Persistent Genital Arousal in a Woman with Pudendal Neuralgia

Abstract

Persistent genital arousal disorder has been identified as a condition of often unprovoked genital arousal and is not well understood. A number of potential causes have been proposed such the pudendal neuralgia. We present a woman with a history of depression who consulted for unwanted genital arousal. The patient experienced a partial improvement with cognitive behavior and antidepressant therapies. Symptoms were disappearing with rehabilitation for pudendal neuralgia. This case illustrates the need to recognize atypical persistent genital arousal, as these patients report unusual symptoms that should alert the physician.