Evidence map›Paper›PMID 34126431›Full record

ArticleSexual medicine2021

The Use of Pramipexole to Treat Persistent Genital Arousal Disorder: A Case Report.

Becky Kaufman Lynn, Chloe Grabenhorst, Barry R Komisaruk, Irwin Goldstein, Jim Pfaus

Open access · goldAbstract readCase Reports
In one paragraph

Article in Sexual medicine, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed
0.8field-weighted citation impact, top 31% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 8 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors at 4 institutions in 3 countries.

Becky Kaufman LynnSaint Louis University School of Medicine, OBGYN, Saint Louis, MO, USA; Evora Women's Health, Chesterfield, MO, USA. Electronic address: evoramedllc@gmail.com.
Chloe GrabenhorstEvora Women's Health, Chesterfield, MO, USA.
Barry R KomisarukRutgers University, Psychology, Newark, NJ, USA.
Irwin GoldsteinSexual Medicine. Alvarado Hospital, Alvarado Hospital, Sexual Medicine, San Diego, CA, USA.
Jim PfausUniversidad Veracruzana, Centro de Investidaciones Cerebrales, Veracruz, MX.
Newark Academy · USPomerado Hospital · USSaint Louis University · USUniversidad Veracruzana · MX

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionPersistent Genital Arousal Disorder (PGAD) is defined as "spontaneous, intrusive, and unwanted genital arousal (tingling, throbbing, pulsating) in the absence of sexual interest and desire" and traditionally causes marked distress, embarrassment and shame. PGAD may be caused by starting, discontinuing, or making adjustments in certain antidepressants or other medications.

aimTo report the case of a 36- year- old woman with PGAD, likely due to changes in her psychiatric medications, who was treated with pramipexole and experienced improvement in her PGAD symptoms.

methodsPatient self-report and literature review. Written informed consent was obtained from the patient.

main outcome measureImprovement in PGAD symptoms.

resultsPatient reported improvement in her symptoms by "90%" on a low dose of pramipexole, although higher doses exacerbated her symptoms.

conclusionsIt is likely that an effective treatment window exists for the treatment of PGAD with drugs that possess the ability to exert their control of dopaminergic transmission. This includes direct acting receptor agonists like pramipexole, which produce feedback inhibition. Limitations to their efficacy then involve co-treatments that counteract their ability to exert a dampening effect on hyperstimulated dopamine transmission. It is recommended that clinicians be aware of drugs taken by patients to treat psychiatric disorders that could induce PGAD symptoms, drugs recently discontinued where a rebound effect could lead to PGAD symptoms, and drug mechanisms that could counteract the effect of treatments for PGAD. Lynn BK, Grabenhorst C, Komisaruk BR, et al. The Use of Pramipexole to Treat Persistent Genital Arousal Disorder: A Case Report. Sex Med 2021;9:100372.

Indexed as

Persistent genital arousal disorder, Restless genital syndrome, Pramipexole, Dopamine

Identifiers

PMID34126431
PMCPMC8360918
OpenAlexW3167872971

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-ND
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.