Orgasm causes relief, not pleasure, because it gives a break from the stimulation, although sometimes there may be pain accompanying it.
When Jane sat down in my consultation room, she closed her eyes and her body jerked as she pressed her thighs together. It took her five minutes to get back to her senses.
“That is the twelfth orgasm I am having today and I think it is because I have banged the door,” she explained.
She looked anxious and harassed and complained of a headache. I offered her water and some painkillers. Once settled, we discussed her situation.
Jane had quite a unique condition. From the age of 13 she had been getting spontaneous genital stimulation, something similar to what a normal person would get at the height of foreplay. At the age of 20 she started climaxing frequently.
Things got worse when she was on a motorbike or in a car on a rough road; she could climax as much as three times in one hour. She was now 24 and there were days that she could not function because of the excessive stimulation.
PAINFUL PLEASURE
“With each orgasm I am left too drained to concentrate on my work,” she explained.
She sought my help because renovations were being done at her office and with every loud bang she climaxed.
She could not tell her colleagues at work, so she just told them that she had unbearable tummy pains and was allowed to take the afternoon off to seek treatment.
Because of her condition, Jane had avoided getting involved with men. She feared that things could worsen if she had sex and dreaded the thought of having multiple and painful bouts of orgasm.
Jane was suffering from persistent genital arousal disorder (PGAD), a rare condition. A recent study by Dutch scientists estimated that there could be 7,000 women with the disorder in the world.
A woman with PGAD gets genital stimulation which is not accompanied by sexual desire.
There are no emotions or thoughts of sex attached. Further, the stimulation lasts for hours or even days and sometimes may ease off after orgasm happens.
Orgasm causes relief, not pleasure, because it gives a break from the stimulation, although sometimes there may be pain accompanying it.
Stimulation may be aggravated by factors that are usually non-sexual. For a number of victims anything that causes vibration may lead to stimulation.
A most important characteristic of PGAD is that the woman feels harassed by the condition and suffers significant mental stress.
There is no known physiological cause of PGAD. Some theories point to abnormalities in the nerves around the genitals, others relate it to chemical changes in the body, while others point to abnormalities in the blood vessels.
NUMBING THE PAIN
This makes treatment difficult. Usually, the doctor focuses on reducing the severity and frequency of symptoms.
“So you mean I will be like this forever,” Jane interrupted.
“Not really. I expect improvement from the treatment plan that we have agreed on,” I comforted her.
We had agreed on counselling to alleviate the mental stress, a cream to numb the genital area, avoidance of causative factors, and exercises for the pelvic muscles.
Six months later, Jane’s condition had significantly improved. She had gone for a month without orgasm. As she left the clinic after her review, it occurred to me that the world was unfair.
There were many women who had never had orgasms, yet Jane was traumatised due to unwelcome orgasms.
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Q&A
Q. I had a one-night stand with my workmate when my husband was away.
My husband returned from a business trip two weeks later. I had unprotected sex with both and I am now pregnant (10 weeks). Can I work out who the father of the baby is?
Yes, it is possible to know the father of your baby, but it would be important to know the date of your last monthly period, the frequency of your cycle, and when next you were expecting your periods.
Assuming your cycle is 28 days and you had sex with your colleague on the 14th day, then he is the father of your baby.
If, on the other hand, you had sex with your colleague just after your periods, then two weeks later (at around day 14) with your husband, then your husband is the father.
Please note that people have varying cycles and the calculation is not always straightforward.
Your gynaecologist or midwife can help you do this calculation.
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