Persistent sexual arousal syndrome

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Classification according to ICD-11
HA01.Y Other specified sexual arousal dysfunctions
ICD-11 ( WHO version 2019)

Persistent genital arousal disorder ( PSAS ) or persistent genital arousal disorder ( PGAD ; dt .:, persistent genital arousal disorder ') or persistent genital arousal is the term for a syndrome in which the affected person to a sexual excitation duration suffer. In some cases, they can have up to 250  orgasms a day. Women are almost exclusively affected, and men only in rare cases. The orgasms occur unexpectedly and unintentionally; slight vibrations are sufficient , for example when traveling by bus or elevator. Sometimes a vibration-like noise, such as that of a hairdryer , triggers an orgasm.

The syndrome was first described in 2001 and is still relatively unexplored - there are no drugs or other therapies that could cure the syndrome. Certain drugs appear to be able to relieve symptoms , but other drugs can sometimes trigger symptoms.

diagnosis

The diagnosis is made based on five criteria:

  • The sexual arousal of the genitals and clitoris lasts for several hours or days.
  • The sexual arousal does not come from a real desire for sex .
  • Sexual arousal doesn't go away after an orgasm, it usually requires more orgasms.
  • The feeling of sexual arousal is intrusive and undesirable.
  • The sexual arousal of the genitals and clitoris is at least moderately painful.

Symptoms

Symptoms related to PSAS include tingling in the clitoris, swelling of the genitals, lubrication , orgasms on vaginal contractions , tingling in the vagina, clitoral pain, and vaginal pain. In many of those affected, the state of sexual arousal is permanent. For others, however, the symptoms only occur periodically. The psychological effects of PSAS include general malaise and feelings of shame, guilt, worry and fear, and even depressive moods.

literature

  • Susanne Philippsohn: Persistent genital arousal in women (PGAD) - description of the clinical picture including two successful therapies. In: Sexology. Volume 18, number 1-2, 2011, pp. 48-56.
  • Tillmann Krüger: Can pharmacotherapy help persistent genital arousal disorder? Expert Opinion on Pharmacotherapy 2018, 15: 1705-1709. https://doi.org/10.1080/14656566.2018.1525359
  • M. Aswath, LV Pandit et al. a .: Persistent Genital Arousal Disorder. In: Indian journal of psychological medicine. Volume 38, number 4, 2016 Jul – Aug, pp. 341–343, doi : 10.4103 / 0253-7176.185942 , PMID 27570347 , PMC 4980903 (free full text).

Web links

Footnotes

  1. ^ Rajkumar Kamatchi, Andrew Ashley-Smith: Persistent genital arousal disorder in a male: a case report and analysis of the cause. In: BJMP. Number 6, 2013, a605
  2. ↑ Ryann Connell: Deadly "iku iku byo" reaches a climax ( Memento from May 7, 2008 in the Internet Archive ). In: The Mainichi Daily News . November 16, 2006
  3. ↑ Illness: orgasms every minute. In: The world . November 22, 2007, accessed August 10, 2011 .
  4. ↑ SR Leiblum, SG Nathan: Persistent sexual arousal syndrome: a newly discovered pattern of female sexuality. In: J. Sex. Marital Ther. No. 27 (4), 2001, pp. 365-380. PMID 11441520 .
  5. ↑ D. Gold Meier, SR Leiblum: Persistent genital arousal in women - a new syndrome entity. In: Int J STD AIDS. No. 17 (4), April 2006, pp. 215-216. PMID 16595040
  6. ↑ Elizabeth Landau: When being turned on is a turnoff. In: CNN . April 17, 2010, accessed August 10, 2011 .
  7. ↑ SR Leiblum, D. Gold Meier: Persistent genital arousal disorder in women: case reports of association with anti-depressant usage and withdrawal. In: Sex Marital Ther. No. 34 (2), March / April 2008, pp. 150-159. PMID 18224549
  8. ^ WW Finger, M. Lund, MA Slagle: Medications that may contribute to sexual disorders. A guide to assessment and treatment in family practice. In: J Fam Pract. No. 44 (1), January 1997, pp. 33-43. PMID 9010369
  9. ↑ Damien Mascret: Le syndrome d'excitation genital persistante. In: Le Généraliste. No. 24131 of January 6, 2007.