Multiple orgasm disorder in men











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A year-old male was referred to the psychosexual clinic by an urologist with 2 years history of constant feelings of physical arousal in the genital area as if he was about to ejaculate. The working definition of PGAD 1 , 2 is as follows. Anorgasmia can be caused by psychologic problems. The dose was increased to 2mgs qds of diazepam and 50mgs qds of pregabalin. However the possibility of an organic cause cannot be ruled out completely as he previously suffered sensory neuropathic pain following vasectomy.

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Persistent Genital Arousal Disorder In A Male

These feelings were associated with pain which was relieved to an extent after ejaculation. These blood tests will assess testicular function, pituitary function and thyroid function. Physical examination and investigations ruled out any underlying urological or neurological causes. The dose was increased to 2mgs qds of diazepam and 50mgs qds of pregabalin. A year-old male presented to the psychosexual clinic with symptoms suggestive of persistent genital arousal disorder of 2years duration. These symptoms started suddenly for the first time when he was browsing the internet and accidentally ended up in pornographic websites.

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He was treated with diazepam and pregabalin which reduced the intensity of the symptoms. New insights into restless genital syndrome. Anorgasmia can be caused by psychologic problems. The symptoms were relieved by ejaculation to a certain extent.

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Description: The dose was increased to 2mgs qds of diazepam and 50mgs qds of pregabalin. Some men with primary anorgasmia have great personal distress. Similar to the causes for PGAD, there is few treatment modalities reported in the literature. Sex therapy also assist the man examine and realign expectations of orgasm. Sex therapy involves teaching the use by couples of manual or vibrator stimulation during intercourse. When he was seen in the psychosexual clinic, he was noted to be very anxious and expressed guilty feelings around the incident of watching pornography which initiated the onset of symptoms. Post- ejaculation, he felt anxious, tired and nauseated for sometime, during which the symptoms intensified again that he needed climax.
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