Persistent Genital Arousal Disorder: Confluent Patient History of Agitated Depression, Paroxetine Cessation, and a Tarlov Cyst
Open accessAbstract
We report a case of a woman suffering from persistent genital arousal disorder (PGAD) after paroxetine cessation. She was admitted to a psychiatric department and diagnosed with agitated depression. Physical investigation showed no gynaecological or neurological explanation; however, a pelvic MRI scan revealed a Tarlov cyst. Size and placement of the cyst could not explain the patient’s symptoms; thus neurosurgical approach would not be helpful. Her depression was treated with antidepressant with little effect. Electroconvulsive therapy improved the patient’s symptoms though they did not fully resolve. More awareness of PGAD and thorough interdisciplinary conferences are necessary to insure an unequivocal treatment strategy.
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Most existing psychotherapy case studies for PGAD/GPD provide very limited information about the therapeutic techniques used.
“Further, most of the existing psychotherapy case studies provide very limited information about the therapeutic techniques utilized”
From Psychological Treatment of Persistent Genital Arousal Disorder/Genitopelvic Dysesthesia Using an Integrative Approach (2023) · cites this paper as Eibye & Jensen, 2014
The Presentation of the Case and Treatment sections describe this patient's mindfulness, group, and individual therapy but give little detail about the techniques used. This supports the claim as an example, but the paper does not assess whether most existing PGAD/GPD psychotherapy case studies are similarly limited. (LLM, conf=0.82)
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Cites
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Flagged first, then by citations
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Cited by
Sorted by citations
Goldstein, I., Komisaruk, B. R., Pukall, C. F., Kim, N. N., Goldstein, A. T., Goldstein, S. W., Hartzell-Cushanick, R., Kellogg-Spadt, S., Kim, C. W., Jackowich, R. A., et al. (2021) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2021.01.172 · Cited by 96 · see citing works
Citizen petition: Sexual side effects of SSRIs and SNRIs
Healy, D. (2018) · International Journal of Risk & Safety in Medicine · doi:10.3233/jrs-180745 · Cited by 32 · see citing works
Pease, E. R., Ziegelmann, M., Vencill, J. A., Kok, S. N., Collins, C. S., & Betcher, H. K. (2022) · Sexual Medicine Reviews · doi:10.1016/j.sxmr.2021.05.001 · Cited by 22 · see citing works
Treatments for Persistent Genital Arousal Disorder in Women: A Scoping Review
Martín-Vivar, M., Villena-Moya, A., Mestre-Bach, G., Hurtado-Murillo, F., & Chiclana-Actis, C. (2022) · The Journal of Sexual Medicine · doi:10.1016/j.jsxm.2022.03.220 · Cited by 19 · see citing works
Merwin, K. E., & Brotto, L. A. (2023) · Archives of Sexual Behavior · doi:10.1007/s10508-023-02617-3 · Cited by 8 · see citing works
“Further, most of the existing psychotherapy case studies provide very limited information about the therapeutic techniques utilized (Aswath et al., 2016; Curran, 2019; Eibye & Jensen, 2014; Hryńko et al., 2017).”
Background
- Authors
- Eibye, S., & Jensen, H. M.
- Affiliations
- Psychiatric Centre of Copenhagen, Bispebjerg Bakke 23, 2400 Copenhagen NV, Denmark
- Corresponding author
- Jensen, Hans Mørch
- Venue
- Case Reports in Psychiatry
- Publisher
- Wiley
- Published
- 2014
- Volume
- 2014
- Pages
- 1-4
- ISSN
- 2090-682X (ISSN-L)
- 2090-6838
- PMC
- PMC4265540
- OpenAlex
- W2141677643
- Cited by
- 23
- References
- 1
- Citations by year
- 2024: 2 · 2023: 4 · 2022: 4 · 2021: 3 · 2020: 2 · 2019: 2 · 2018: 3 · 2017: 1 · 2016: 1 · 2015: 1
- FWCI
- 0.76
- Type
- journal article
- Language
- en
- Open access
- gold
- doi.org
- Locations
- Case Reports in Psychiatry (publishedVersion, cc-by)
- PubMed Central (publishedVersion, cc-by)
- PubMed (publishedVersion)
- DOAJ (DOAJ: Directory of Open Access Journals) (submittedVersion, cc-by-sa)
- Topics
- Health Sciences › Medicine › Psychiatry and Mental health › Sexual function and dysfunction studies
- Health Sciences › Medicine › Psychiatry and Mental health › Electroconvulsive Therapy Studies
- Health Sciences › Medicine › Psychiatry and Mental health › Psychosomatic Disorders and Their Treatments
- Keywords
- persistent genital arousal disorder, agitated depression, Tarlov cyst, electroconvulsive therapy, antidepressant treatment failure, psychiatric comorbidity, multidisciplinary management
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