Features :
Features Arousal Persists for an Extended Period of Time
Signs do not Resolve with Orgasm
Signs are not Related to Desire
Nonsexual Stimuli may Trigger Arousal
Signs are Uninvited, Intrusive and Unwanted
Distinctions :
Distinctions Hypersexuality
Strong, frequent feelings accompanied by intrusive fantasies and high frequencies of masturbation &/or sex
Excessive feelings of sexual desire with or without arousal
PGAD—genital sensations in the absence of sexual desire
PGAD Theories :
PGAD Theories Central &/or Neurological changes
Head injuries, Seizure disorders, et. al.
Medications
SSRIs or SNRIs
Psychological Vulnerabilities
Sexual Abuse, Stress
Presentation :
Presentation Women Who Report Multiple (100s) Orgasms
Case Example: 63-year old Woman
Anorgasmic History
Became Multiple Orgasmic
More Physiological than Sexual in Character
Grew Up in a Sexually Repressed Environment
PGAD Treatment :
PGAD Treatment Social Support
www.psas_support.com/
Pelvic Massage
Pelvic Therapist
Medication
Example: Depakote, SNRIs
Cognitive-Behavioral
Self-Defeating to Self-Appreciating