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

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Persistent Sexual Arousal Syndrome-About

Persistent Sexual Arousal Syndrome (PSAS) or Persistent Genital Arousal Disorder (PGAD) is a phenomenon relating mainly to women’s sexual health, in which afflicted women complain of sudden and frequent feelings of genital arousal that are qualitatively different from the kind of sexual arousal that is associated with sexual desire or subjective arousal. Masturbation and orgasms offer little or no relief. It is a very rare condition and it is possible that sufferers don’t report the condition because of the shame and embarrassment the disclosure would involve.

Dr. Sandra R. Leiblum documented the condition first in July 2001, along with Dr. Sharon G. Nathan in the Journal of Sex and Marital Therapy. The reasons for Persistent Sexual Arousal Syndrome remain a medical mystery till date.

The first real research study on PSAS was conducted at Rutgers University in June 2007 and women with PSAS felt encouraged when doctors found evidence that it was not an “imaginary” syndrome. More than 400 women from different parts of the world have reported suffering from PSAS. According to a report in the Shukan Post last year, a growing number of Japanese women are suffering from PSAS. One woman said she was terrified because even her mobile phone vibration was enough to set her off and was told by her friend that she was stricken by what was called the “cum cum disease.”

Persistant Sexual Arousal Syndrome

It is not surprising that the women who have reported the condition are only from the developed countries, because the consequences of reporting such a syndrome by women in developing or under-developed countries or conservative societies would be disastrous. In conservative societies, women reporting this disease run the risk of being stigmatized or labeled as ‘freaks’ by others.

Interesting to Know

Some theories that are doing the rounds on PSAS are discussed below:

a. Neurological hypersensitivity - In women with PSAS the normal or minor sensation from areas such as clitoris or pelvic organs get amplified and result in a persistent or permanent state of arousal at the brain level. Treatment with anti-depressants is advocated. The hypersensitivity may also result after some minor trauma to pelvic nerves or after an episode of neurological conditions such as meningitis or encephalitis. The glans penis of male has 4000 nerve endings and in comparison the equivalent smaller female clitoris has 8000 such nerve endings.

b. Venous congestion of pelvic organs - Women with PSAS may have some form of pelvic venous congestion syndrome (Allen-Masters Syndrome). The pelvic and sexual organs are rich in blood supply and sometimes the chronically dilated varicose veins do not respond well to neurologic and hormone signals to contract to normal size especially after the resolution phase of the sexual cycle leading to persistent arousal.

c. Endocrinal PSAS - Women who suffer from the condition after menopause or during a few days before the onset of menstrual cycle may have problems related to hormones such as progesterone. This maybe caused due to over-sensitivity to the arousal effect of Progesterone.

d. Prolactin release disorder - Role of Prolactin in orgasm is well studied. It has a role in maintaining the refractory and relief phase after orgasm. Men usually have a much larger release of prolactin after orgasm than women and hence they take time to be aroused the second time. Women have a shorter refractory period due to a smaller release of the hormone. In PSAS it is possible that there maybe no release or delayed release of the prolactin hormone.

e. Oxytocin deficiency – Oxytocin release from pituitary in orgasm gives the calming effect. It reduces stress and its release in clitoral orgasm is even more. That may be the reason why you fall asleep after great sex.

f. Tourette’s syndrome variant of PSAS - Tourette’s syndrome is a compulsive tic disorder and the most common tics are of eye blinking, coughing, throat clearing, sniffing, and facial movements. PSAS may be a variant of such a disorder that is associated with compulsive masturbation, intrusive thoughts, and there may be a family history of Tourette’s syndrome or a similar disorder.


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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 05, 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 07, 2015
how many of these women are obese?
david15 Monday, February 09, 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 01, 2015
are they obese?
david15 Monday, February 09, 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
It started with me when I was a teenager around 13 yrs ago. As everyone thought that may be it's a teenage phase and it will become normal with the age. However for past 13 yes instead of subsiding it is just become even more pronounced and intense.I remember I would just lock myself in a room and just weep and pray all the time.Gradually after years of such futile exercises I had just resigned to my fate.I really don't wanna with is PSAS for my whole. I can't tell about this to anyone at he for fear of embarrassment not even to my friends.I really sick and tired of this.Through my deep observation I have found that in my vase there is point in brain close to medula oblongetta that becomes unduly excited and starts sending down Sensations all across genitals.Some times I would be feeling need to have sex multiple times. Its like if I don't release it then I might just explode out of sheer pressure. I some times feel that marriage might not be as feasible option for me to try as where my spouse unable to understand would just brand me a sex addict or sex fiend and will just divorse me.I don't feel that I m ready to live a double life. I guess the onlyboption for me is to find someone like myself who would understand me and sympathize with me instead of just mocking me rather than just lead a traumatic sex crazy life. After all I don't wanna live and grow old alone ,lonely and sad
sammy0722 Thursday, August 29, 2013
Hey Sammy, you needn't feel so miserable about yourself. There are numerous young men in the world who are going through the same phase. With time, this problem hopefully would disappear.
Advancells Sunday, September 22, 2013
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