First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male. (12th February 2015)

• Record Type: Journal Article
• Authors: Stevenson, Bradford J.; Köhler, Tobias S.
• Other Names: Carmignani Giorgio Academic Editor.
• Is Part Of: Case reports in urology. Volume 2015(2015)
• Publication Date: 2015-02-12
• Subjects: Urology -- Periodicals; Urology -- Case studies -- Periodicals; Genitourinary organs -- Diseases -- Periodicals; Urologic Diseases; Genitourinary organs -- Diseases; Urology; Periodicals; Case studies; Periodicals; 616.6005
• DOI: 10.1155/2015/465748
• Languages: English
• ISSNs: 2090-696X

Abstract

Abstract : 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.