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由骶髂关节功能障碍引起的持续性性唤起障碍/生殖器-盆腔感觉异常

Persistent Genital Arousal Disorder/Genito-Pelvic Dysesthesia caused by Sacroiliac Joint Dysfunction.

作者信息

Zhang Yunxu, Su Li, Ge Hong, Wang Qiang

机构信息

Department of Rehabilitation, Hiser Hospital Affiliated to Qingdao University, Qingdao, China.

Department of Neurosurgery, Hiser Hospital Affiliated to Qingdao University, Qingdao, China.

出版信息

Sex Med. 2022 Oct;10(5):100544. doi: 10.1016/j.esxm.2022.100544. Epub 2022 Jul 15.

DOI:10.1016/j.esxm.2022.100544
PMID:35849889
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9537246/
Abstract

INTRODUCTION

Persistent genital arousal disorder/genito-pelvic dysesthesia (PGAD/GPD) consists of persistent or recurrent unwanted sensations of genital arousal that may include other types of genito-pelvic dysesthesia, which occur without concomitant sexual interest or thoughts. There are multiple triggering factors for PGAD/GPD.

AIM

To report the case of a 38-year-old woman with low back pain and PGAD/GPD triggered by sacroiliac joint dysfunction.

METHODS

The medical data of the female patient with low back pain and PGAD/GPD were reviewed and analyzed.

RESULTS

Resetting of the subluxated sacroiliac joint resulted in complete remission of the patient's symptoms.

CONCLUSION

Sacroiliac joint dysfunction may be a trigger for PGAD/GPD in some cases. Lack of relevant knowledge among patients and healthcare providers is the biggest challenge of the proper diagnosis and treatment of PGAD/GPD at present. Zhang Y, Su L, Ge H, et al. Persistent Genital Arousal Disorder/Genito-Pelvic Dysesthesia caused by Sacroiliac Joint Dysfunction. Sex Med 2022;10:100544.

摘要

引言

持续性性唤起障碍/生殖器-盆腔痛觉障碍(PGAD/GPD)表现为生殖器持续性或反复出现的不必要的性唤起感觉,可能包括其他类型的生殖器-盆腔痛觉障碍,且无伴随的性兴趣或想法。PGAD/GPD有多种触发因素。

目的

报告一例因骶髂关节功能障碍引发下腰痛和PGAD/GPD的38岁女性病例。

方法

回顾并分析该患有下腰痛和PGAD/GPD的女性患者的医疗数据。

结果

复位半脱位的骶髂关节后,患者症状完全缓解。

结论

在某些情况下,骶髂关节功能障碍可能是PGAD/GPD的一个触发因素。患者和医疗服务提供者缺乏相关知识是目前PGAD/GPD正确诊断和治疗的最大挑战。张Y,苏L,葛H等。骶髂关节功能障碍引起的持续性性唤起障碍/生殖器-盆腔痛觉障碍。性医学2022;10:100544 。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd8/9537246/1c0459365a68/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd8/9537246/1c0459365a68/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/9cd8/9537246/1c0459365a68/gr1.jpg

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本文引用的文献

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Sacroiliac joint dysfunction: pathophysiology, diagnosis, and treatment.骶髂关节功能紊乱:病理生理学、诊断与治疗。
Eur Spine J. 2021 Oct;30(10):2936-2943. doi: 10.1007/s00586-021-06927-9. Epub 2021 Jul 16.
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International Society for the Study of Women's Sexual Health (ISSWSH) Review of Epidemiology and Pathophysiology, and a Consensus Nomenclature and Process of Care for the Management of Persistent Genital Arousal Disorder/Genito-Pelvic Dysesthesia (PGAD/GPD).国际女性性健康学会(ISSWSH)对流行病学和发病机制的综述,以及持续性生殖器唤醒障碍/生殖器-骨盆感觉异常(PGAD/GPD)管理的共识命名和护理流程。
J Sex Med. 2021 Apr;18(4):665-697. doi: 10.1016/j.jsxm.2021.01.172. Epub 2021 Feb 19.
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A Comparison of Medical Comorbidities, Psychosocial, and Sexual Well-being in an Online Cross-Sectional Sample of Women Experiencing Persistent Genital Arousal Symptoms and a Control Group.
患有持续性生殖器唤醒症状的女性和对照组的在线横断面样本中,医学合并症、心理社会和性健康的比较。
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Persistent genital arousal disorder: Treatment by neurolysis of dorsal branch of pudendal nerve.持续性生殖器觉醒障碍:阴部神经背侧分支神经松解治疗。
Microsurgery. 2020 Feb;40(2):160-166. doi: 10.1002/micr.30464. Epub 2019 Apr 26.
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