First Reported Case of Isolated Persistent Genital Arousal Disorder in a Male

الملخص EN

Introduction.

Persistent genital arousal disorder (PGAD) is a newly recognized disorder in women.

It is described as unwanted, persistent feelings of genital arousal unrelated to sexual desire and not relieved by orgasm.

Its prevalence is estimated to approach 1% of young women.

Until now, this has not been described in men.

Aim.

Here we present a case of a 27-year-old male with symptoms consistent with PGAD and describe successful treatment.

Methods.

A 27-year-old male presented to urology clinic with the chief complain of persistent feelings of impending orgasm.

He reported a sensation similar, but not identical, to sexual arousal that did not occur in the setting of sexual thoughts or desire.

Orgasm alleviated the arousal for only a short time after which the symptoms would return.

This had become quite bothersome to him.

Results.

After assessing for a neurological cause and finding none, the patient was started on paroxetine daily with complete resolution of symptoms.

Conclusions.

PGAD is a disorder previously described only in females.

Although symptoms of PGAD have been described in a male as part of another disorder complex, this report describes the first reported isolated case in a male and the successful treatment.