New York University School of Medicine, New York, NY, USA.
J Sex Med. 2014 Jan;11(1):136-9. doi: 10.1111/jsm.12165. Epub 2013 Apr 11.
Persistent genital arousal disorder (PGAD) is an intrusive and unremitting disorder for which several possible etiologies and treatments have been suggested.
To describe a woman who developed PGAD in association with a periclitoral mass, a potential physical cause of the disorder that has not been previously described in the medical literature.
A postmenopausal woman presented with 6 months of persistent, unrelenting genital arousal and clitoral pain that was unrelated to sexual stimuli. Careful examination revealed a tender, firm, mobile, left-sided mass that appeared to compress the dorsal nerve of the clitoris.
Complete excision of the mass resulted in full resolution of her symptoms over several weeks.
Localized causes of persistent genital arousal, though rare, should be included in the differential diagnosis PGAD as detection and treatment can lead to a complete recovery.
持续性生殖器觉醒障碍（PGAD）是一种侵入性且持续的疾病，已经提出了几种可能的病因和治疗方法。
描述一位患有 PGAD 的女性，其发病与阴唇旁肿块有关，这是一种可能的躯体病因，此前在医学文献中尚未描述过。
一位绝经后女性出现 6 个月的持续性、持续不断的生殖器觉醒和阴蒂疼痛，与性刺激无关。仔细检查发现左侧阴唇旁有一个触痛、坚硬、可移动的肿块，似乎压迫了阴蒂背侧神经。
肿块完全切除后，她的症状在数周内完全缓解。
尽管罕见，但持续性生殖器觉醒的局部病因应包括在 PGAD 的鉴别诊断中，因为发现和治疗可以导致完全康复。
