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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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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
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
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
This just recently started a week ago. Ever since then I have had the tingling and sensations spoken about. The first time was the worst. I felt the need to masterbate because I am alone. I did and stopped and asked God to forgive me that I will never do it again. But I sufered all night until I assed out. I had an orgasm every 2 to 3 seconds from around 2 am until I passed out. It be stopped, and I could hardly walk. I tried ice packs that stimulated me more. trying to hold it with my hand didn't work. I can't tell you how many orgasms I had. Has anyone of an adult, church going age questioned familiar spirits. I noticed a few christian comments. Gallatians 5 does talk about this. I could be more specific, but I a fact finding now. Some of these men have abilities that control women in this manner.
churchlady67 Monday, August 05, 2013
Today I was doing hands off masturbation wherw o would ty to have an ogasm and I kept sayong my hole is innocent...evenutally while while I was trying to orgasm I felt this odd feeling it was uncomfortable..and then I startes having pain.. Eventually I thought maybe irs blue balls for women...so I letmy vagina move and do its thing.I felt some relief but the pressurw feeling and almosy unctontrollable feelings coontinued...I rubbed my clitoris to orgasm too using the excuse that maybe it qould take the feeling away I remember I believe it wws "God" saying "vaginal discomfort" ci ncerning my masturbation.... so I gueas thia was what He wss talking about..I heard it can be caused by exxessive masturbation... People should be warned about this..I've been upset and now could care less about sex..I just pray thw feelibg wi permantly go awat
anon310 Saturday, November 09, 2013
I am a man and have had this condition for 10 years now. I am 28 and it is a horrible condition. It devastated my life for many years. In recent years it has gotten better as I have figured out techniques to deal with it. As a man it is terrible and embarrasing because you have to hide your priapism and if you orgasm it is inconvient as a man. Through years of self analysis and introspection for answers and solutions I believe that it stems from a disconnect in the brain. I believe that the brain has an intrinsic desire to want to reproduce. I also believe that unconscious [Autonomic nervous system] brain does not know the difference between physically mating or masturbating. Where PSAS comes in is that the brain has somehow wired itself to not need that physical stimulation to orgasm and so that very ancient and basic part of the brain that wants to breed has free rein. It basically takes control and it doesn't care what you want or what your doing.
LN Friday, July 26, 2013
For psas you all need matrix patches from the doctors i have them for pain in my back so you will get sleep and stop the the need to masturbate iam a women , please pass on the word i hope it helpsit helps me xxx
angel44 Wednesday, July 17, 2013
After asking 6 or 7 doctors, I finally found one that has heard of this disorder. I am deeply relieved. I have been in recovery for sexual addiction for over 13 years. No wonder I became a sex addict. I just celebrated 13 years of "sexual sobriety" which includes no masturbation or sex with others except a spouse. I am not married. For me masturbation exasperates this condition. I have just started dating, and it is scary. I have been upfront about it with a couple of guys and it turned out ok so far. I have not had any "episodes" [orgasms] while with them. I am committed to not having premarital sex. It is so wonderful I can talk about this with people that understand! It can be confusing. I have felt like a freak.
grateful Thursday, April 11, 2013
One of the procedures that my doctor [although I didn't tell her what exactly my symptoms were] and I tried was a hysterectomy. Did not help. I thought that this condition was brought on by me having to stop tsking a hermone by the name of Prempro. Now I just don't know what is causing it. I've had this condition for almost 7 yrs. It's agonizing. I remember that years ago when I would be going thru pms, I would then have strong urges until I'd be over the pms....
Hopeless777 Monday, February 04, 2013
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