Persistent Genital Arousal Disorder

Experience relief today with pelvic floor physical therapy.
Persistent Genital Arousal Disorder
Living with Persistent Genital Arousal Disorder (PGAD) often means facing unexpected challenges that can disrupt your day and interfere with your comfort. It’s more than just a medical term—it affects how you feel every moment, whether you’re at work, at home, or trying to relax.
At Beyond Basics, we understand that PGAD isn’t just about managing symptoms; it’s about regaining your sense of normalcy and enjoyment in life. We use a holistic approach, considering every aspect of your pelvic health and sexual function. Our team is dedicated to not just reducing the symptoms you experience but enhancing your ability to enjoy life fully, from improving intimate moments to ensuring you can engage fully in every part of your day without discomfort.

Symptoms of Persistent Genital Arousal Disorder

Persistent Genital Arousal Disorder, also known as restless genital syndrome, involves unwanted and prolonged genital arousal. It is not linked to sexual desire or sexual activity and can cause significant distress. Symptoms can include:
  • Uncontrolled, spontaneous orgasms
  • Restlessness and discomfort in the genital area
  • Persistent sexual arousal, despite the absence of desire
  • Emotional symptoms such as anxiety and depression, impacting mental health
  • Disruptions in daily and sexual function
Symptoms of Persistent Genital Arousal Disorder

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How Your Pelvic Floor Can Cause PGAD

How Your Pelvic Floor Can Cause PGAD

The pelvic floor is a group of muscles that support the pelvic organs and play an important role in bowel, bladder, and sexual function. Dysfunctions in these muscles can lead to conditions like PGAD. Here’s how issues with the pelvic floor can lead to genital discomfort:
  • Tension and Tightness: Overly tight pelvic floor muscles can cause direct pain or increase sensitivity in the genital area.
  • Weak Muscles: Weakness in the pelvic floor can result in inadequate support, exacerbating discomfort during various activities.
  • Muscle Spasms: Involuntary spasms in these muscles can trigger sudden, intense discomfort.
  • Nerve Compression: Improper muscle function can compress nerves, leading to persistent pain in the pelvic region.
  • Reduced Blood Flow: Dysfunctional pelvic floor muscles can impair circulation, causing pain due to decreased oxygen and nutrient delivery.

How Pelvic Floor Physical Therapy Can Help

Managing PGAD can be challenging, but with the right therapeutic approach, improvement is possible. At Beyond Basics, we provide compassionate care tailored to your needs, helping you regain control over your health. Pelvic floor physical therapy can help to:
  • Significantly reduce or eliminate genital arousal and associated discomfort
  • Enhance sexual function by addressing physical factors contributing to dysfunction
  • Improve your quality of life by managing symptoms, enabling better participation in daily activities
How Pelvic Floor Physical Therapy Can Help

What to Expect During Your Sessions

During Your Initial Appointment

Your first appointment is all about understanding your experience with Persistent Genital Arousal Disorder. We’ll begin with a comprehensive discussion about your symptoms. This helps us get to know you better and tailor our approach to meet your needs.

Next, we’ll conduct a detailed physical exam from head to toe, paying close attention to any areas of discomfort. This includes both external and internal evaluations of your pelvic floor muscles to pinpoint the root causes of your symptoms and work on reducing your pain and discomfort.

During this evaluation, we use manual techniques on the pelvic structures—muscles, nerves, and bones. Your comfort is our top priority during these sessions, and remember, you’re in control—you can opt out of any part of the treatment at any time, no questions asked.

During Your Additional Appointments

Each appointment is personalized based on your specific needs. With your consent, we apply hands-on therapy and specialized exercises designed to reduce discomfort and enhance your well-being. Our approach is centered on addressing the underlying causes of your condition to provide relief.

Client Testimonials

Amber Wolfe
3 weeks ago
Juhi is warm, thoughtful, and knowledgeable. She made me feel comfortable from the beginning and tailored each session to what I needed. I’m very grateful for her care and highly recommend Beyond Basics.
Lourdes Calero
3 weeks ago
My health issue has improved tremendously in a short time, thanks to my amazing therapist,Kiko!
Marina Alton
1 month ago
It was a very amazing experience with my therapist, and it helps me a lot
Devin Williams
1 month ago
After a life changing surgery back in 2013, I dealt with chronic pelvic and lower back pain that had impacted and hindered me for years. At one point, I lost all hope that I would ever be able to be rid of it. Then, I had the fortune of coming across Beyond Basics and meeting a wonderful physical therapist in the form of Kiko. After nearly 13 yrs of dealing with this pain, I am happy to say that it is completely gone after my treatment with Kiko. Because of her and Beyond Basics, I am now able to enjoy life so much more and for that, I am eternally gratefully. Coming here was truly a life changing experience.
Audrey Symes
2 months ago
Melanie has been wonderful! Compassionate, kind, a great listener, and I have made so much progress in a few sessions
Tom Powell
2 months ago
I never thought that pelvic floor therapy would be so effective or a worthwhile experience...and then I was lucky enough to find Cory Hazama. She is truly skilled and knowledgable.
Louise Decatrel
6 months ago
I am very happy with this choice for my therapy. My Therapist, Molly, is so fantastic. I feel very much at ease and comfortable with her.
Carol J. Weiss
7 months ago
Melanie is amazing. So knowledgeable, comforting, and enthusiastic.
Barry Gurvitch
8 months ago
Beyond Basics provides sensitive and professional care in a comfortable environment. I was skeptical at first if they could help but now, I am a believer.
Barbara Friedman
8 months ago
A wonderful introduction to pelvic floor therapy. Eliza's engaged, intelligent approach made me feel surprisingly hopeful. She's clearly a great person to work with.
Marian
9 months ago
Courteous and helpful staff. Excellent facilities. My PT is the best I found after months of searching around Manhattan.
Nell De Martini
9 months ago
I had a great experience working with Emily Moore for pre-op PT. She created an incredibly warm and inclusive environment and helped me feel comfortable from the start. In just a few sessions, she really helped me have a better understanding of my symptoms and how to best manage them. She gave me helpful tips to integrate into my daily routine and I noticed results almost immediately. I am looking forward to resuming sessions with her again after surgical recovery. The front desk and administrative staff were wonderful as well. I highly recommend working with Emily!
Elena Golub
11 months ago
Absolutely adored working with Melanie Rocchio. She's truly an expert at her craft and immediately puts you at ease. It's hard to make PFPT a comfortable process but she did. If you need PFPT, go see Melanie--I'll definitely be a returning client if I need further treatment.
Kat M.
11 months ago
I recently saw Kiko for regular PT sessions following a c-section delivery and HIGHLY recommend her, she's the best!! We worked on regaining both pelvic floor and core strength, and while I'm happy both have improved significantly in the months since my delivery, I was sad to have 'graduated' PT as I really enjoyed my sessions with Kiko - she's a pleasure to work with and learn from! I also had a good experience with Beyond Basics as a practice - Veronica at the front desk is very sweet!
Savannah Carlin
11 months ago
I cannot recommend Sonali highly enough, she’s truly incredible!
Sudais Haider
12 months ago
Nice
Lily Zoraster
12 months ago
Had a great experience here, front desk person Veronica is very nice and helpful. It was a delight to have Kiko as my therapist. She is very knowledgeable, easy to talk to/work with, and very thorough. She helped me find the perfect exercises that were very doable to help me progress and I progressed so fast in ways that I couldn’t imagine before. Thank you so much 😊
Mike Honcharik
12 months ago
Went to Beyond Basics for treatment of abdominal pain ,as recommended by my doctor . Kiko treated me , she was very professional and a listened to all my concerns ,and made me feel much better as to my condition . She was very knowledgeable and very helpfull . I highly recommend her.
Garland Horwitz
1 year ago
Emily Moore was fantastic! Great bedside manner and helpful. The whole team was very friendly
Samatha Nemana
1 year ago
So appreciative of the staff at Beyond Basics, especially Emily Moore! Emily was immensely helpful as I navigate my endometriosis journey. During our sessions I feel like I got some real answers around my pain - I so, so appreciate her. Our visits and the exercises she recommended have resulted in noticeable improvement over just a few short months. Highly recommend!
Michele Caplan
1 year ago
I have worked with Beyond Basics for over 15 years. I have an underlying chronic problem that I will have to manage for the rest of my life. With their multitude of skills, Beyond Basics has given me the therapy and strategies to go from acute pelvic pain, severe back, and postural problems to being able to manage my underlying problems with resilience and support. And, with their help and guidance I have avoided back surgery. The therapy and commitment at BB are on an entirely different level from therapy available any other Physical Therapy clinic I have ever encountered. It is entirely unique.
Allie Hemmings
1 year ago
Staff is friendly and efficient. Kiko is so easy to talk to, super informative, genuinely caring & kind, very knowledgeable about the pelvic floor as well as how other areas of the body work with it, and she also gave a great referral when my condition seemed to need treatment outside of her scope of practice. I highly recommend Kiko!
Ava Anderson
1 year ago
My son has autism and struggles with motor coordination. His physiotherapy sessions are tailored to his needs, full of playful yet purposeful activities. He looks forward to every visit and we’ve noticed significant improvements in his balance, posture, and ability to focus during tasks.
Ronlee Ben-Gal
1 year ago
Sonali Patel at Beyond Basis is an incredibly smart, kind, and effective pelvic floor PT. She was great during our sessions and also gave me the tools to continue healing on my own, without ever pushing unnecessary visits. I’d absolutely recommend her and will definitely come back to her if anything ever comes up again.
Kiko is exactly what you want in a PT… Attentive and clearly loves what she does, all with a sense of humor. You’ll be lucky if you get her..
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Beyond Basics: We Can Help

At Beyond Basics, we are committed to treating pelvic floor issues with sensitivity to each individual’s needs, regardless of sex, race, identity, age, or orientation – we treat the whole person with a comprehensive, caring biopsychosocial approach.

Since 2003, Beyond Basics has been a place of hope and healing for our patients. We believe skilled and compassionate healing can restore your body’s harmony and balance. Founder, Amy Stein, and co-founder, Corey Hazama are renowned experts and leaders in pelvic floor PT.

The skilled physical therapists at Beyond Basics receive extensive training to qualify them to be the world’s leaders in pelvic floor rehabilitation. All of our therapists have been carefully selected to work at Beyond Basics because they possess the right expertise, kindness, and empathy to allow them to excel at our practice. Our therapists have completed hundreds of additional hours outside of their doctorates both internally and externally through institutes such as Herman and Wallace and the American Physical Therapy Association, to help hone their practice and provide exceptional treatment efficiently and compassionately. In addition to being the world’s first and foremost experts in pelvic floor dysfunction, our individual therapists have cultivated additional skills unique to their own personal interests. Read more about each one of our therapists here.

Get help now from a pelvic floor therapist for persistent genital arousal disorder.

Persistent Genital Arousal Disorder

— Beyond Basics PT | Pelvic Floor Therapy NYC.

Frequently Asked Questions

What is the difference between PGAD and high sexual desire?
PGAD is not related to sexual desire. It involves involuntary genital arousal that can occur without any desire for sexual activity and is often not relieved by orgasms.
How long does it take to see improvements with pelvic floor physical therapy?
Improvement timelines can vary based on the condition and the severity of symptoms. Many patients report feeling better after a few sessions, but a full course of treatment might be necessary to achieve significant changes.
Is PGAD a permanent condition?
While PGAD can be a long-term condition, many individuals experience significant relief through targeted treatments like pelvic floor physical therapy, which can manage or even resolve symptoms.
What should I expect during a pelvic floor physical therapy session for PGAD?
Pelvic floor physical therapy sessions typically involve targeted exercises to relax and strengthen your pelvic muscles, manual techniques to manage nerve function and improve blood flow, as well breath work to improve diaphragm and pelvic mobility. Each session is tailored to address your specific symptoms and overall pelvic health.
Are there lifestyle changes that can help manage PGAD symptoms?
Yes, lifestyle adjustments such as managing stress, practicing mindfulness, and modifying certain activities can help alleviate symptoms. Your physical therapist will work with you to identify effective strategies and exercises for your specific situation.