CASE REPORT article

Front. Psychiatry

Sec. Psychopharmacology

Volume 16 - 2025 | doi: 10.3389/fpsyt.2025.1623256

This article is part of the Research TopicCase Reports in Psychopharmacology, volume IIIView all 9 articles

Successful Treatment of PGAD/GPD with Leuprolide: A Case Report

Provisionally accepted
  • Department of Endocrinology, First Affiliated Hospital, Nanjing Medical University, Nanjing, China

The final, formatted version of the article will be published soon.

Persistent genital arousal disorder/genitopelvic dysesthesia (PGAD/GPD) is a rare clinical condition of uncertain etiology. It is characterized by involuntary genital arousal occurring in the absence of sexual interest or desire, and may be accompanied by abnormal sensations in the pelvic and reproductive regions. PGAD/GPD exerts a profound negative impact on patients' physical and mental health, severely impairing daily functioning and, in some cases, leading to suicidal ideation. This case highlights the potential role of COVID-19 as a triggering factor in the development of PGAD/GPD. The marked improvement in symptoms following treatment with leuprolide suggests that dysregulation of gonadotropin/GnRH signaling may constitute a key pathogenic mechanism underlying this condition. We anticipate that this successful treatment case will provide valuable insights into the etiology and treatment strategies of PGAD/GPD.

Keywords: Leuprolide, case report, Treatment, PGAD, GPD (Generalised Pareto Distribution)

Received: 10 May 2025; Accepted: 10 Jul 2025.

Copyright: © 2025 Rong, Zhou and Fan. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Hong-Qi Fan, Department of Endocrinology, First Affiliated Hospital, Nanjing Medical University, Nanjing, China

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