Persistent Sexual Arousal Syndrome (PSAS), also known as Persistent Genital Arousal Disorder (PGAD), is a rare and distressing condition characterised by unwanted, persistent sensations of genital arousal that occur without sexual desire. These symptoms can last for hours, days, or longer and are not relieved by orgasm, or if temporarily relieved, they return quickly.
Key Features of PSAS/PGAD
-Involuntary genital arousal (tingling, throbbing, pressure).
-No sexual thoughts or desire causing the arousal.
-Orgasm does not resolve the symptoms, or relief is short-lived.
-Triggered by non-sexual stimuli (vibration, movement, stress).
-Significant emotional distress, anxiety, or depression often accompanies it.
-This condition can be experienced by both males and females
-It’s often misdiagnosed or dismissed, leading to emotional suffering.
Possible Causes of PSAS
-Neurological issues such as pudendal nerve entrapment, Tarlov cysts
-Pelvic congestion syndrome.
-Use or withdrawal of certain medications, especially SSRIs
-Hormonal imbalances.
-Psychological or emotional factors eg, trauma or anxiety
-Spinal cord or pelvic nerve damage.
Symptoms of PSAS
Here are the symptoms that may be presented in a patient with PSAS in various aspects-
- Persistent genital arousal (tingling, swelling, throbbing, warmth, or pressure).
- Arousal not linked to sexual thoughts or desire.
- Episodes last for hours, days, or longer without resolution.
- Orgasm does not relieve symptoms, or relief is very brief.
- Genital sensations occur spontaneously or are triggered by non-sexual factors like: Sitting, Vibrations (e.g., riding in a vehicle), Urination, Stress or anxiety, etc.
(A) Associated Psychological Symptoms:
-Severe emotional distress
-Embarrassment or shame
-Anxiety or panic attacks
-Insomnia
-Social withdrawal
-Depression or suicidal thoughts (in severe cases)
(B)Physical & Behavioural Indicators:
-Compulsive need to seek orgasm to relieve symptoms (though often ineffective).
-Avoidance of daily activities due to fear of triggering symptoms.
-Heightened sensitivity in the pelvic/genital area.
- Management of PSAS:
- Psychological Support:
Cognitive Behavioural Therapy (CBT).
Trauma-informed therapy (in case of emotional triggers).
- Lifestyle & Alternative Support:
Pelvic floor relaxation techniques.
Ice packs, grounding techniques.
Support groups to reduce isolation and stigma.
Homoeopathic Medicine of Persistent Sexual Arousal Syndrome
Homeopathy approaches Persistent Sexual Arousal Syndrome (PSAS) by focusing on the individual’s mental-emotional state, triggers, and physical symptoms. Since the condition often involves nervous, hormonal, and emotional components, remedies are chosen constitutionally and symptomatically.
Here are some homeopathic remedies that might be considered based on specific patterns:
- Platina
Excessive, involuntary sexual excitement (esp. in women).
Genital tingling or throbbing even without desire.
Strong sense of superiority or emotional isolation.
Often indicated when arousal leads to distress or shame.
- Lycopodium
Genital arousal due to performance anxiety or any mental stress.
May feel aroused but unable to find relief.
Often suited to the people with suppressed emotions or digestive complaints.
Fear of failure and low confidence are key indicators.
- Nux Vomica
Oversensitivity to stimuli (noise, touch, stress).
Sexual arousal is linked with irritability and tension.
Suited for individuals with a sedentary lifestyle, overwork, or stimulants.
Symptoms worsen in the morning and with stress.
- Sepia
Involuntary genital sensations or a prolapse feeling.
Apathy toward sex despite persistent sensations.
Emotionally disconnected or exhausted women.
Very effective in hormonal or pelvic issues.
- Agaricus Muscarius
Nervous twitching, jerking, or spasmodic sensations.
Tingling, crawling, or vibrating feelings in the genital area.
It may suit patients with nerve involvement or sensitivity.
Useful when sensations are exaggerated and uncontrollable.
- Moschus
Constant or sudden, intense sexual sensations.
Hysteria, fainting, or panic with genital arousal.
Often prescribed when symptoms alternate with anxiety attacks.
- Ignatia Amara
Emotional suppression after grief or separation.
Sexual arousal with mood swings, sighing, or internalised stress.
Helpful for women with unresolved emotional trauma.
- Murex
Persistent genital arousal, especially in women with uterine prolapse.
Oversensitiveness of sexual organs with a sense of heaviness.
Strong sexual feelings without satisfaction.
In conclusion, Homeo Care Clinic offers a holistic approach to treating the disease. The remedies mentioned above can treat the underlying causes of the condition and offer relief from the discomfort. However, it is important to consult a qualified homeopathic practitioner for the correct dosage and duration of treatment. Homeo Care Clinic provides comprehensive care for various ailments and offers customised treatment plans based on individual requirements.
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