Features of PGAD:
(1) physiologic sexual arousal, typically genital
(2) onset may be spontaneous or triggered by nonsexual stimuli
(3) unresolved by orgasm
(4) may persist for hours or days
(5) may be painful
(6) sexual desire is typically absent
(7) intrusive and unremitting, causing distress
Conditions associated with PGAD include:
(1) pelvic or perineal trauma (including horseback riding accidents)
(2) periclitoral mass
(3) spinal meningeal cysts (Tarlov cysts) with sacral nerve root compression
(4) antidepressant discontinuation
(5) central hyperactive dopamine release
(6) pelvic congestion
(7) pelvic nerve entrapment
(8) overactive bladder
