Credit: Joe Newton
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Joe Newton

I’m a 31-year-old female. Last week I suddenly started to experience an overwhelming, compulsive, and near-constant state of physical arousal. I’ve masturbated so much looking for relief that my entire lower region is super sore and swollen and still, its like my whole body is pulsating with this electric arousal telling me to ignore the pain and do it again.ย I have no idea if it’s normal to suddenly have suck a spike in libido and I know a lot of people will say they wish they had this problem but its interfering with my daily activities because I cant focus on anything else. My college classes are suffering because of it. I’ve even had to remove my clitoral hood piercing, which I’ve had that for over 10 years! I feel like I have all of the reasonsโ€”high anxiety related to the pandemic, being stuck with alcoholic boyfriend in the house, tons of homework, finances are lowโ€”to warrant a lack of arousal so why am I drowning in it? Everything I’m learning in class states that sexual desire lowers through out the life span so why am I literally pulsating with it? I really donโ€™t want to call my doctor if I donโ€™t have to. Any insight would be appreciated.

Chronically Aroused

โ€œThereโ€™s a general belief that sexual arousal is always wantedโ€”and the more the better,โ€ said Robyn Jackowich. โ€œBut in reality, persistent and unwanted sexual arousal can be very distressing.โ€

Jackowich is a PhD candidate at Queenโ€™s University, where she works under the supervision of Dr. Caroline Pukall in the Sexual Health Research Lab. Jackowich has published numerous studies on Persistent Genital Arousal Disorder (PGAD), a condition characterized by a constant or frequently recurring state of genital arousalโ€”sensations, sensitivity, swellingโ€”in the absence of sexual desire.

โ€œIn other words, there is a disconnect between what is happening in oneโ€™s body and mind,โ€ said Jackowich, โ€œand this can be both distressing and distracting.โ€

And while you would think stress would tank your libidoโ€”and preliminary research shows that the pandemic is tanking more libidos than itโ€™s notโ€”stress and anxiety can actually be triggers for PGAD.

As youโ€™ve learned, CA, you canโ€™t masturbate your way out of this. So what do you do? Unfortunately, itโ€™s the thing youโ€™d really rather not do: call your doctor.

โ€œItโ€™s important to meet with a knowledgeable healthcare provider to ensure there is not another concern present that may be responsible for the symptoms and to access treatment,โ€ said Jackowich. โ€œResearch on treatments for PGAD is relatively new, so it can be helpful to meet with a team of different healthcare providers to find what treatments would be most effective for you specifically. This could include a gynaecologist, urologist, pelvic floor physical therapist, neurologist, and/or psychologist with expertise in sex therapy.โ€

Talking with your doctor about this may be embarrassing, I realize, and it doesnโ€™t help that many doctors are unfamiliar with PGAD. Jackowich actually recommends bringing printouts of information pages and research papers about the condition to your appointment and sharing them with your physician. And if your doc doesnโ€™t take your distress seriously and/or refuses to refer you to the specialists you need to see, CA, then youโ€™ll have to get yourself a new doctor. (You can find those information pages and research papers at sexlab.ca/pgad, where you can also learn about currently available treatments and join support groups for sufferers.)

โ€œMore awareness of PGAD and research on this condition is needed to help understand the symptoms and develop effective treatments,โ€ said Jackowich. โ€œIf you experience these symptoms and would like to contribute to ongoing research efforts, the Queenโ€™s University Sexual Health Research Lab is seeking participants for an online study.โ€ To take part in that online survey, go to sexlab.ca/pgad, click on โ€œparticipate,โ€ and scroll down to the โ€œOLIVE Study.โ€

Iโ€™ve rekindled a romance with an ex from a decade ago. We are long distance right now but getting very close. We have one recurring problem though. She does not like that I am friends with anotherย ex.ย Thatย ex has actually been a close friend for a very long time and our friendship means a lot to me. Our romantic relationship only lasted a few months. But since weย did have a romantic relationship once, my current girlfriend sees my ex as a threat. I have reassured her several times that the relationship is in the past and we are now only friends.ย But my girlfriend doesnโ€™t want me to communicate with her at all. She wants me to un-friend her on Facebook and un-follow her Instagram and at least once a week she asks if we have been in contact. It is hard for me to throw a friend away in order to be in a relationship. Even though I donโ€™t talk to my ex/friend all that regularly, I would like the option to at least check in every once in a while. Cutting her out of my life completely feels like a kind of death. I wish there was some way I could find a compromise but this seems to be one of those โ€œall or nothingโ€ things.ย I also donโ€™t like this feeling of not being trusted and fear it could lead to other problems down the line.

Unhappy Girlfriend Has Sensitivities

I can see why your current girlfriend might feel threatened by your relationship with an ex, UGHS, seeing as sheโ€”your current girlfriendโ€”was until very recently just another one of your exes. Since you got back together with her, the green-eyed monster whispers in her ear, whatโ€™s to stop you from getting back together with your other ex? What the green-eyed monster doesnโ€™t say, of course, is that you had every opportunity to get back together with your ex and didnโ€™t. And cutting off your ex now doesnโ€™t mean you canโ€™t get back together with her later. And whatโ€™s to stop you from getting together with one of the 3.5 billion women you havenโ€™t already dated?

You have to take a hard line on this. Tell your current youโ€™re happy to provide her with a little reassurance when sheโ€™s feeling insecure about your ex but youโ€™re not going to un-friend or un-follow her or anyone else. You can make an appeal to reasonโ€”you wouldnโ€™t be with your current girlfriend if you were the sort of person who cut off contact with his exesโ€”but if your current girlfriend is the irrationally jealous typeโ€ฆ well, an appeal to reason wonโ€™t help. Irrationally jealous people are by definition incapable of seeing reason, UGHS, which is why they must be shown doors.

This isnโ€™t a sexy question, but you are wise and I am confused. I have been friends with a woman for about sixteen years. Sheโ€™s very funny, creative, loves to have a good time. Sheโ€™s also intense, not very bright, and my family and friends do not like her around. Now that weโ€™re grown we do not see each other often, but Iโ€™ve been glad to maintain a friendship with her and get together now and again. Enter: my wedding. At the reception she made a fool of herself (and me) by going on some strange, racist rant. The racist thing really surprised and disappointed me and when I asked her about it she shrugged it off like, โ€œOh, just add that to the list of dumb things I do when Iโ€™m drunk.โ€ย Other things sheโ€™d done when sheโ€™s drunk: two DUIs, waking up in jail with an assault charge, having sex with strangers, etc. Itโ€™s been about seven months since my wedding and Iโ€™ve basically been ignoring while trying to decide what to do. I love my friend, but I do not want her hurting anyone else on my watch. Do I call her up and end it? See her once a year when no ones around?ย Ignore her until she dies?

Loyal To A Fault

Tell your racist friend to give you a call after she gets sober and confront her about her racism thenโ€”you know, when sheโ€™s actually capable of remembering the conversation, reflecting on what you had to say, and perhaps changing for the better. If she canโ€™t get both sober and better, LTAF, make sure she isnโ€™t registered to vote and then ignore her until she dies.

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Our epidemiologist pal is back to game out the pleasant theory that once we return to congregating, we could eliminate all STIs. And Dan chats with Katelyn Bowden of the Badass Armyโ€”an org that fights for victims of revenge porn. Listen in at www.savagelovecast.com

In addition to being a nationally syndicated sex advice columnist, the author of several books, and the host of the Savage Lovecast, Savage is “a deviant of the highest order” (Daily Caller)....