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Persistent Genital Arousal Disorder

Persistent Genital Arousal Disorder, also known as PGAD or Restless Genital Syndrome or Persistent Genital Arousal Syndrome, is a condition characterized by unrelenting, spontaneous and uncontainable genital arousal in females.  PGAD may or may not include arousal with orgasm and/or genital engorgement. Very often patients have approached medical health professionals who have not heard of PGAD and often times their symptoms are dismissed. PGAD is a real disease and must be treated by professionals who have significant experience with PGAD.

speaking with patient about persisent genital arousal disorder (pgad)


Symptoms of Persistent Genital Arousal Disorder (PGAD)

  • Physiologic sexual arousal (genital fullness or swelling and sensitivity with or without nipple fullness or swelling) that persist for hours or days and do not subside completely on their own
  • Arousal are usually experienced as unrelated to any subjective sense of sexual excitement or desire
  • The persistent genital arousal can be triggered not only by a sexual activity but also by non-sexual stimuli or by no apparent stimulus at all;
  • Arousal symptoms feel unbidden, intrusive, uninvited and unwanted, and the symptoms cause a moderate degree of distress.

Explaining Pudendal Neuralgia as a cause of Persistent Genital Arousal Disorder

Causes of Persistent Genital Arousal Disorder (PGAD)

PGAD Risk Factors

  • Gynecologic disorders
  • Pudendal Neuralgia
  • Repetitive Stress
  • Weening off Anti Depressant
  • Tavlov Cyst

Treatment of Persistent Genital Arousal Disorder (PGAD)

In conjunction with pelvic floor physical therapy, medical management and our treatment protocol we have had excellent results in improving quality of life in patients with PGAD. A study of our results is in progress and will be posted when it is complete. Be sure to check our website for the results.


Patient safety is our utmost priority at Pelvic Rehabilitation Medicine.

Meet Pelvic Rehabilitation Medicine

At Pelvic Rehabilitation Medicine, we treat whole human beings, not symptoms. In the body, everything is connected; and the pelvic region is the vital center of the body’s connected functioning. Our physicians take an innovative approach, combining traditional medicine with holistic modalities and rehabilitative medicine. We treat both male and female patients who experience core muscle and nerve problems; chronic pelvic pain; and pelvic floor muscle dysfunction. Learn More »

Relevant Publications/Citations

Walter Frontera, Julie Silver, Thomas Rizzo,Tayyaba Ahmed, Isabel Chan. Musculoskeletal Disorders, Pain, and Rehabilitation. Essentials of Physical Medicine and Rehabilitation. 2018 Nov; 4(107): 587-595. Link to Article.

Ahmed T. Interviewee on Pelvic Health Summit - Pelvic Pain and Sexual Health. Pelvic Health Summit. 2018 May. Link to Interview.

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Practice Safety Protocol

The health and safety of our patients and employees is Pelvic Rehabilitation Medicine’s top priority. While remaining open, our Team is strictly adhering to the recommendations offered by the CDC, and our disinfecting policies are meticulously executed in each of our offices. We assure you a healthy, safe environment while bringing you the exceptional healthcare you deserve. 

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