| 1 Room 518 | Sexuality and Health Friday, July 15, 2005 Time: 8:30 AM-10:30 AM |
An unusual case of persistant sexual arousal syndrome (PSAS).
Wylie, Kevan*,1, Levin, Roy1, Goddard, Amanda1, Hallam-Jones, Ruth1, 1 Porterbrook Clinic, Sheffield, South Yorkshire, UK
ABSTRACT- A clinic patient (66 year old) complained of persistant sexual arousal (PSA) that she had suffered with for 5 years. The symptoms often came on when trying to fall asleep. Induced orgasm gave partial relief. Genitalia, hormones and MRI brain scan were normal. Basal vaginal blood flow (heat electrode) and photoplethysmographic recording of vaginal pulse amplitude (VPA) were in the normal range. The VPA traces showing vasomotion. On falling asleep during a recording of the VPA significant increases occurred and the vasomotion disappeared for both indices of genital arousal. Treatment with clomipramine was unsuccessful and an SSRI paroxitine gave only initial partial relief. The activation of genital arousal during the indication of sleep is an unusual feature of the PSAS and suggests that the condition may have a cerebral cause.
Key words: Arousal Syndrome, Persistant, Vagina, Blood Flow, Photoplethysmography