerve compression. There may be different triggers that cause involuntary body reactions such as tight clothing, contact, stress. It is important to reveal the situations in which it occurs. Sometimes the reactions may start during a normal intercourse and masturbation. Sometimes it is known what started the event, but most of the time it is not noticed how it started. Real masturbation, real intercourse, ice naps, exercise, distracting activities may provide temporary relief, but permanent It is not a solution.
In this new disease group, the causes cannot be clearly revealed and the treatments applied are not certain. It is a very dynamic disease where a new cause and a new treatment method may emerge every year. First of all, a very detailed history should be taken and it is very important to make the diagnosis correctly, it can be confused with different sexual diseases. Again, a detailed genital examination should be performed and the presence of cysts/mass should be examined, and the sensitive areas that are stimulated should be identified. Imaging of different suspicious body parts can be done. Of course, if the cause can be found, treatment will definitely be applied, but general treatment methods are very different such as sexual therapy, psychotherapy, anti-depressant and anti-anxiety medications, removal of sensitive tissues, neutralization of sensitive points such as botox, electrical stimulation therapy, special corsets, pelvic message methods, diet change. techniques are used.
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