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Persistent Genital Arousal Syndrome; A Case Report

Year 2024, Volume: 3 Issue: 4, 145 - 148
https://doi.org/10.59518/farabimedj.1536984

Abstract

The purpose of this case report is to present a case involving the etiology, diagnosis, and treatment of Persistent Genital Arousal Disorder (PGAD). The described patient meets the criteria for PGAD. In this case, organic lesions in the nervous and urogenital systems were excluded, and a psychogenic background of the syndrome was assumed. Due to the patient’s refusal of pharmacological treatment, psychoeducation regarding PGAD and sexuality was provided within the framework of cognitive-behavioral therapy, resulting in a moderate effect.

Ethical Statement

No ethical approval was required for this study. Informed consent was obtained from the patient who participated in this case.

Supporting Institution

none

Thanks

none

References

  • Waldinger MD, Schweitzer DH. Persistent genital arousal disorder in 18 Dutch women: Part II. A syndrome clustered with restless legs and overactive bladder. J Sex Med. 2009;6(2):482-497. doi:10.1111/j.1743-6109.2008.01114.x
  • Goldstein I, Komisaruk BR, Pukall CF, et al. International Society for the Study of Women's Sexual Health (ISSWSH) review of epidemiology and pathophysiology, and a consensus nomenclature and process of care for the management of persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD). J Sex Med. 2021;18(4):665-697. doi:10.1016/j.jsxm.2021.01.172
  • Kruger TH, Hartmann U. A case of comorbid persistent genital arousal disorder and premature ejaculation: Killing two birds with one stone. J Sex Marital Ther. 2016;42(1):1-3. doi:10.1080/0092623X.2015.1053022
  • Pink L, Rancourt V, Gordon A. Persistent genital arousal in women with pelvic and genital pain. J Obstet Gynaecol Can. 2014;36(4):324-330. doi:10.1016/S1701-2163(15)30608-3
  • Allen RP, Barker PB, Horská A, Earley CJ. Thalamic glutamate/glutamine in restless legs syndrome: increased and related to disturbed sleep. Neurology. 2013;80(22):2028-2034. doi:10.1212/WNL.0b013e318294b3f6
  • Waldinger MD, Venema PL, van Gils AP, Schweitzer DH. New insights into restless genital syndrome: static mechanical hyperesthesia and neuropathy of the nervus dorsalis clitoridis. J Sex Med. 2009;6(10):2778-2787. doi:10.1111/j.1743-6109.2009.01435.x
  • Leiblum SR, Nathan SG. Persistent sexual arousal syndrome: a newly discovered pattern of female sexuality. J Sex Marital Ther. 2001;27(4):365-380. doi:10.1080/009262301317081115
  • Nazik H, Api M, Aytan H, Narin R. A new medical treatment with botulinum toxin in persistent genital arousal disorder: successful treatment of two cases. J Sex Marital Ther. 2014;40(3):170-174. doi:10.1080/0092623X.2013.788109
  • Lofrisco BM. Female sexual pain disorders and cognitive behavioral therapy. J Sex Res. 2011;48(6):573-579. doi:10.1080/00224499.2010.540682

Persistan Genital Uyarılma Sendromu; Bir olgu sunumu

Year 2024, Volume: 3 Issue: 4, 145 - 148
https://doi.org/10.59518/farabimedj.1536984

Abstract

Bu olgu sunumunun amacı, Kalıcı Genital Uyarılma Bozukluğu'nun (PGAD) etiyolojisi, tanısı ve tedavisini içeren bir vakayı sunmaktır. Tanımlanan hasta PGAD kriterlerini karşılamaktadır. Bu vakada, sinir ve ürogenital sistemlerdeki organik lezyonlar dışlanmış ve sendromun psikojenik bir temele dayandığı varsayılmıştır. Farmakolojik tedaviyi reddetmesi nedeniyle, hastaya bilişsel davranışçı terapi çerçevesinde PGAD ve cinsellik konusunda psikoeğitim verilmiş ve orta düzeyde bir etki elde edilmiştir.

Ethical Statement

Bu çalışma için etik onay gerekmemektedir. Aydınlatılmış onam bu olguya katılan hastadan alınmıştır.

References

  • Waldinger MD, Schweitzer DH. Persistent genital arousal disorder in 18 Dutch women: Part II. A syndrome clustered with restless legs and overactive bladder. J Sex Med. 2009;6(2):482-497. doi:10.1111/j.1743-6109.2008.01114.x
  • Goldstein I, Komisaruk BR, Pukall CF, et al. International Society for the Study of Women's Sexual Health (ISSWSH) review of epidemiology and pathophysiology, and a consensus nomenclature and process of care for the management of persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD). J Sex Med. 2021;18(4):665-697. doi:10.1016/j.jsxm.2021.01.172
  • Kruger TH, Hartmann U. A case of comorbid persistent genital arousal disorder and premature ejaculation: Killing two birds with one stone. J Sex Marital Ther. 2016;42(1):1-3. doi:10.1080/0092623X.2015.1053022
  • Pink L, Rancourt V, Gordon A. Persistent genital arousal in women with pelvic and genital pain. J Obstet Gynaecol Can. 2014;36(4):324-330. doi:10.1016/S1701-2163(15)30608-3
  • Allen RP, Barker PB, Horská A, Earley CJ. Thalamic glutamate/glutamine in restless legs syndrome: increased and related to disturbed sleep. Neurology. 2013;80(22):2028-2034. doi:10.1212/WNL.0b013e318294b3f6
  • Waldinger MD, Venema PL, van Gils AP, Schweitzer DH. New insights into restless genital syndrome: static mechanical hyperesthesia and neuropathy of the nervus dorsalis clitoridis. J Sex Med. 2009;6(10):2778-2787. doi:10.1111/j.1743-6109.2009.01435.x
  • Leiblum SR, Nathan SG. Persistent sexual arousal syndrome: a newly discovered pattern of female sexuality. J Sex Marital Ther. 2001;27(4):365-380. doi:10.1080/009262301317081115
  • Nazik H, Api M, Aytan H, Narin R. A new medical treatment with botulinum toxin in persistent genital arousal disorder: successful treatment of two cases. J Sex Marital Ther. 2014;40(3):170-174. doi:10.1080/0092623X.2013.788109
  • Lofrisco BM. Female sexual pain disorders and cognitive behavioral therapy. J Sex Res. 2011;48(6):573-579. doi:10.1080/00224499.2010.540682
There are 9 citations in total.

Details

Primary Language English
Subjects Psychiatry
Journal Section Case Reports
Authors

Ezgi Selçuk Özmen 0000-0002-2057-4947

Aslı Enzel Koç 0000-0002-9853-745X

Early Pub Date December 24, 2024
Publication Date
Submission Date August 21, 2024
Acceptance Date October 30, 2024
Published in Issue Year 2024 Volume: 3 Issue: 4

Cite

AMA Selçuk Özmen E, Koç AE. Persistent Genital Arousal Syndrome; A Case Report. Farabi Med J. December 2024;3(4):145-148. doi:10.59518/farabimedj.1536984

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