Fun Fanny Fact Friday - Persistent Genital Arousal Disorder: When Your Bits Don’t Get the Memo Artwork

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Welcome to High Tea with Lady V. Why do we whisper about menopause? Why is a conversation about vaginas still taboo? It's time to change the narrative. High Tea with Lady V is the podcast for open, honest, and hilarious conversations about topics that affect all of us who have a vagina: menstrual health, body changes, perimenopause, menopause, motherhood, aging, sexual wellness, mental resilience, and the sheer joy of having a vagina.

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High Tea With Lady V

Fun Fanny Fact Friday - Persistent Genital Arousal Disorder: When Your Bits Don’t Get the Memo

August 22, 2025 • Lady V • Episode 1

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Episode Title: Persistent Genital Arousal Disorder: When Your Bits Don’t Get the Memo

Episode Overview
This week on High Tea with Lady V, we’re diving into one of the rarest and most misunderstood conditions in women’s health: Persistent Genital Arousal Disorder (PGAD). And no — it’s not as fun as it sounds. Imagine your genitals deciding to have a rave without your consent, complete with throbbing, pulsing, and even spontaneous orgasms… but without any desire or relief. Brutal.

We’ll break down what PGAD really is, how it’s different from hypersexuality, what it feels like, and why awareness is so important.

What You’ll Learn in This Episode:

🔹 PGAD 101 — what it is, when it was discovered, and why it’s so rare
🔹 PGAD vs. Hypersexuality — the crucial difference between unwanted arousal and excessive desire
🔹 Who it affects — why it’s mostly studied in women (but men aren’t excluded)
🔹 Symptoms & sensations — from throbbing and tingling to relentless, unrelieved orgasms
🔹 Possible causes — pelvic blood vessel issues, cysts, nerve dysfunction, meds, and mental health links
🔹 Treatment options — medications, pelvic floor therapy, psychotherapy, distraction techniques, and more
🔹 The impact — how PGAD interferes with relationships, self-esteem, and daily life

Why This Episode Matters
PGAD may only affect around 1% of women (that we know of), but the impact is huge. It’s debilitating, isolating, and rarely spoken about because of shame and stigma. By shining a light on it, we’re opening the door for more conversations, more awareness, and hopefully more research and treatment options.

Resources & Links Mentioned in the Episode:

Cleveland Clinic overview of PGAD
Research by Leiblum & Nathan (2001), the first to identify PGAD (originally called PSAS)
Pelvic health and sexual health specialists who are working to raise awareness

💌 Let’s keep the conversation going!
Have you ever heard of PGAD before this episode? Come join the chat over on Instagram @HighTeaWithLadyV
— your voice helps break down stigma.

Thanks for listening! What topics do you want to delve into? Let us know at v@highteawithladyv.com