Persistent Genital Arousal Disorder is a rare but distressing condition in which individuals—predominantly women—experience unwanted genital sensations (tingling, throbbing, fullness, or contractions) with little or no sexual desire. Unlike typical arousal, PGAD episodes are intrusive, prolonged, and non-pleasurable, significantly impacting mental health and quality of life.
Key Symptoms to Watch For
- Continuous or recurrent genital sensitivity lasting hours or days
- Physical arousal that isn’t relieved by orgasm, or relief is fleeting
- Triggered by non-sexual stimuli (vibration, sitting, stress, even passing urine)
- Emotional distress: anxiety, irritability, insomnia, shame
If you notice these red-flag signs, schedule a confidential consultation with our primary care doctors in Las Vegas.
Why Does PGAD Happen? Top Theories
| Possible Root Cause | How It Contributes |
|---|---|
| Neurological (e.g., pudendal or sacral nerve irritation) | Nerve hyperexcitability sends persistent “arousal” signals to the brain. |
| Hormonal Imbalance | Rapid shifts in estrogen, progesterone, or prolactin post-menopause, childbirth, or medication changes. |
| Pelvic Floor Myofascial Dysfunction | Tight, spasmodic muscles compress nerves and blood vessels. |
| Psychophysiologic Factors | Chronic anxiety, OCD, or past sexual trauma that heightens body awareness. |
| Medications & Supplements | Certain SSRIs, SNRIs, trazodone, bupropion, or sudden discontinuation (“SSRI withdrawal”) can provoke symptoms. |
Clinical Pearl: Roughly 1% of women may experience PGAD at some point, yet it is often misdiagnosed as a simple libido problem. Early evaluation improves outcomes.
How We Diagnose PGAD at Healor
- Detailed Sexual & Medical History – ruling out hypersexuality or vulvodynia.
- Pelvic & Neurological Exam – assessing dermatomes, trigger points, pelvic floor tone.
- Targeted Lab Work – hormone panel, thyroid, prolactin.
- Imaging – MRI of lumbosacral spine or pelvis when nerve compression is suspected.
- Validated Questionnaires – PGAD scale, Female Sexual Distress Scale-Revised (FSDS-R).
Evidence-Based Treatment Options
Multimodal Approach We Offer
- Pelvic Floor Physical Therapy
- Myofascial release, biofeedback, diaphragm breathing techniques.
- Pharmacologic Interventions
- SRIs/SNRIs tapering + cross-titration when drug-induced.
- Topical 5% lidocaine or compounded numbing creams.
- Low-dose gabapentin or pregabalin for neuropathic pain modulation.
- Neuromodulation & Procedures
- Pudendal nerve blocks or radiofrequency ablation (RFA).
- Transcranial Magnetic Stimulation (TMS) for refractory cases.
- Hormone Optimization
- Bioidentical estrogen or progesterone balance where deficiency plays a role.
- Psychosexual Therapy & CBT
- Coping strategies, stress management, mindfulness to reduce symptom focus.
- Lifestyle Measures
- Avoid tight clothing/seats, use cold packs, engage in regular aerobic exercise.
Why Choose Healor for PGAD Care?
- Integrated Women’s Sexual-Health Program led by board-certified doctors in Las vegas.
- On-site pelvic floor therapists collaborate seamlessly with medical providers.
- In-house diagnostic labs and ultrasound reduce referral delays.
- A discreet, judgment-free environment in the heart of Las Vegas.
- Telehealth follow-ups.
Frequently Asked Questions (FAQ)
Q1. Is PGAD the same as hypersexuality?
No. PGAD is unwanted physical arousal without heightened desire. Hypersexuality involves excessive sexual interest or drive.
Q2. Can men experience PGAD?
Yes, though rarely. The presentation involves persistent penile sensations—often misinterpreted as prostatitis.
Q3. How long does treatment take to work?
Many patients notice 30-50 % reduction in symptom intensity within 6–8 weeks of a combined therapy plan.
Q4. Will insurance cover PGAD treatment?
Most PPO plans cover office visits, pelvic PT, and interventional procedures. Our billing team helps verify benefits.
Q5. What if my symptoms return?
PGAD can remit and relapse. We provide ongoing maintenance strategies and rapid-access appointments.
Take the Next Step Toward Relief
Living with Persistent Genital Arousal Disorder can feel overwhelming—but you are not alone. Healor’s multidisciplinary team is dedicated to restoring your comfort, confidence, and intimacy.
Call 702-362-2273 or contact us to request an appointment today.
