When Orgasms Become Painful

Persistent Genital Arousal Disorder, also known as PGAD or Restless
Genital Syndrome or Persistent Genital Arousal Syndrome, is a
condition characterized by unrelenting, spontaneous and uncontainable
genital arousal in females. The condition may or may not include
arousal with orgasm and/or genital engorgement. The patient’s arousal
is not linked to sexual desire.

The sexual response cycle refers to the sequence of physical and
emotional changes that occur as a person becomes sexually aroused and
participates in sexually stimulating activities, including intercourse
and masturbation. Knowing how your body responds during each phase of
the cycle can enhance your relationship and help you pinpoint the
cause of any sexual problems.

The sexual response cycle has four phases: Excitement, Plateau, Orgasm
and Resolution. Both men and women experience these phases, although
the timing usually is different.

Phase 1: Excitement

General characteristics of the excitement phase, which can last from a
few minutes to several hours, include the following:

Muscle tension increases. Heart rate quickens and breathing is
accelerated. Skin may become flushed (blotches of redness appear on
the chest and back). Nipples become hardened or erect. Blood flow to
the genitals increases, resulting in swelling of the woman’s clitoris
and labia minora (inner lips), and erection of the man’s penis.
Vaginal lubrication begins. The woman’s breasts become fuller and the
vaginal walls begin to swell. The man’s testicles swell, his scrotum
tightens, and he begins secreting a lubricating liquid.

Phase 2: Plateau

General characteristics of the plateau phase, which extends to the
brink of orgasm, include the following:

The changes begun in phase 1 are intensified. The vagina continues to
swell from increased blood flow, and the vaginal walls turn a dark
purple. The woman’s clitoris becomes highly sensitive (may even be
painful to touch) and retracts under the clitoral hood to avoid direct
stimulation from the penis. The man’s testicles are withdrawn up into
the scrotum. Breathing, heart rate, and blood pressure continue to

Phase 3: Orgasm

The orgasm is the climax of the sexual response cycle. It is the
shortest of the phases and generally lasts only a few seconds. General
characteristics of this phase include the following:

Involuntary muscle contractions begin. Blood pressure, heart rate, and
breathing are at their highest rates, with a rapid intake of oxygen.
Muscles in the feet spasm. There is a sudden, forceful release of
sexual tension. In women, the muscles of the vagina contract. The
uterus also undergoes rhythmic contractions. In men, rhythmic
contractions of the muscles at the base of the penis result in the
ejaculation of semen.

Phase 4: Resolution

During resolution, the body slowly returns to its normal level of
functioning, and swelled and erect body parts return to their previous
size and color. This phase is marked by a general sense of well-being,
enhanced intimacy and, often, fatigue. Some women are capable of a
rapid return to the orgasm phase with further sexual stimulation and
may experience multiple orgasms. Men need recovery time after orgasm,
called a refractory period, during which they cannot reach orgasm
again. The duration of the refractory period varies among men and
usually lengthens with advancing age.

To any man or woman who has PGAD. Your life is not over,  It’s just
beginning.  Life can be manageable. Learn to manage their reaction to
their symptoms. Find a doctor that is willing to listen to how you
wish to be treated. Seek out someone who is going to look at your
individual circumstances, and not give you a generalized treatment
modality, and then charge you exorbitant fees for the privilege. Find
someone to help you find out how your PGAD is caused, get blood work,
radiology test to see if there is a structural defect in your anatomy
or MRI to see if there is a Tarlov cysts in spine.

Get a support system that can understand what’s happening to you
without judging you. Find a procedure, or be medicated, that is
suitable for your symptoms. There are many ways to handle the
symptoms. If you go the route of no medications or medical/surgical
procedures, then emotional freedom tapping, mindful meditation will
help to reduce a lot of the anxiety, stress, pain that comes with this
disorder. Life does get better.

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