(064) Trigger Point Release of Post Partum Pudendal Compression Relieves Persistent Genital Arousal: Case Report

Abstract Introduction There is very little literature available on Persistent Genital Arousal Disorder (PGAD). Recent consensus definitions have emerged from the ISSWSH working group PGAD to expel myth that merely in minds of those who suffer it. Dr. Goldstein, et al published research and criteria for diagnosis, management this condition which can be a distressing one. Novel Non-Invasive treatment modalities are needed prevent distress, and/or unnecessary surgery, these patients. Objectives To determine if local trigger point area surrounding Pudendal Nerve as it passes piriformis muscle, will cause relief (PGAD) patient suffering 8 months since childbirth. Methods I present case new mother suffered severe emerging following precipitous somewhat traumatic The persistent arousal was distracting, upsetting, intolerable, only (10-20%) temporarily mitigated by regular self-stimulation, also with pelvic floor physio, busy mom, had no such concerns before-hand. She presented me at post-partum, an month history PGAD. Based presenting illness, source problem determined most likely pelvis, potentially caused entrapment/compression Nerve. Informed Consent obtained attempt release tissues posteriorly, enters pelvis. Using posterior approach, using 27g 1.5cm bevelled needle, cleaned alcohol swab, micro-dissection performed tissue N muscle. Patient reported immediate sustained symptoms. Results Trigger needling superior to, surrounding, including muscle via approach patient’s Repeat needle area, alternating physiotherapy guided relaxation tissues, resolved symptoms >95% during >85% 1 year after cessation. Conclusions Point muscles relieved initially second This non-invasive should widely taught practitioners Sexual Medicine, considered patients neurological causes their symptoms, arising area. Disclosure No.