PSAS, which used to be “Persistent Sexual Arousement Syndrome”, has been updated to “Persistent Genital Arousal Disorder”. So you can see this syndrome as PSAS or PGAD. In this syndrome, the person is constantly involuntarily aroused. PSAS is a condition specific to women. In men, a persistent and painful erection is called “priapism”.

This genital arousal disorder starts with involuntary arousal and can sometimes last for days. There is no need for a specific sexual stimulant for people with this syndrome. 

The biggest problem with PGAD is that people confuse it with hypersexuality, which leads to a delay in consulting a doctor and the disease cannot be identified. Because people are afraid of being diagnosed as sex addicts, they cannot tell the doctor about all their problems and this prevents treatment.
This situation adversely affects the quality of life. The constant feeling of ejaculation and arousal can also cause symptoms such as burning, pinprick and throbbing, making it difficult for you to do your daily routine. Because it is possible to ejaculate 100 times in one day!

What are the symptoms of PSAS?

The symptoms of PSAS can vary constantly. The burning sensation is intense and pressure can be felt. However, increased blood circulation, redness and warmth, throbbing and wetness due to stimulation can be observed. 

The points where persistent sexual arousal syndrome occurs can also vary. It is possible to experience different symptoms in different areas such as the vagina, anus, or clitoris.

What is the difference between nymphomania and PGAD/PSAS?

Because of the similarity in symptoms, the two disorders can be confused. For both disorders, ejaculation through sexual activity does not bring peace of mind, but only a short-term mild relief. Where nymphomania differs from PGAD is precisely in the onset of arousal. In nymphomania, the person has an extremely intense urge for sexual desire, whereas PSAS consists of an arousal that develops against the person's will. In other words, as in nymphomania, the person is not aroused because they experience high levels of sexual desire and desire. A woman with sexual arousal disorder can be aroused even if there is no sexual object, even if there is no sexual thought in her mind, because she is wearing tight jeans and the pressure on the vagina is high. For nymphomaniacs, on the other hand, sexuality has taken over the brain and they are constantly thinking about sex.

For more information about nymphomania, please read our article “Exploring Nymphomania: demystifying excessive sexual appetite”.

What are the triggers of PSAS/PGAD?

Persistent sexual arousal syndrome can have many triggers. The underlying cause of PSAS, which is a disorder that can be triggered by situations such as tight jeans, horse or motorcycle riding, is not known exactly. Therefore, we can list a few of the theories of neural and vascular problems that are thought to be triggers as follows;

  • Damage to the brain as a result of head traumas,
  • Increased pelvic nerve sensitivity,
  • Some medicines used,
  • Entering menopause
  • The problem of an overactive bladder,
  • Tarlov cysts,
  • Hormone disorders

In addition, childhood sexual traumas can also trigger PGAD. Even if there is no psychological problem underlying PSAS, the possibility of psychological problems after PSAS is very high.

What to do to alleviate PGAD attacks?

Minimizing the use of vehicles with vibration will greatly alleviate the triggering. Since activities such as riding horses and motorcycles are triggering, it is in your best interest to reduce them. Among the measures to be taken are making comfortable choices in underwear and clothes to minimize the pressure in the genital area. 

When sudden attacks occur, applying cold press to the area where the attacks occur or applying creams containing local anesthesia will provide relief.