PGAD in Women | Dr Ahmed | Pelvic Rehabilitation Medicine
ฝัง
- เผยแพร่เมื่อ 30 ก.ย. 2020
- Dr. Tayyaba Ahmed of the Great Neck, Long Island discusses what PGAD (persistent genital arousal disorder) in women is and how it can be treated.
Topics discussed include:
Feelings associated with persistent genital arousal disorder
Theories for possible causes
Treatment with Pelvic Rehabilitation Medicine
Dr. Tayyaba Ahmed completed the BS/DO program at New York Institute of Technology and was trained at the New York College of Osteopathic Medicine, Northwell Health Plainview Hospital and the NYU Langone Medical Center/RUSK Institute for Rehabilitation. A board-certified Physical Medicine and Rehabilitation physician, Dr. Ahmed is also a fellow of the Academy of Physical Medicine and Rehabilitation and a member of the International Pelvic Pain Society.
At Pelvic Rehabilitation Medicine, our pelvic pain specialists provide a functional, rehab approach to pelvic pain. When you visit one of our offices, you spend an hour with your doctor reviewing in detail your medical history and symptoms. Then, we perform an internal exam (no speculum) to evaluate your nerves and muscles. Together, we'll discuss an individual treatment plan that gets to the root cause of your pain and helps you to feel better. The best part: you can begin treatment the same day!
At PRM, our mission is to decrease the time patients are suffering from pelvic pain symptoms.
LEARN MORE: www.pelvicrehabilitation.com/
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Since the inception of our practice in 2017, we've been seeing an increased number of females with persistent genital arousal disorder. We've seen so many females with this condition, that we have actually published a study with women with PGAD and our treatment protocol. Persistent genital arousal disorder in females is quite distressing. Women come in very emotional, very lost, very confused and very distressed about what's going on.
It's not always with pain per se, as much as it is an arousal symptom. They sometimes will feel the urge to masturbate, and masturbation does not necessarily take the symptom away. Many people laugh when they hear that, because they think, "Oh, it sounds like a great disorder to have." However, that's incredibly insensitive to these patients, because they are suffering, for often years, before they're able to have anyone advocate for them, or recognize that this syndrome is very serious and detrimental.
There are many proposed theories to what causes persistent genital arousal disorder. In some places, people find that it's related to Tarlov cyst found in imaging. In other scenarios, people feel it's related to chemicals from taking SSRIs or SNRIs. It's hard to say, there's no definitive 100% percent diagnosis for patients. But we try to get as much information diagnostically, and speak with any particular referrals that may help guide us to appropriately treating these patients.
We have found that women who are treated with our treatment protocol, have successfully been cured of symptoms of persistent general arousal disorder.
We at PRM are very excited about the data we have collected regarding treatment options for persistent genital arousal disorder, and we're hopeful for these patients, and for the future outcomes of this disease.
![ตีสิบเดย์ [FULL] | ครอบครัวสะท้านทุ่ง "นางบี & อ้ายสติ๊ก"](http://i.ytimg.com/vi/A1rhYcxxNtA/mqdefault.jpg)
At pelvic MRI examination, it is sometimes necessary, to find the cause and the nerve that is affected or pinched, to undergo a perineal / pudendal electrophysiological examination !
Shocking!
I suffer from this disorder so much that I'm afraid to be in a relationship with someone. Is there any support groups on social media I would like to be around people that goes through the same thing
I am also suffering from this disorder
Hey there. I know you posted a little while ago but just wanted you to know that there is a support group on Facebook. Lots of people supporting each other and sharing their experiences. ❤️
@@trishachhavi184 u sound indian
R u from india🥺🥺..pls reply
@@Tifaine412 literally I passed the same process which you wrote here
@@Tifaine412actually recently for this disorder I prefer to consult from urologist but they didn't found cause
There are a lot of different things that might cause PGAD. There are probably a variety of reasons, depending on the person. I believe there's a very definite connection between Interstitial Cystitis and PGAD.
I've had interstitial cystitis since the 1980's which was LONG before 99% doctors had ever heard of it. I've had PGAD since 1990, which was long before most doctors had ever heard of that. Regardless, my experience with doctors has been horrible so I'm glad to see there are some doctors who are treating this disorder.
For me, I'm convinced that there's a connection between Interstitial Cystitis and PGAD.
I also think there's a possible neurological connection. I have Tarlov cysts and ganglion cysts on my spine, and when I happen to put pressure on my lower spine area, that can affect the PGAD. It can have a hormonal component. I have an active pituitary tumor and there could be a connection there. I had my coccyx broken during childbirth, and during that same childbirth, I had a 4th degree tear. I have recurrent UTIs and those might be associated but I think that's far less likely than the other reasons. There's possibly some connection to insulin resistance. Some patients who suffer with severe chronic pain seem to be affected.
So, the causes can be from any number of reasons.
My gynecologist actually LAUGHED AT ME! And her assistant called me at home to tell me I had absolutely no right to complain about this because most women have an absence of arousal! Almost every doctor I've seen has made incredibly inappropriate comments. I would certainly NEVER discuss this with my current primary care doctor because she lacks any compassion or empathy, and she's incredibly dismissive.
On an episode of Oprah, many years ago, where her guest was Dr Oz, they were BOTH incredibly inappropriate with someone in the audience who admitted to having this problem. I felt so badly for her because she was looking for help and they both made fun of her! She was looking for help and compassion and I can't imagine what it took for her to come forward. That was in front of a studio audience and untold numbers of people watching the show on TV. It was absolutely despicable of both of them!
As far as Interstitial Cystitis, I know absolutely how I came to have that. I was working 12 hour shifts and because I have irritable bowel syndrome, I didn't eat much at work. I was drinking about 10 cups of coffee every day and eating 3 apples daily. After about two years of this VERY HIGHLY ACIDIC DIET, I developed interstitial cystitis. It's largely been the bane of my existence and I haven't found a compassionate doctor to treat my IC. Especially in light of the fact that the anti-opioid climate is harming everyone with severe intractable chronic pain. Unfortunately, doctors just don't care about anyone who suffers with severe intractable chronic pain.
**TRIGGER WARNING**
Because I have severe chronic pain, Interstitial Cystitis, and PGAD I've considered suicide, genital mutilation, female circumcision, and having my bladder and all female organs removed. But because most hospitals now refuse to treat post-surgical pain I stopped looking at surgical solutions.
How can I contact you for help?
How do you know the difference between pgad and sexual arousal from just a high sex drive? I go through this every now and then. But it gets to be too much. I heard it could also be a UTI.
Does it have something to do with an injured pudendal nerve?
They say it can be from everything I’ve researched. Anything from childbearing to coccyx injury, back et cetera can damage the nerve.
I Think This Is What I Have
are there any support groups for pgad? If yes, where can I find them? please help me
Concern any urologist or concern to neurologist if your sensation get aggravated with anxiety depression
Yes on Facebook
stuffthatworks has a support group for this and many other issues like endometriosis.
I just give some information to help people who like me, have a persistent / permanent genital arousal.
Here are the main causes of PGAD, the solutions and examinations to be done to obviously cure !
Either the cause of the PGAD is of psychological origin : Big emotional shock or trauma following an accident or physical aggression , rape, recent or even very old touching = during childhood for example !
Follow a good therapy => hypnosis or the EMDR technique which is effective! ( avoid if possible antidepressant medication treatments !...)
Otherwise often the main causes of PGAD are => A Tarlov cyst or a hernia or a disc protrusion which compresses or irritates certain nerve roots (nerves) coming from the Sacro-lumbar vertebrae of S1, S2, S3 and S4 which go to the genital organs! Or often a cyst that compresses (pinches) a part of the Pudendal nerve which is the great nerve + its 3 branches of the genitals!
It is enough that a root (nerve) is irritated or compressed for that to cause permanent genital excitation!
Other cause: Sometimes it is due to a neurological disease => Polyneuropathy (lesions) of the pelvic nerves or at the level of the pudendal nerve !
(Especially at the level of the dorsal nerve of the clitoris, root coming from the pudendal nerve !)
Neuropathy can affect certain nerves (nerve roots) at the level of the sacro-lumbar S1 to S3 which are in contact with the pudendal nerve, the nerve of the genitals and more particularly the dorsal nerve of the clitoris, and trigger PGAD !
Sometimes to find the injured or pinched nerve, you need a perineal / Pudendal Eletrophysiology (EMG)!
pelvic varicose veins even in young people! or sometimes an inflammation of the ligaments of the large gluteal muscle, the Piriformis ! The ligaments of this big muscle are very close to the Pudendal nerve and can touch a part of the Pudendal nerve and create PGAD! Consult a good physiotherapist or osteopath !
Examinations according to the case or symptoms of PGAD: an MRI (magnetic resonance image) of the dorsal spine and a pelvic MRI or a pelvic Doppler ultrasound or possibly a perineal electromyogram .It is preferable to consult a good urologist specializing in the pelvis or a good neurologist.
For the Doppler ultrasound or pelvic ultrasound see with an angiologist or your doctor.
Do not be discouraged ! There are solutions to heal and stop the PGAD !
Sincerely 🙏
Do you have to go to a gynecologist to see if you have PGAD?
Not necessarily a gynecologist!
It all depends on the cause of the Pgad, whether it's psychological or neurological or venous (pelvic varicose veins) or vulvodynia or some other cause.
Read my great commentary where I explain the different causes of Pgad and the tests to be carried out to find the cause.
What about PSSD?
PSSD SAD etc can be related to PGAD as can PTSD and even mental or physical trauma. There’s a lot of information out there 🔑
Whats pgad?
@@Tifaine412 a man i never knew about that thanks for informing
Men can have it as well
Benzodiazepines cause it, long term use.
possibly? I was on a cocktail of psych meds for decades *but* it occurred during my youth for about eight years before going dormant until some years later, and returned very severely about eight months ago
yes, now, and years ago, no clue why, have only been in treatment for a short time by a sex therapist. wish I knew.
I'm waiting for a referral to a specialist but covid is making everything difficult, I've heard about needing an MRI
I'll be sure to demand it! I've heard too many stories of doctors refusing to do the necessary tests, it's crazy what we go through just to get help.
thank you! I'm really hoping they can find the cause