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This rare, but distressing condition is complex and poorly understood.

At HerMD, we have treated women who have PGAD who have been dismissed and overlooked by their health care providers.

What is it?

Persistent genital arousal disorder (PGAD)/genito-pelvic dysesthesia (GPD) is a complex and distressing disorder. The International Society for the Study of Women’s Sexual Health (ISSWSH) defines PGAD/GPD in women as a condition “characterized by persistent or recurrent, unwanted or intrusive, distressing sensations of genital arousal (e.g., feelings of being on the verge of orgasm and of lubrication and swelling, tingling, throbbing, contractions) that persist for ≥3 months and may include other types of genito-pelvic dysesthesia (e.g., buzzing, burning, twitching, itch, pain).”

How many women does this impact? / What is the prevalence?

PGAD/GPD is a poorly understudied condition. The data that does exist suggests a PGAD/GPD prevalence of 0.6-3.0% in women worldwide.

What are the symptoms

Common symptoms of PGAD/GPD include:

  • Sensations of genital arousal (mainly, orgasm) not related to sexual desire, thoughts, or fantasies
  • Burning, itching, or pain
  • Anxiety
  • Depression
  • Distress
  • Poor quality of life
  • Suicide ideations

Treatment Options

While there aren’t any FDA-approved treatment options for PGAD/GPD, many treatment options exist to help alleviate distressing symptoms.

Common treatment options include:

  • Multiple medications
  • Procedures
  • Lifestyle changes
  • Counseling
  • Physical therapy

What to expect on your visit

During your visit, you can expect your care team to listen to and address all of your concerns in a safe and trusted space. A consultation for PGAD/GPD, and corresponding evaluation modalities, will depend on the likely cause of the PGAD/GPD.

A consultation may include:

  • A history and physical examination
  • Labs
  • Imaging
  • Specialist referral
What is Persistent Genital Arousal Disorder (PGAD)

Persistent genital arousal disorder (PGAD)/genito-pelvic dysesthesia (GPD) is an abnormal firing of nerves that causes a continuous, unrelenting feeling of orgasm. After orgasm, the distressing feelings don’t go away, and are often exacerbated.

Why did this happen to me?

While the exact cause of PGAD/GPD is unknown, it is understood that some conditions predispose patients to develop the disorder. Factors that may contribute to the onset of PGAD/GPD include Tarlov cysts, abruptly stopping an antidepressant, and pelvic floor dysfunction, to name a few. Varying biopsychosocial etiologies may contribute to PGAD/GPD, but there is likely a common, underlying neurological basis.

Have you successfully treated patients at HerMD?

Yes, we successfully evaluate, diagnose, and treat patients with PGAD/GPSD quite frequently. While treatment isn’t curative, we’ve had patients report being symptom-free with treatment.

The HerMD Difference

  • 10 minute appointments
  •  20 – 60 minute appointments
  • Fragmented
  • In-person only
  • Hybrid: in-person and virtual
  • Sterile environment
  • Patient-centric, beautiful and warm
  • Focus on obstetrics, annuals, and STI care
  • Gynecology, sexual health and menopause focused with ISSWSH and NAMS trained providers

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  • Patty Penuell

    I would recommend this practice/office to anyone. The people are friendly and attentive. The office is new, bright and pretty and Teri is amazing! I felt at ease and important from the time I walked in, to the time I left. Top-notch!

  • Stephanie Norris

    The whole experience with HerMD in Franklin TN from start to finish has been amazing. I was a new patient and met with Terri Greer. She was fantastic! She listened to all of my concerns and helped me sort through which options would be best for me. She spent over an hour with me and never once did I feel rushed or that she needed to get to the next appointment. She talked with me like a friend and never down to me if I had questions. I am so happy that I chose to go with HerMD and cannot recommend them enough!

  • Madison Hair

    I had my first ever Botox experience here and all the employees made me feel so comfortable. They are very informative and always have your best interest in mind. I can’t wait for my gyno appointment!

  • Shelby Southerland

    The office is so inviting and the staff is so knowledgeable. I really felt heard and understood when visiting the Carmel location. The women here take the time to listen to the needs of their patients and not rush them along. Hannah was my Botox injector and I’m so pleased with my results!!!Gynecological care and esthetic services all in one place, thank you for such great care.

  • Julie Virag

    Such a great experience. I was very nervous about my appointment due to some abnormal test results I received from my primary doctor. Teri Greer made me feel heard. She told me all of the possible scenarios, but was very calming and helped me not stress about my condition. She really put me at ease. Terri is amazing and I would highly recommend!!!

  • Elizabeth Mercer

    I just love everything about HerMD! The office is so girly, pretty and welcoming. Terri Greer NP is warm and caring. She always makes me feel comfortable and is extremely knowledgeable in anything and everything female! Karen Medieros RN has mad injector skills and always makes me look and feel beautiful. This is definitely an office I look forward to visiting!

  • Yarymary Diaz

    Excelente facilidad, cálida y acogedora. Su personal muy amable y profesional. Mi Dra. Michelle Montville es la mejor por su carisma, empatía y se toma su tiempo en explicarte todo lo que necesitas saber

  • Katie Woods

    It’s so very rare to find a provider that will truly sit and listen to you and work with you. Dr. Montville is amazing and the front office goes above and beyond to help.

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    I have had a wonderful experience here. Staff is professional and never makes you feel like they are in hurry to run out the door. Very knowledgeable about women’s health. Finally a place that has an interest in what’s going on with women after the birthing years! Refreshing!


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