Thorne Catherine, Stuckey Bronwyn
Keogh Institute for Medical Research, Nedlands, Western Australia, Australia.
J Sex Med. 2008 Feb;5(2):504-8. doi: 10.1111/j.1743-6109.2007.00666.x. Epub 2007 Nov 14.
Persistent sexual arousal is defined as an intrusive and unwanted genital arousal unrelated to sexual desire and typically unrelieved by one or more orgasms.
We report a patient presented with persistent sexual or genital arousal.
A 62-year-old woman presented with a 5-month history of persistent genital arousal. The symptoms were unrelated to sexual stimuli but were relieved incompletely and temporarily by orgasm.
Doppler ultrasound demonstrated multiple pelvic varices. Magnetic resonance imaging (MRI) demonstrated varices in the pelvis, the vaginal wall, perineum, inguinal region, and anterior abdominal wall. Coil embolization of the dilated incompetent left ovarian vein was performed with marked reduction of symptoms.
We proposed that the syndrome of persistent genital or sexual arousal in women warrants a careful and systematic examination for pelvic venous incompetence by Doppler ultrasound and MRI or computerized tomography, with appropriate tilt positioning and Valsalva maneuver, before assigning it to a central neurologic or psychologic etiology.
持续性性唤起被定义为一种与性欲无关的侵入性且不受欢迎的生殖器唤起，通常不会因一次或多次性高潮而缓解。
我们报告一例出现持续性性或生殖器唤起的患者。
一名62岁女性有5个月持续性生殖器唤起病史。症状与性刺激无关，但性高潮可使其部分且暂时缓解。
多普勒超声显示多处盆腔静脉曲张。磁共振成像（MRI）显示盆腔、阴道壁、会阴、腹股沟区及前腹壁存在静脉曲张。对扩张且功能不全的左侧卵巢静脉进行弹簧圈栓塞，症状明显减轻。
我们提出，对于女性持续性生殖器或性唤起综合征，在将其归因于中枢神经或心理病因之前，应通过多普勒超声、MRI或计算机断层扫描，并采用适当的倾斜体位和瓦尔萨尔瓦动作，对盆腔静脉功能不全进行仔细而系统的检查。
