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Case Report: Persistent Genital Arousal Disorder in an Adolescent Woman.
J Pediatr Adolesc Gynecol ; 32(2): 186-188, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-30513343
ABSTRACT

BACKGROUND:

After several visits with unrelated complaints, a 16-year-old female patient disclosed symptoms of unwanted genital arousal and was diagnosed with persistent genital arousal disorder (PGAD). CASE A 16-year-old female patient with history of depression, sexual abuse, and dysmenorrhea insistently requested etonogestrel rod removal. At 2 visits after implant removal, the patient disclosed the reason for her insistence PGAD symptoms developed after implant insertion, although they worsened with removal. Chart review revealed selective serotonin reuptake inhibitor discontinuation before symptom onset. Normalization of sexual arousal occurred with counseling, selective serotonin reuptake inhibitor treatment, and hormonal contraception. SUMMARY AND

CONCLUSION:

This case highlights the importance of clinician recognition of PGAD symptoms, which adolescents might not openly disclose. Clinicians must nonjudgmentally collect medication history and sexual history, including sexual arousal and satisfaction, to make this diagnosis.
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Texto completo: Disponível Coleções: Bases de dados internacionais Base de dados: MEDLINE Assunto principal: Inibidores de Captação de Serotonina / Disfunções Sexuais Psicogênicas / Depressão Tipo de estudo: Relato de casos Aspecto clínico: Diagnóstico / Terapia Limite: Adolescente / Feminino / Humanos Idioma: Inglês Revista: J Pediatr Adolesc Gynecol Assunto da revista: Ginecologia / Pediatria Ano de publicação: 2019 Tipo de documento: Artigo