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Isn’t sexual arousal a good thing?

By , About.com Guide

Updated May 18, 2011

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Question: Isn’t sexual arousal a good thing?
I was reading this article on line about a disease where women have spontaneous orgasms and are turned on all the time. I can't say I understand how this could be a problem. Isn't it healthy and normal to want sex? As a man I consider it my job to keep my woman turned on. Is this just a publicity stunt?
Answer:

I followed the link you sent me and, without malice, I want to recommend you not get your health information from the lifestyle section of the Nassau Guardian.

The condition that is mentioned in the article, and has received more accurate media attention as well, is very real, although it is just now being described by researchers and isn’t well understood or considered a disease at this point. It’s called persistent sexual arousal syndrome (PSAS), or more recently persistent genital arousal disorder (PGAD). Basically these names describe the experience of persistent feelings of genital arousal that is not caused by sexual stimulation and is not experienced as sexual pleasure. These feelings can last for hours or days and can cause extreme distress and discomfort. The article you read makes light of it, but it’s not a joke for the people who are living with it.

The second part of your question is interesting and a common point of confusion. One of the important issues about sexuality that the existence of PGAD raises is that sexual health and pleasure is never only something that happens in our bodies, and that from an individual perspective, what is most important about sexual pleasure is that it is chosen and/or desirable.

There is a big difference between physical signs of arousal, and the individual experience of sexual pleasure. “Genital arousal” may mean nothing more than excess blood flowing to the genitals. In some situations this would be a very pleasant thing, but it could be equally experienced as a negative or painful effect. Because most of us are raised with a variety of misconceptions about sex it’s easy for us to confuse things like physical arousal and sexual pleasure, since we’re not taught to distinguish them for ourselves.

One of the barriers that women who experience persistent genital arousal talk about is the social attitudes of those around them. People hear about the condition and think that it means you are experiencing desired sexual pleasure all day long. In fact PGAD has led women to depression and thoughts of suicide.

So the long-ish answer to your question is that sexual arousal (or at least arousal of the genitals) isn’t always a good thing, particularly if it’s unwanted and out of one’s control. Being “turned on” is a subjective psychological experience, and, for the record, it’s one that has to happen consensually, even if you consider it your “job” to keep your partner turned on, if they’re not feeling it, well, then they’re not feeling it.

Read more about persistent genital arousal disorder.

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