Successful treatment of PGAD/GPD with leuprolide: a case report

Persistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD) is a rare clinical condition of uncertain etiology. It is characterized by involuntary genital arousal occurring in the absence of sexual interest or desire, and may be accompanied by abnormal sensations in the pelvic and reprod...

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Main Authors: Wang Rong, Hongwen Zhou, Hongqi Fan
Format: Article
Language:English
Published: Frontiers Media S.A. 2025-08-01
Series:Frontiers in Psychiatry
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Online Access:https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1623256/full
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author Wang Rong
Wang Rong
Hongwen Zhou
Hongqi Fan
author_facet Wang Rong
Wang Rong
Hongwen Zhou
Hongqi Fan
author_sort Wang Rong
collection DOAJ
description Persistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD) is a rare clinical condition of uncertain etiology. It is characterized by involuntary genital arousal occurring in the absence of sexual interest or desire, and may be accompanied by abnormal sensations in the pelvic and reproductive regions. PGAD/GPD exerts a profound negative impact on patients’ physical and mental health, severely impairing daily functioning and, in some cases, leading to suicidal ideation. This case highlights the potential role of COVID-19 as a triggering factor in the development of PGAD/GPD. The marked improvement in symptoms following treatment with leuprolide suggests that dysregulation of gonadotropin/GnRH signaling may constitute a key pathogenic mechanism underlying this condition. We anticipate that this successful treatment case will provide valuable insights into the etiology and treatment strategies of PGAD/GPD.
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institution Kabale University
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publishDate 2025-08-01
publisher Frontiers Media S.A.
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series Frontiers in Psychiatry
spelling doaj-art-d1086244a5c741318623ebb9bfd8a6b82025-08-20T03:39:10ZengFrontiers Media S.A.Frontiers in Psychiatry1664-06402025-08-011610.3389/fpsyt.2025.16232561623256Successful treatment of PGAD/GPD with leuprolide: a case reportWang Rong0Wang Rong1Hongwen Zhou2Hongqi Fan3Department of Endocrinology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, ChinaDpartment of Endocrinology, Lianyungang Affiliated Hospital of Nanjing University of Chinese Medicine, Lianyungang, ChinaDepartment of Endocrinology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, ChinaDepartment of Endocrinology, The First Affiliated Hospital with Nanjing Medical University, Nanjing, ChinaPersistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD) is a rare clinical condition of uncertain etiology. It is characterized by involuntary genital arousal occurring in the absence of sexual interest or desire, and may be accompanied by abnormal sensations in the pelvic and reproductive regions. PGAD/GPD exerts a profound negative impact on patients’ physical and mental health, severely impairing daily functioning and, in some cases, leading to suicidal ideation. This case highlights the potential role of COVID-19 as a triggering factor in the development of PGAD/GPD. The marked improvement in symptoms following treatment with leuprolide suggests that dysregulation of gonadotropin/GnRH signaling may constitute a key pathogenic mechanism underlying this condition. We anticipate that this successful treatment case will provide valuable insights into the etiology and treatment strategies of PGAD/GPD.https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1623256/fullleuprolidecase reporttreatmentPGADgeneralized pareto distribution (GPD)
spellingShingle Wang Rong
Wang Rong
Hongwen Zhou
Hongqi Fan
Successful treatment of PGAD/GPD with leuprolide: a case report
Frontiers in Psychiatry
leuprolide
case report
treatment
PGAD
generalized pareto distribution (GPD)
title Successful treatment of PGAD/GPD with leuprolide: a case report
title_full Successful treatment of PGAD/GPD with leuprolide: a case report
title_fullStr Successful treatment of PGAD/GPD with leuprolide: a case report
title_full_unstemmed Successful treatment of PGAD/GPD with leuprolide: a case report
title_short Successful treatment of PGAD/GPD with leuprolide: a case report
title_sort successful treatment of pgad gpd with leuprolide a case report
topic leuprolide
case report
treatment
PGAD
generalized pareto distribution (GPD)
url https://www.frontiersin.org/articles/10.3389/fpsyt.2025.1623256/full
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