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Persistent Sexual Arousal Syndrome (PSAS) / Persistent Genital Arousal Disorder (PGAD)

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“The opening of the vagina is just as sensitive and a mere touch will bring me to orgasm. My husband is very sympathetic and relieves the terrible pressure anytime I ask.”

“My life has been sheer hell. I want my life back.”

“Sitting is unbearable, sometimes causing pressure to orgasm. Standing is the only time I feel nothing. Sitting in a car is torture.”

“I was constantly feeling overwhelming sensations of sexual arousal, which were purely physical and not accompanied by romantic or sexual fantasies.”

These are some of the anguished statements made by patients of Persistent Sexual Arousal Syndrome (PSAS) to their doctors and read out in medical forums to emphasize the need for research into this new challenge in women’s sexual health.

Dr. David Goldmeier who described PSAS in a report in the International Journal of STD and AIDS said women with PSAS who have sought treatment have reported extreme distress and even thoughts of suicide.

Considering the rarity with which this syndrome is reported by women it seems fitting to present two sample case reports from women interviewed by Dr. Sandra Leiblum and Dr. Sharon Nathan and reports gathered from obstetricians, gynecologists and other primary care doctors from other parts of the world who were presented with cases of PSAS.

Case Report 1: In 2001, a 52-year-old, divorced, working woman reported having Persistent Sexual Arousal Syndrome (PSAS) for 6 years and that it affected her work and destroyed her wellness. She reported persistent sensations of genital vascocongestion and masturbation offered no relief. With no thoughts of sex, her body would pulsate intensely with a constant need for release, sometimes with a reprieve only at sleep. She thought she was the only woman in the world with this peculiar problem and resorted to taking anti-depressants.

She was thoroughly examined by her family doctor, 3 gynecologists, a urologist, and a mental health specialist—and none of them could help her and had never heard of a distressing abnormality such as hers. The doctors were also baffled that her blood tests and hormone levels and an MRI scan showed normal. She said there was no history of psychological trauma. For six years she used anti-depressant drugs such as divalproex, sertraline, fluoxetine and buspirone that did not help her in any way. She said her sense of humor, support from family and friends helped ward off depression. With no forthcoming explanation or solution from doctors, the woman continues to suffer from PSAS.

Case Report 2: This is a case reported about a patient by a gynecologist in Australia. The patient is a 51-year-old woman with a “continual distressing feeling of sexual arousal.” The patient was unwilling to masturbate and orgasms did not relieve the persistent genital arousals. Androgen values and the results of abdominal computerized tomography covering the adrenal glands, lumbosacral spine and the pelvis were found to be normal. Neurologic findings were also normal. There was a mild tenderness in the suprapubic area. The patient reported using hormone replacement therapy for a few years for osteopenia and was not taking any alternative medicine therapy.

An endocrinologist in Phoenix, US, Dr. Randall Craig claims he has successfully treated two women with PSAS-like symptoms. In his letter posted on PSAS Support Group, he suggests that 3 hormones—progesterone, prolactin and oxytocin may play a role in PSAS. Particularly, women with insufficient oxytocin release after orgasm may experience PSAS symptoms. According to Dr. Craig inhaling oxytocin could relieve patients from symptoms of PSAS.

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Hi. My name is April and I have suffered with PGAD for over two years. The horrible feeling of constant pain and arousal. I am 63 yrs. and this has ruined my life. Going somewhere , doing something, constant arousal..then the pain..I cried and took pain pills, which only helped a little. So so be so uncomfortable all the time, not even being able to go to the bathroom or shower. This is too much to bear. BUT this CAN. Yes CAN go away. It did for me and how? Sincerely And honestly pray. The power of prayer cured me. I prayed often, desperately , and and with faith. I am living proof that this works. Pray with your whole heart and soul. This will end in His time. It took a long time, but in His time it ended.. I promise you, it CAN. Go the Lord. Please don't get discouraged ...give it time and PRAY. I will pray for all of you too.
teah1112 Monday, December 28, 2015
im 24 Years old, i have been dealing with this since I can remember, Probably since I hit Puberty. It is a nightmare, All day long i fight and fight the urge to go into the other room and take care of it, I fight because I know that it will only get worse. I finally got the courage to talk about it to my SO. He was amazing, and so understanding, and to be able to talk about it openly has relieved so much stress in my life. I can only hope that this disorder can get more attention, so that maybe one day I can live a normal life. Please, do not be afraid to talk about this to your partner, or your super close friend, challenge them to google ReGS, research it. Having someone to talk to, that understands what im going through has helped me in so many ways. I now have a daughter and its a struggle, but she has helped me fight my urges, and so has my SO.
Winterwolfcub Thursday, November 5, 2015
Hello nice post.
Thanks for the amusing post... According to the Male Aging Study, a little over half of men experience erectile dysfunction [ED].Erectile dysfunction - a man's inability to maintain an erection for sex - has numerous psychological and physical causes. Sexual dysfunction refers to a problem occurring during any phase of the sexual response cycle that prevents the individual or couple from experiencing satisfaction from the sexual activity. Sexual dysfunction can affect any age.

Hashmi488 Saturday, March 7, 2015
how many of these women are obese?
david15 Monday, February 9, 2015
I am an acupuncturist for 18 years. Thank you for labeling this health disorder. I can now explain to my two patients their cases. An old woman in her 70's and a carrer lady in her early 30's. The old woman is cured while the later is still uder going treatment with great improvements and they both are asking me what is the name and the cause of their disorders.
jong Friday, January 23, 2015
Hi, where are you based? I am interested in trying acupunture for this condition, especially if you say there are good results.
sg300 Sunday, February 1, 2015
are they obese?
david15 Monday, February 9, 2015
i am 23 years old. i am suffering from my 1st menstruation and still now. but i know the disease when i am 15 years. i can't control my self. so many person take this my weakness. how can i save myself? any treatment of this? please help me.
Tahmina Saturday, May 10, 2014
Have you tried acupuncture? I successfuly treated a woman in her 70's and currently treating another lady in her 30's
jong Friday, January 23, 2015
i am 84 years old and i think i have this. at least once a day i must go into the bathroom, ball up some toilet paper, wet it and shove it into my vagina and rub all around. i orgasm at least two or three times from this. sometimes i do it in the shower with my hands but most of the time with tissues. when i get the urge and people are at my house it is embarassing because i cannot be quiet and do this. it takes everything i have not to moan out. it just feeels so good and i cannot stop. any advice?
tmass Monday, February 24, 2014
See an acupuncturist in your area
jong Friday, January 23, 2015
Hi all, Im 26, married. I have this and have had it ever since I can remember. Its not as badbas some of yours. My worry and my question is will it get passed to my children? I counldnt stand them suffering the way I did and am. please reply. Thanks.
x5455 Tuesday, February 18, 2014
Hi im 28 and have two kids and have been worried incase ive passed it onto them. Ive had psas since 5yrs old :( would hate for my boys to go through what im going through. Feel almost at breaking point that i cant take no more :(
mommygiz Monday, May 12, 2014
I'm a man and I had something like that from about 16 to 25. That's all I've got to say.
fudog Friday, February 14, 2014
I am feelin some light stress in penis after masterbuten and it persist for 2/3 days. I am now 57 years.
mukherjeeisw Saturday, January 25, 2014
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