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One of the uncommonly reported sexual disorder in men is the PGAD. PGAD essentially stands for Persistent Genital Arousal Disorder. Men who suffer from this problem often experience unwanted, unrelenting, intrusive, persistent and spontaneous arousal sensations. There are various feelings attached to this as men commonly feel a variety of feelings in the genitalia/perineum/or anus areas which could be –

  • Pressure
  • Discomforting
  • Engorgement
  • Pulsating
  • Pounding
  • Throbbing

Now, this could all be understood as arousal of sorts but often is the case with this problem that men find themselves aroused for no reason whatsoever, meaning there is an absence of conscious thoughts of a sexual desire or sexual interest when it happens. Often is the case that during these periods of PGAD, the feeling is that of having constant orgasms. PGAD tends to last for a long time, many times for hours, days or even weeks at a time.

PGAD in some quarters is also associated with priapism, another sexual disorder which has similar symptoms, mainly an erection that lasts for way too longer than usual. These problems, especially PGAD could massively disrupt the sufferer’s daily life, work life as well as cause uncertainty in the individuals while enjoying a bout of social life.

Treatments –

CSM is one place that is known to take a different approach towards treating sexual problems such as PGAD. For PGAD, CSM advice men to make a combination of treatments that not only suits their physical problem but works closely with the mental welfare as well.

Dr Srinivas Madhavaram, with his immense knowledge of internal medicine as well as sexual treatments, takes the approach to psychologically manage the patient first, in depression, relaxation and make the way of distracting the patient and uses methods such as hypnosis.

Additionally, biological treatments such as using ice or some anaesthetic agents to bring about the PGAD down to a certain extent. Like in the case of Priapism, which is a similar problem to PGAD, there is also an option to surgically release the pudendal nerve entrapment, which could result in reducing the symptoms.

Then there are the medication options and Dr Srinivas Madhavaram could recommend SSRI antidepressants, prolactin-elevating agents, anti-seizure medications, opioid agonist tramadol among others.

Often many such problems are considered highly uncommon because not many people, especially here in India want to report a particular issue. Instead of choosing to live as it is and leave it untreated could have severe repercussions and trigger many other underlying, unwanted problems with their respective health. If you have such a problem, visit the doctor for a complete analysis and the next step towards solving the same.