Document Detail

Interaction of organic and psychological factors in persistent genital arousal disorder in women: a report of six cases.
MedLine Citation:
PMID:  18574126     Owner:  NLM     Status:  MEDLINE    
There have been a number of case reports published recently describing women who complain of persistent genital arousal. Most of these papers do not report medical data or observations from genital examination. We report in such detail on six cases of persistent genital arousal disorder (PGAD) in women. We further advance the hypothesis that in many cases the objective genital component may be induced by a variety of psychophysiological and pathological factors such as anxiety, genital prolapses and dermatoses. Genital engorgement so produced may not be continuous but when present may be enhanced and perpetuated by both anxiety focussed on the genitals and masturbation used in an attempt to relieve the sensations. Premorbid affective psychological illness negatively colours the subjective perception of this genital engorgement, leading to either elicitation or maintenance of PGAD. We discuss this hypothesis in relation to our six cases.
David Goldmeier; Sandra Leiblum
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Publication Detail:
Type:  Case Reports; Journal Article    
Journal Detail:
Title:  International journal of STD & AIDS     Volume:  19     ISSN:  0956-4624     ISO Abbreviation:  Int J STD AIDS     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-06-24     Completed Date:  2008-09-08     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007917     Medline TA:  Int J STD AIDS     Country:  England    
Other Details:
Languages:  eng     Pagination:  488-90     Citation Subset:  IM; X    
Imperial College NHS Trust, London W2 1NY, UK.
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MeSH Terms
Genital Diseases, Female / complications*
Genitalia, Female / pathology
Middle Aged
Self Assessment (Psychology)
Sexual Behavior / physiology,  psychology
Sexual Dysfunction, Physiological* / etiology,  psychology
Skin Diseases / complications

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