Learning Objectives and CME/Disclosure Information
This activity is intended for healthcare providers delivering care to women and their families.
After completing this activity, the participant should be better able to:
1. Summarize characteristics of PGAD 2. Discuss possible contributing factors to PGAD
Estimated time to complete activity: 0.25 hours
Susan J. Gross, MD, FRCSC, FACOG, FACMG President and CEO, The ObG Project
Disclosure of Conflicts of Interest
Postgraduate Institute for Medicine (PIM) requires instructors, planners, managers and other individuals who are in a position to control the content of this activity to disclose any real or apparent conflict of interest (COI) they may have as related to the content of this activity. All identified COI are thoroughly vetted and resolved according to PIM policy. PIM is committed to providing its learners with high quality CME activities and related materials that promote improvements or quality in healthcare and not a specific proprietary business interest of a commercial interest.
Faculty: Susan J. Gross, MD, receives consulting fees from Cradle Genomics, and has financial interest in The ObG Project, Inc.
Planners and Managers: The PIM planners and managers, Trace Hutchison, PharmD, Samantha Mattiucci, PharmD, CHCP, Judi Smelker-Mitchek, MBA, MSN, RN, and Jan Schultz, MSN, RN, CHCP have nothing to disclose.
Method of Participation and Request for Credit
Fees for participating and receiving CME credit for this activity are as posted on The ObG Project website. During the period from Dec 31 2017 through Dec 31 2021, participants must read the learning objectives and faculty disclosures and study the educational activity.
If you wish to receive acknowledgment for completing this activity, please complete the post-test and evaluation. Upon registering and successfully completing the post-test with a score of 100% and the activity evaluation, your certificate will be made available immediately.
For Pharmacists: Upon successfully completing the post-test with a score of 100% and the activity evaluation form, transcript information will be sent to the NABP CPE Monitor Service within 4 weeks.
Joint Accreditation Statement
In support of improving patient care, this activity has been planned and implemented by the Postgraduate Institute for Medicine and The ObG Project. Postgraduate Institute for Medicine is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Physician Continuing Medical Education
Postgraduate Institute for Medicine designates this enduring material for a maximum of 0.25 AMA PRA Category 1 Credit(s)™. Physicians should claim only the credit commensurate with the extent of their participation in the activity.
Continuing Nursing Education
The maximum number of hours awarded for this Continuing Nursing Education activity is 0.2 contact hours.
Persistent Genital Arousal Disorder PGAD (formerly Persistent Sexual Arousal Syndrome) is a condition characterized by significant, spontaneous, intrusive and distressing vulvar sensation. It is generally described by patients as unpleasant, unwanted intense feelings of genital arousal (swelling and tingling) that are not associated with sexual fantasy, sexual desire or sexual activity. It is persistent, lasting hours, days or weeks. It cannot be diminished with multiple orgasms. This condition is often accompanied by severe anxiety or depression, as the symptoms can be unsettling and disruptive to day to day activity.
As PGAD is a fairly new diagnosis, many providers are not familiar with the condition and dismiss patients as malingering. It is not unusual to confuse the condition with nymphomania. It is imperative that providers appreciate this is a potentially debilitating condition and treatment is available
If unwanted arousal can be dissipated with 1-3 orgasms, PGAD can be ruled out
Causes of PGAD are, as yet, unclear. Potential contributors, not proven to be causative, include:
The start of Selective Serotonin Reuptake Inhibitors (SSRIs)
The termination of SSRIs
An injury or surgery: cases have been reported after a broken hip, a hysterectomy or any trauma to the pelvic region
The course of PGAD tends to be intermittent, that is there are “flares” that come and go inexplicably
Most PGAD patients report times of the day when their symptoms are worse than others or activities that exacerbate their condition but most of these activities, such as driving in a car, standing on their feet, cannot be avoided
When a patient is experiencing a flare, the condition can be extremely debilitating, necessitating change of daily routine, employment, child care or school schedules
PGAD seems to be connected to Restless Leg Syndrome
It has been suggested that both are caused by pudendal neuropathy and both may be alleviated with dopamine agonists. However, correlation is still unclear
Various treatments that have been reported include
OBG Project CME requires a modern web browser (Internet Explorer 10+, Mozilla Firefox, Apple Safari, Google Chrome, Microsoft Edge). Certain educational activities may require additional software to view multimedia, presentation, or printable versions of their content. These activities will be marked as such and will provide links to the required software. That software may be: Adobe Flash, Apple QuickTime, Adobe Acrobat, Microsoft PowerPoint, Windows Media Player, or Real Networks Real One Player.
Disclosure of Unlabeled Use
This educational activity may contain discussion of published and/or investigational uses of agents that are not indicated by the FDA. The planners of this activity do not recommend the use of any agent outside of the labeled indications.
The opinions expressed in the educational activity are those of the faculty and do not necessarily represent the views of the planners. Please refer to the official prescribing information for each product for discussion of approved indications, contraindications, and warnings.
Participants have an implied responsibility to use the newly acquired information to enhance patient outcomes and their own professional development. The information
presented in this activity is not meant to serve as a guideline for patient management. Any procedures, medications, or other courses of diagnosis or treatment discussed or suggested in this activity should not be used by clinicians without evaluation of their patient’s conditions and possible contraindications and/or dangers in use, review of any applicable manufacturer’s product information, and comparison with recommendations of other authorities.
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