The Persistent Sexual Arousal Syndrome (PSAS) is a female sexual disorder which can be both bothersome and disabling for the patient.


Key diagnostic features:

(1) presence of sexual arousal with vasocongestion of sexual organs that is persistent and unrelenting

(2) sexual desire and excitement is minimal or absent


Clinical features:

(1) There is vasocongestion of the breasts and genitals.

(2) The vasocongestion persists for prolonged periods.

(3) The vasocongestion does not remit on its own.

(4) Multiple orgasms may be required to achieve a remission.

(5) The vasocongestion may be triggered by nonsexual activities or it may occur spontaneously.

(6) The changes are unwanted, uninvited, intrusive, distressing and disabling.


Differential diagnosis:

(1) hypersexuality (which is associated with persistent desire with or without genital arousal)


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