Hi, I hope it's an appropriate question to ask here
🦭 <- to find it later
I started to notice that I have periods of very strong sexual arousal that make living day to day life very hard. Maturation does not take the edge off and it's actually kinda hard to cum while in this state. What can it be and how do I stop it?
Hi! This is absolutely an appropriate question, thank you for letting me answer.
My biggest recommendation for managing this would be going to a doctor and telling them this. But I will also say this sounds a lot like PGAD, or Persistent Genital Arousal Disorder.
It's a disorder that causes (often long-lasting and strong) unwanted arousal that isn't affected/resolved by orgasms and it's well-known for how it can greatly affect your qualify of life.
It can also cause pain in your genitals and even orgasms that you don't want!
There are a lot of things that can cause it and quite a few options to help manage it (ranging from physical therapy, medication, general therapy and even removing cysts that sometimes cause it!), so I'd really recommend both looking into it (here's a good article to start with) and talking to some doctors until you find someone who will help.
Hope this helps a little, Anon. Let me know if you have any other questions. <3
new fic: Trinity Santos and the terrible, horrible, no good, very orgasmic day
Title: Trinity Santos and the terrible, horrible, no good, very orgasmic day (4.6k)
Rating: Mature
Pairings: Garsantos, sort of, but it's mostly focused on Santos/Whitaker/Javadi/Mckay friendship
Tags: hurt/comfort; humor; fluff; always go to Nurse Dana first; Trinity Santos and Dennis Whitaker are Roommates; Trinity Santos and Dennis Whitaker are Friends; masturbation
Summary: Santos wakes up experiencing debilitating, unprovoked orgasms. Good thing she works at a hospital.
Hi! You can call me Jamie my pronouns are he/it/ I’m an adult and I’ve been
hypersexual and had PGAD for most of my life. I want to make a safe and
positive learning and general space for other hypersexual people here and
People who want to respectfully learn more about being hypersexual and
or having PGAD.
DISCLAIMER 1: There will be NSFW discussions and topics here so if you don’t want to see that please block! Though none of the discussions or topics will be for any reason other than answering questions or informing people!
DISCLAIMER 2: I am not a doctor nor a therapist and i can’t diagnose you with hypersexuality or with PGAD (persistent genital arousal disorder) and any responses given are NOT intended to be official medical advice, consultation, or diagnosis, and I would strongly recommend going to your doctor for any medical concerns. That said please send questions about it if you’re questioning whether you have PGAD or if you’re hypersexual or not! Also please send questions if you’re unsure what it is and want to learn! As long as you’re respectful I am happy to answer.
•-> DON’T BE A JERK AND BE RESPECTFUL. I will not tolerate hateful behavior on this blog of any kind TERFs, racists, transphobes homophobes etc. just don’t even try I’ll block you so fast.
•-> I DON’T KNOW HOW MUCH I’LL POST. I’m a full time college student so god knows I’m busy.
•-> TAGGING: if you send your request on anon you’ll be anon and if you send off anon but don’t want to be tagged just let me know in your ask!
•-> PLEASE FEEL FREE TO ELABORATE when sending your headcannons! What are the characters pronouns, identities, gender and sexuality! Whats their relationship to hypersexuality? Due to trauma, symptom of a disorder or just naturally developed? Feel free to yap!
•-> NO real people, no Harry Potter, hazbin hotel, or lore Olympus characters allowed. If you send them you will be blocked.
•-> CANNON and cannon coded hypersexual characters or characters with PGAD are welcome and encouraged! Please let me know in your ask if they are so I can add that! Hypersexual rep is beautiful. If you’re unsure weather they are or not or think that they are when it hasn’t been confirmed feel free to explain why you think that and I’ll judge whether I think they count as cannon!
DISCLAIMER: I will be talking about a medical condition that effects sexual organs and thus will be mentioning sexual biology. This is NOT an erotic post, this is a real medical condition that effects people of all ages, especially victims of sexual assault. If that makes you uncomfortable, I recommend you don't interact with this post. Thank you.
I want to make some sort of awareness for a medical condition I didn't even know existed until I found out I have it.
PGAD (or Persistent Genital Arousal Disorder) is a type of sexual dysfunction that almost exclusively effects people assigned female at birth, however people assigned male at birth can still be effected.
It's characterized by random and completely uncontrollable genital arousal, however it's not a good or sexual feeling and it's experienced without desire. The feeling is similar to when you've been sitting on your foot for an hour or two and it feels swollen and like it's being stuck with pins and needles all over. The feeling is really more similar to sexual assault than what most people associate with arousal because it feels like unwanted sexual stimulation that you did not give consent for.
Unfortunately, this condition is a syndrome, which means it describes a group of people who are all having the same (or very similar) symptoms, however there isn't one singular cause. Instead, it's a symptom of another underlying condition. Unfortunately, it's very difficult to do good research on because it's unknown how many cases there actually are. Not only is it difficult to diagnose, but a lot of people either don't realize this isn't normal or simply are uncomfortable with being diagnosed.
Some things that may possibly csuse it are epilepsy (and certain types of seizures), nerve damage to the genitalia, pelvic floor dysfunction (your pelvic floor is a group of muscles, ligaments, etc. that not only helps to keep your organs from collapsing but also controls muscles in the female genitalia, and for both men and women is the muscles you use for going to the bathroom, giving birth, things like that), psychological symptoms from sexual abuse (this can even be verbal sexual abuse as it still would cause your muscles to tense up as a trauma response), and a lot of other stuff.
In my case, it seems to be caused by pelvic floor dysfunction which I developed after an injury to my coccyx (tailbone) in a car accident. I've had several smaller injuries to my coccyx, including one earlier this year when I slipped and fell flat on my back thanks to a water leak in my apartment. Aside from the injuries, I believe it's caused by Epilepsy and sexual abuse from my groomer. Interestingly enough, the majority of people (especially afab) who suffer from the condition were sexually abused, especially under the age of 18 (I was 16 so I fit into this group).
I also have other issues with my pelvic floor, i.e. levator ani syndrome, which is sudden spasms in the levator ani muscles (the base of the pelvic floor which is the main part you use for going to the bathroom, sexual health, holding up your other organs and so on). This condition in itself can be a cause for PGAD, unfortunately. Both conditions can cause an uncomfortable feeling in the genetalia (and levator ani syndrome makes it feel like someone shoved a watermelon in your butt 💔).
As I say as often as I can, I am NOT a doctor of medicine or of any sort. However, I do have physical experience with these conditions and I'm using ad much research as I possibly can to give you guys this information. My goal is to make as many people as possible aware of these conditions, as well as possibly helping others who have the condition of giving people will similar symptoms something to ask about when they see a doctor. I can't diagnose you, I can't physically help you, but I can try my best to help make the world a better place.
I will try to answer any questions I can if anyone had them, though like I said I am NOT a doctor, so please know that I cannot give you any kind of treatment. I can, however, share my coping mechanisms and things of the sort.
ID: a reply to this post by @ami-long-ago which reads:
Wait I’ve never heard of PGAD but i looked it up and finally figured out what the really weird and uncomfortable side effect I had from going off antidepressants was! It was arguably one of the worst symptoms but I couldn’t find anyone else online listing it as a side effect.
I think I experience it other times but not very often. I always thought it was the beginnings of a UTI but it’s never actually developed into that, it was just so weird and I didn’t feel like I could explain it well to doctors or even friends. end ID
fuck i can't thank you enough for being willing + taking the time to share this!! i've read basically every piece of shitty scientific literature i can get my hands on but haven't actually talked to someone else who's experienced it, so that means a lot to me, & i've actually got two poems about pgad being published tomorrow (!!!) which i've been nervous about so this really reminded me why i'm doing it 🫶💓
there's very limited literature (not that i want anyone to talk to a doctor about anything they don't want to; lord knows i've fucking rehearsed how to keep this a secret from mine) but i definitely remember reading about at least one, probably a few people who developed pgad going off an antidepressant!
the most robust / least misogynistic theory is it's neurological, interrelated with restless leg syndrome, neuropathy, and/or Tourette's. (ofc there can be additional causes bc sometimes people develop similar symptoms for different reasons.) this definitely isn't a medication that works for everyone but starting gabapentin (which addresses nerve pain & restless leg) massively improved my quality of life & helped at least one person in the literature.
my involuntary movements & pgad have further lessened after i started using a cpap, which makes sense since that also can potentially help manage RLS
it totally makes sense that you had such a hard time articulating what you were experiencing – one of my many frustrations with existing medical literature about pgad is the vagueness about What It Feels Like, using words like "uncomfortable," "different," "painful," & even "difficult to describe." there's a reason pompoison's piece about pgad is titled "The Feeling Without a Name."
that's the question i always start with when writing about my experiences with persistent genital arousal & spontaneous orgasm: what does this feel like? at its worst it is so all-consuming it engulfs any attempt at language, but in periods of lower intensity, it feels equally difficult to look back & describe.
obviously poetry is a different sort of language than is allowed in a medical environment but i really hope my work can help connect folks with more ways to think & talk about our experiences.
thank you so much again for sharing this with me 💓💓
hi. if you're in this tag, you're suffering, so here's some things that work for me. i can make no promises about how WELL they work, in my experience every flare is different and i'm keenly aware how lucky i am that i only get flares (knock on wood). but i know how it is to be in so much anguish that you're willing to try anything, and i've been in this tag myself looking for help i couldn't find, so here goes.
(other sufferers please feel free to add your own strategies as well, even if they directly contradict mine. this beast is different for everyone it hurts.)
STUFF THAT HELPS ME:
for some reason, sitting with my feet propped up, with one leg straight and one bent. the more horizontal the better, with as little pressure on the trouble spots as physically possible. (fully inclining to get all my blood to go up instead of down can help too.)
ibuprofen or other painkillers, efficacy varies.
vibration. not in a sexy way, think massage levels at a steady and unchanging rate, and not for too long. at the right angle it seems to overwhelm my nerves and make them stop trying to send information. (i mostly use this when i'm feeling active pain, it's not helpful if the sensation is only distracting, and too much pressure will make it worse.)
getting off, but, and this is important - CONSCIOUSLY RELAXING immediately afterward, every muscle in my body, and staying that way as long as possible. i do this even when i'm not in the middle of a flare in hopes of rewiring my physiology to not immediately roar back to attention. sometimes it can trick my body into accepting whatever satiating hormones are getting released as enough to (mostly) turn off, at least for a while. twice is the max before i try something else.
as much as possible, i try not to get off more than twice in the same day. often by the third or fourth time i am actively making the flare worse, or i'm risking a flare if i'm not already having one.
for some fucking reason i tend to bloat up during one of these, so lately i use peppermint to try to address that. not sure how well it works yet, but if you're bloating, you can probably tell how much worse that's making it, try to bring it down any way you can.
this requires doctor buy-in but muscle relaxants can help me sometimes, if nothing else they'll help me sleep through it. diazepam varies for me, it can make things better or do nothing, it's a toss-up.
the yoga position "happy baby." i don't do it right since i don't know how to yoga, but it tends to hurt my back for a while which can be nice and distracting, and when that eventually goes away it helps with taking the pressure off as much as possible. i haven't tested it for very long periods because it's hard to do anything in that position except think about how much i hate having pgad, which means i'm thinking about the problem, which doesn’t help.
progesterone supplements help. i'm afab so i don't know if this will help amab people but if you can talk your doctor into it, allegedly it's supposed to calm everything down. however, messing with your hormones in any way always runs the risk of making it worse, so be aware.
brief, inconsistent pressure. kind of the same thing as the vibration, it's about overloading the nerves so they shut up for a minute (which i'm aware may be a quirk of mine and not a universal experience). think more scratching or pinching, less pressing or rubbing. again doesn’t really help with arousal, just pain.
keeping an empty bladder. i don't know why, it's just generally worse for me if it's full, so i go early and often.
STUFF I AVOID:
ice. for me this is the definition of short term relief in exchange for long term suffering, no matter how much relief i get in the moment it's going to be ten times worse later and tends to only prolong the flare.
lidocaine gel. i might get a little relief from this, but not much, and i suspect all it really does is make me unaware just how much pressure i'm putting on the area, which only agitates everything and makes things worse when the numbness wears off.
ssris. i know these are marketed as a treatment for this condition, which is wild to me because i got mine from taking ssris and you'd have to strap me down and sedate me to get me to take them again. i have basically become very hyperaware of any med that can potentially mess with my serotonin in particular and will immediately reject one if i start to feel a flare coming on when i start taking it. i also request that my doctor start me on very low doses of anything we suspect of being a trigger, so i can hopefully catch it before it gets bad.
i already kinda mentioned it but getting off too often, this invariably makes everything so much worse and the sensation and the desperation only increase over time. if i fuck up like this sometimes squeezing in the right place to reduce as much blood flow to the trouble spot as i possibly can will help, but only temporarily, and ideally i can recover enough to move on to a distraction technique instead.
thinking about it, which is why i'm going to have to stop working on this post now and try to do something else (reading and gaming and watching video essays or doing more than one thing at once tends to be my go-to, i tend to be unable to focus on a hobby that requires too much active thinking like drawing or writing or studying during a flare).
again you know your situation better than i ever will, unfortunately, so if you already know something on this list will just make it worse, please don't try that. if something that doesn’t work for me works for you then thank god something works, do that thing i beg.
best of luck and i hope you can find relief somewhere, in those thin places we have to accept as the best we can get for now.
“The Feeling Without A Name” is a short nonfiction comic I created in 2022. It’s based on a poem I wrote in 2016, at the age of 21. When writing it, I was reeling from a metamorphosing that I experienced as a private sufferer of PGAD. PGAD is a physical condition that affects people born with vaginas. Because the symptoms force the sufferer to feel unwanted genital arousal regardless of the situation, this condition affects mental health as well as physical health. Risks associated with PGAD include depression, anxiety, self harm, PTSD, gender dysphoria/dysmorphia, identity crisis, and, sometimes, suicide. “The Feeling Without A Name” comic was made to provide visual aids to my poem, which admits a longing for liberation from my mutinous body.
I made the digital PDF free on Gumroad. Contains the following: medical sexual trauma, blood.
