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cover of episode Episode 374: Living with Persistent Genital Arousal Disorder

Episode 374: Living with Persistent Genital Arousal Disorder

2025/2/25
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Sex and Psychology Podcast
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A
Ashley Weller
J
Justin Lehmiller
S
Sameena Rahman
Topics
Justin Lehmiller: 本期节目讨论了持久性性器官唤醒障碍（PGAD），这是一种令人痛苦的性功能障碍，患者会经历持续不断的、不受欢迎的性唤醒，严重影响日常生活，包括工作、睡眠和人际关系。PGAD患者可能需要反复手淫以获得暂时缓解，但这种缓解只是暂时的。 本节目还探讨了PGAD的最新研究，并采访了经常治疗该疾病的Sameena Rahman博士。 我们还讨论了探索性幻想的方法，包括将幻想写下来，以肯定的方式与伴侣分享幻想，以及进行风险评估。 Sameena Rahman: PGAD属于生殖盆腔感觉异常，患者会经历类似性唤醒的异常疼痛感，但并未伴随性想法。PGAD的症状通常持续数天、数周甚至数月，即使有缓解期，也仍然会每天都出现。 PGAD的病因复杂多样，可能与生殖器官、盆腔、神经根和大脑等多个区域有关。例如，阴蒂病变、盆底功能障碍、外周神经问题（如阴部神经痛）、腰骶神经和马尾神经受损以及中枢神经系统问题（如突然停用抗抑郁药）都可能导致PGAD。 PGAD的治疗需要多学科合作，包括盆底治疗、性治疗和心理治疗。治疗方法因人而异，取决于病因。有些患者可以通过治疗脊柱问题、阴蒂问题或前庭问题而治愈。 PGAD患者通常需要进行盆底治疗和心理治疗，因为这是一种创伤性疾病。许多患者在寻求治疗时会遇到困难，甚至被医生忽视。 PGAD患者需要保持希望，并寻求多学科的帮助。治疗可能需要数月甚至数年，但患者可以获得显著的症状缓解，甚至治愈。 Ashley Weller: 探索性幻想的第一步是将幻想写下来，这能使幻想更真实、更易于探索。与伴侣分享性幻想时，应以肯定的方式表达，避免引起伴侣的不安全感。探索性幻想不必付诸行动，重要的是享受探索过程并摆脱羞耻感。在付诸行动前，应进行风险评估，权衡利弊，并制定应对计划。通过观看色情影片或情色电影，可以帮助人们更好地了解自己的性幻想，并将其与伴侣分享。探索性幻想应抱有现实的期望，并认识到实践才能使幻想更完美。

Deep Dive

Chapters
PGAD is a distressing sexual dysfunction causing near-constant unwanted arousal. It interferes with daily life and is often misunderstood. This episode explores PGAD's symptoms, causes, prevalence, and treatments, including its link to obsessive-compulsive disorder.
  • PGAD is characterized by unwanted and uncontrollable genital arousal.
  • It significantly impacts daily life, affecting concentration, work, and sleep.
  • A connection exists between PGAD and obsessive-compulsive disorder.
  • The episode features an expert interview to discuss the latest research and treatment approaches.

Shownotes Transcript

Persistent genital arousal disorder (PGAD) is one of the most distressing sexual dysfunctions. PGAD involves having near-constant feelings of unwanted arousal that make it difficult to concentrate, work, and sleep. In today’s show, we’re going to dive into what we know about PGAD and speak with a physician who frequently treats patients with this condition.

I am joined once again by Dr. Sameena Rahman), a board-certified OB/GYN, sex-med gynecologist, and menopause specialist with an academic affiliation at Northwestern University’s Feinberg School of Medicine. She is the founder of the Center for Gynecology and Cosmetics), and host of the podcast Gyno Girl Presents: Sex, Drugs & Hormones).

Some of the specific topics we explore include:

  • What is persistent gentian arousal disorder? How is it clinically defined?

  • What is it like to live with PGAD?

  • How many people have PGAD, and who’s most likely to be affected?

  • What’s the connection between obsessive-compulsive disorder and PGAD?

  • What are the most effective treatments for this disorder?

You can follow Sameena on Instagram) to stay updated on her work.

Got a sex question? Send me a podcast voicemail to have it answered on a future episode at speakpipe.com/sexandpsychology.)

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