Clitoridynia and Pervasive Genital Arousal Disorder (PGAD) are two conditions impacting sexual function that are intertwined with pelvic floor dysfunction. Pelvic Health Physiotherapy can be an effective treatment for both conditions. Read on to learn more.

What are Clitoridynia and Pervasive Genital Arousal Disorder (PGAD)?

Clitoridynia is defined as pain that is felt over the clitoris (a woman’s primary pleasure organ) either upon direct pressure or pressure on other parts of the genitals which, in turn, refers pain to the clitoris. It can feel like your clitoris is throbbing, stinging, stabbing or burning. The pain is unprovoked, which means there is no identifiable cause. The condition can be highly distressing, and result in low self-esteem and an avoidance of intimacy and self-pleasure.

Pervasive Genital Arousal Disorder (PGAD) is defined as spontaneous, unwanted genital arousal in the absence of any sexual interest or desire. It can last anywhere from a few hours to days, and may remain unaffected by orgasm. It can affect men and women. Triggers vary, but may include sexual stimulation, masturbation, stress and anxiety.

75% of women with PGAD surveyed reported moderate to high levels of distress about their condition, including feelings of embarrassment, anxiety and depression.1

What Causes Clitoridynia and PGAD?

Scientists don’t know the exact cause of clitoridynia or PGAD, but research indicates a few possible causes, including:

• A link to restless leg syndrome (PGAD only)

• Problems with dopamine transmission and function (PGAD only)

• Pelvic floor dysfunction, where increased myofascial and connective tissue tension cause increased sensitivity of nerves in the pelvis, restricting blood flow and causing abnormal genital sensations (both conditions – read more below)

If you have been experiencing symptoms like the ones above, talk to your doctor. Effective treatments are available, including pelvic health physiotherapy.

What Is The Role of The Pelvic Floor in Clitoridynia and PGAD?

The pelvic floor is a group of muscles, ligaments, and connective tissue that are located at the bottom of the pelvic bones. The pelvic floor is our body’s foundational core, providing:

• Support to the pelvic organs

• Stability for the low back and hip joints

• Support for the bowel and bladder

• The framework for sexual sensation and arousal

• Women with clitoridynia and PGAD often experience changes in their pelvic floor, including:

• Shortening or tightening of the pelvic floor muscles

• Weakness of the pelvic floor, leading to poor control

• Sensitized nerves in the pelvic region, which can trigger a pain response

It can be distressing to not know what is happening inside your body or how to “fix” it. Know that Pelvic Health Physiotherapists, such as those at Proactive Pelvic Health Centre, are specially trained in helping patients with a range of pelvic and sexual health issues. A good first step is to have a consultation to help you understand the process better.