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A periclitoral mass as a cause of persistent genital arousal disorder
Sarah Bedell1, Andrew Todd Goldstein, Lara Burrows
1New York University School of Medicine, New York, NY, USA.
Introduction:
Persistent genital arousal disorder (PGAD) is an intrusive and unremitting disorder for which several possible etiologies and treatments have been suggested.
Aim:
To describe a woman who developed PGAD in association with a periclitoral mass, a potential physical cause of the disorder that has not been previously described in the medical literature.
Methods:
A postmenopausal woman presented with 6 months of persistent, unrelenting genital arousal and clitoral pain that was unrelated to sexual stimuli. Careful examination revealed a tender, firm, mobile, left-sided mass that appeared to compress the dorsal nerve of the clitoris.
Results:
Complete excision of the mass resulted in full resolution of her symptoms over several weeks.
Conclusion:
Localized causes of persistent genital arousal, though rare, should be included in the differential diagnosis PGAD as detection and treatment can lead to a complete recovery.
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