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Dr. Greene | PGAD Question, What’s a woman to do?

After talking to a client who has this most difficult condition PGAD, I thought it was so important to bring this topic to the forefront.  Persistent Genital Arousal Disorder, is painful, and can be very irritating to one’s genital area. I asked Dr. Greene to talk more about this disorder:

Dr. Greene discusses the PGAD question. What’s a woman to do?

PGAD also known as Persistent Genital Arousal Disorder is a newly  identified condition which is characterized by all or one of the following symptoms:
Persistent genital arousal disorder | PGAD

  • Clitorial tingling
  • Irritation
  • Vaginal congestion
  • Vaginal contractions
  • Throbbing
  • Pressure
  • Pain
  • Spontaneous orgasm

It is not pleasant and causes major distress and anxiety in the patient who suffers from it.
It is unrelated to sexual desire, and while some find orgasm to provide temporary relief, most find that it exacerbates the problem.

What causes PGAD?

Patience is a virtue

Unfortunately, no one really knows for certain what causes PGAD. Some have thought that there is an abnormal irregularity on the sensory nerves affecting the genital area.

Activities so mundane, such as phone vibration, riding on a train or going to the toilet aggravates the situation. So little is known about the condition (about 7000 reported cases worldwide).

Few doctors have even heard of it. Plus the embarrassment of discussing the problem with the doctor causes the problem to be under reported.

What should I do if I think I have PGAD?

If you have feelings of distress with orgasm, the feeling does not resolve completely, the feeling of pressure, tingling etc. comes on with simple activity unprovoked with sexual activity you could be suffering from PGAD.

  1. Tell your doctor. Don’t be afraid.  Hopefully if he or she is not at all familiar with this problem they will tell you.
  2. Discuss the symptoms. It’s probably not going to be a quick fix so be patient.

These are some suggestions by the experts in this area:

  1. Make sure that all of your medications are checked.  Some feel that Trazadone can exacerbate this problem.
  2. Get a pelvic sonogram even an MRI. Pressure or entrapment on the nerves such as the Pudnedal nerve or its branch called the Nervus Dorsalis Clitoralis can be the culprit.
  3. DO NOT do Kegel exercises That’s great for urinary incontinence but not PGAD.
  4. Stay away from tight fitting clothing. Bikers beware!
  5. Topical anesthetics such as Lidocaine, heat or ice might help.
  6. Muscle relaxants, Valium, Ativan, Klonipene might be helpful as well.
  7. Transcutaneous electrical nerve stimulation can be tried.
  8. Central nervous system suppressants such as Gabapentine  or Lyrica are given
  9. Acupuncture and physical therapy with specialists trained in this area could work as well.

Again when dealing with PGAD…patience is a virtue. Remember some treatments will be successful in some patients but not in others. Most importantly find a specialist that is familiar with and knows how to treat PGAD.

~Miriam Greene, M.D.

Dr. GreeneDr. Miriam Greene practices obstetrics and gynecology in New York City and is Board Certified by the American Board of Obstetrics and Gynecology.

You can listen to Dr. Greene’s show “Sexual Health and Wellbeing“, Mondays between 12-2pm on Sirius radio xm81.

My little secret:  Vaginal Renewal Complex seems to help soothe PGAD.  Even though it does not cure the problem (if there is a cure) it does help, as well as Vaginal Wash.

Read Some of Dr. Greene’s other articles:

Author: Olga Cohen

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