International Society for the Study of Women's Sexual Health (ISSWSH) review of epidemiology and pathophysiology, and a consensus nomenclature and process of care for the management of persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD)

Goldstein, Irwin, Komisaruk, Barry R., Pukall, Caroline F., Kim, Noel N., Goldstein, Andrew T., Goldstein, Sue W., Hartzell-Cushanick, Rose, Kellogg-Spadt, Susan, Kim, Choll W., Jackowich, Robyn A. ORCID: https://orcid.org/0000-0002-1125-8141, Parish, Sharon J., Patterson, April, Peters, Kenneth M. and Pfaus, James G. 2021. International Society for the Study of Women's Sexual Health (ISSWSH) review of epidemiology and pathophysiology, and a consensus nomenclature and process of care for the management of persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD). Journal of Sexual Medicine 18 (4) , pp. 665-697. 10.1016/j.jsxm.2021.01.172

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Abstract

Background Persistent genital arousal disorder (PGAD), a condition of unwanted, unremitting sensations of genital arousal, is associated with a significant, negative psychosocial impact that may include emotional lability, catastrophization, and suicidal ideation. Despite being first reported in 2001, PGAD remains poorly understood. Aim To characterize this complex condition more accurately, review the epidemiology and pathophysiology, and provide new nomenclature and guidance for evidence-based management. Methods A panel of experts reviewed pertinent literature, discussed research and clinical experience, and used a modified Delphi method to reach consensus concerning nomenclature, etiology, and associated factors. Levels of evidence and grades of recommendation were assigned for diagnosis and treatment. Outcomes The nomenclature of PGAD was broadened to include genito-pelvic dysesthesia (GPD), and a new biopsychosocial diagnostic and treatment algorithm for PGAD/GPD was developed.

Item Type:	Article
Date Type:	Publication
Status:	Published
Schools:	Psychology
Publisher:	Wiley
ISSN:	1743-6095
Date of First Compliant Deposit:	6 September 2023
Date of Acceptance:	6 January 2021
Last Modified:	07 Sep 2023 01:47
URI:	https://orca.cardiff.ac.uk/id/eprint/161800

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