First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male

Introduction. Persistent genital arousal disorder (PGAD) is a newly recognized disorder in women. It is described as unwanted, persistent feelings of genital arousal unrelated to sexual desire and not relieved by orgasm. Its prevalence is estimated to approach 1% of young women. Until now, this has...

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Main Authors: Bradford J. Stevenson, Tobias S. Köhler
Format: Article
Language:English
Published: Wiley 2015-01-01
Series:Case Reports in Urology
Online Access:http://dx.doi.org/10.1155/2015/465748
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author Bradford J. Stevenson
Tobias S. Köhler
author_facet Bradford J. Stevenson
Tobias S. Köhler
author_sort Bradford J. Stevenson
collection DOAJ
description Introduction. Persistent genital arousal disorder (PGAD) is a newly recognized disorder in women. It is described as unwanted, persistent feelings of genital arousal unrelated to sexual desire and not relieved by orgasm. Its prevalence is estimated to approach 1% of young women. Until now, this has not been described in men. Aim. Here we present a case of a 27-year-old male with symptoms consistent with PGAD and describe successful treatment. Methods. A 27-year-old male presented to urology clinic with the chief complain of persistent feelings of impending orgasm. He reported a sensation similar, but not identical, to sexual arousal that did not occur in the setting of sexual thoughts or desire. Orgasm alleviated the arousal for only a short time after which the symptoms would return. This had become quite bothersome to him. Results. After assessing for a neurological cause and finding none, the patient was started on paroxetine daily with complete resolution of symptoms. Conclusions. PGAD is a disorder previously described only in females. Although symptoms of PGAD have been described in a male as part of another disorder complex, this report describes the first reported isolated case in a male and the successful treatment.
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spelling doaj-art-aed866f3ce3046e1889820f024cdae9a2025-08-20T03:39:00ZengWileyCase Reports in Urology2090-696X2090-69782015-01-01201510.1155/2015/465748465748First Reported Case of Isolated Persistent Genital Arousal Disorder in a MaleBradford J. Stevenson0Tobias S. Köhler1Southern Illinois University School of Medicine, 301 N 8th Street-4B, P.O. Box 19665, Springfield, IL 62794, USASouthern Illinois University School of Medicine, 301 N 8th Street-4B, P.O. Box 19665, Springfield, IL 62794, USAIntroduction. Persistent genital arousal disorder (PGAD) is a newly recognized disorder in women. It is described as unwanted, persistent feelings of genital arousal unrelated to sexual desire and not relieved by orgasm. Its prevalence is estimated to approach 1% of young women. Until now, this has not been described in men. Aim. Here we present a case of a 27-year-old male with symptoms consistent with PGAD and describe successful treatment. Methods. A 27-year-old male presented to urology clinic with the chief complain of persistent feelings of impending orgasm. He reported a sensation similar, but not identical, to sexual arousal that did not occur in the setting of sexual thoughts or desire. Orgasm alleviated the arousal for only a short time after which the symptoms would return. This had become quite bothersome to him. Results. After assessing for a neurological cause and finding none, the patient was started on paroxetine daily with complete resolution of symptoms. Conclusions. PGAD is a disorder previously described only in females. Although symptoms of PGAD have been described in a male as part of another disorder complex, this report describes the first reported isolated case in a male and the successful treatment.http://dx.doi.org/10.1155/2015/465748
spellingShingle Bradford J. Stevenson
Tobias S. Köhler
First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male
Case Reports in Urology
title First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male
title_full First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male
title_fullStr First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male
title_full_unstemmed First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male
title_short First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male
title_sort first reported case of isolated persistent genital arousal disorder in a male
url http://dx.doi.org/10.1155/2015/465748
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