By

Ryan Jaslow /

CBS News/ December 6, 2012, 1:52 PM

Gretchen Molannen's suicide spotlights debilitating effects of persistent genital arousal disorder

Gretchen Molannen, 39, was profiled by the Tampa Bay Times on her battle with persistent genital arousal disorder, before she took her own life.

Gretchen Molannen, 39, was profiled by the Tampa Bay Times on her battle with persistent genital arousal disorder, before she took her own life. / Tampa Bay Times screen grab

The tragic story of Gretchen Molannen's suicide shows how debilitating a sexual disorder can be for sufferers.

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Orgasm disorder leads to suicide

Molannen, 39, was found dead of suicide in her home Dec. 1, the Tampa Bay Times reported. She had suffered from the rare sexual disorder called persistent genital arousal disorder (PGAD), a condition characterized by spontaneous, unwanted genital sensation and arousal in the absence of sexual stimulation or emotion; the sensations can be unrelenting to sufferers, according to the Journal of Sexual Medicine.

The paper had done a feature on Molannen's struggles that was filmed and published prior to her death.

While some may joke about the idea of persistent orgasms -- according to the Times, one of her doctors even said "I wish my wife had that," -- the disease essentially destroyed her life, resulting in several suicide attempts before her eventual death.

"I know that God wants more out of my life than having me testing out suicide methods, constantly crying and abusing myself," she had told the paper.

Molannen had struggled with PGAD over the past 16 years, according to the Times' profile, when one day at age 23 she felt sexually aroused as if a switch turned on, but it never stopped. The only temporary relief she got was from hours of masturbation, which she detested because of her religious upbringing. Even then, the agony would only subside for minutes.

When she finally got the courage to see a doctor after months of suffering, she was told to take a milk bath or use ice packs, none of which helped. She couldn't hold down a job and was broke, forcing her to apply for disability and relay her struggles in court to a judge.

She had a boyfriend who helped her with her finances, but physical intimacy would lead to significant pain.

"The arousal won't let up. It will not subside. It will not relent. One O-R-G will lead you directly into the horrible intense urge, like you're already next to having another one. So you just have to keep going. I mean, on my worst night I had 50 in a row. I can't even stop to get a drink of water. And you're in so much pain. You're soaking in sweat. Every inch of your body hurts," is how she described her condition weeks after the Aug. 15 hearing.

Her claim was eventually rejected.

With PGAD, arousal can last for hours, days or even longer, despite attempts to relieve it with sexual activity or orgasm. Medications like antidepressants, anticonvulsants, pain blockers -- even botox injections -- are sometimes prescribed but generally have temporary effects if any at all, according to one expert. Sometimes medications make the problem even worse.

"Think of what it would be like to be like continuously on the verge of sneezing, say, or with a full bladder and nothing to do about it," Dr. Barry Komisaruk, a professor of psychology at Rutgers University who is renowned sexual medicine researcher, told CBSNews.com "The women are really tormented by it."

The cause of PGAD is thought to be unknown, with some theorizing psychological, vascular or neurological issues at play.

Komisaruk began researching the disorder after a doctor called him and said his wife was suffering from PGAD. The woman had also been diagnosed with a Tarlov cyst, a rare cyst on the sacral portion at the bottom of the spine. With so little research on the condition -- which was only first characterized in 2001, he said - Komisaruk sought out a support group of women with PGAD. After obtaining MRIs from 18 women in the support group, he saw 12 of them had Tarlov cysts, whereas in the general population, they're only found in 1.2 to 9 percent of people. Some women who did not have cysts appeared to have vertebrae pressing against nerves on the spinal cord, which may have contributed to their condition.

He published his findings in a May issue of the Journal of Sexual Medicine.

He concedes more research is needed since the study only found a link, not a cause, but he's hopeful it could lead to a better understanding of the disease.

Komisaruk says one of the problems with PGAD is a lack of knowledge. Many doctors don't know about it and it's not even recognized by the medical community as an official condition. Therefore any procedures that may potentially reduce the problems are not covered by insurance because there's no code for PGAD. What's more, it's unknown how many women have the condition since many choose not to talk about it out of embarrassment.

"If there was more general knowledge about it, I think more women would discuss it with their doctor," he hopes.

Before the story's launch, Molannen emailed the Tampa Bay Times thanking them for their interest in doing the story.

"I am flattered that you cared so much to want to help. I just hope this will educate people that this is serious and really exists, and that other women who are suffering in silence will now have the courage to talk to a doctor about it," she wrote.

The Tampa Bay Times has more on the story in this video:

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    Ryan Jaslow is CBSNews.com's health editor.

36 Comments Add a Comment
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curliegirlie74 says:
Sadly Gretchen couldn't get the help she needed from the medical community because of lack of knowledge, couldn't get social security disability to help her because of lack of knowledge and sadly after suffering so badly for 16 long agonizing years she most likely couldn't bare the thought of suffering any longer. I suffer from PNE Pudendal nerve entrapment (bilateral), which could be a very good possibility of what Gretchen was suffering with. What that is a nerve that comes out of your sacrum (the Pudendal Nerve) leads down through your genital region and has control over your genital functions and if this nerve is pinched, trapped or damaged in anyway it can have very serious symptoms, from everything Gretchen described including the worst pain I have ever felt in my entire life. I don't suffer the exact same pain Gretchen did, my nerve entrapment's are in other locations. I for one know how long getting a diagnosis can be, how many Doctors, Specialists, tests, x-rays, mri's, CATscans, etc. and sadly even after going through all of that and paying so much money out of your pocket you'll most of the time hear the dreaded words, I can't find anything wrong with you, sorry we can't help. I was misdiagnosed for 8 long agonizing years, and I'm in the process now of saving the funds to have a PN Neurography test to determine exactly where my entrapment's are located, then I need to find a surgeon who can perform the Pudendal nerve decompression surgery for me but sadly there are only a handful of Doctor and Surgeons in the world who understand this, treat it, and perform the surgery's. I have made it my goal to send PNE information to as many medical locations I possibly can until hopefully one day soon the medical field will understand it and more Doctors and Surgeons will treat it. My hopes are that no one will suffer like Gretchen did, in silence and with no help or answers for all that time. God rest her beautiful soul, her story touched my heart in more ways then I'll ever be able to express. I was Blessed to have found this story while doing more research and I'm thankful I did because I also passed it along so other's will know they don't have to suffer in silence, we can help if we just show the courage and speak out and try to educate as many people as we possibly can.
If you think your suffering from Pudendal Nerve Entrapment, Pudendal Neuraliga, or Pudendal Neuropathy, please go to these attached two websites for symptoms and educate yourself.
God Bless,
http://www.pudendalhope.info/node/9

http://www.tipna.org/
reply
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communikator says:
I wonder if she ever had children. Maybe her body was so in need of being pregnant and this would have satisfied some of her urges, having more hormones; oxytocin etc. Maybe biology was telling her something. Pretty obvious that women and men often crave sex and this is to satisfy the need to procreate. Often women say that their happiest most satisfied feelings in their lives were the times when they were pregnant... and maybe after she gave birth, her body would have reset to a more normal baseline? Does anyone know if she had children? If not, her doctors and psychiatrists should have suggested she do just that.
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oddbit replies:
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Sorry to go against your theory - I also suffer. This condition has nothing to do with craving sex. We suffer and often suffer in silence as it's embarrassing.... it's not because we want sex - we don't... well OK if I was in a loving committed relationship that would help, but I was a single mum leading a normal life when the condition hit me.... I have a child and although I wasn't having a sex life at the time it didn't make any difference. Saying that a sex life did help a bit later on.... and for a while it went away, but now 3 years later it is back with avengence and the thought of more children - well would be nice but I am probably too old - but would give it a try if the right man turned up.... but "her urges" were not because she caused them, but by probably a chemical imbalance - not because she wanted these urges - I hate them. I hate having swollen bits all the time.... it's really frustrating that just sitting or walking can be difficult, you struggle to concentrate on anything... so more on other comments...
superlucky99 replies:
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she did not have any children
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communikator says:
I wonder if she ever had children. Maybe her body was so in need of being pregnant and this would have satisfied some of her urges, having more hormones; oxytocin etc. Maybe biology was telling her something. Pretty obvious that women and men often crave sex and this is to satisfy the need to procreate. Often women say that their happiest most satisfied feelings in their lives were the times when they were pregnant... and maybe after she gave birth, her body would have reset to a more normal baseline? Does anyone know if she had children? If not, her doctors and psychiatrists should have suggested she do just that.
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winemaster2 says:
It is a sad and undoubted a terrible out come for this lady having to resort and end her life by suicide. Of course the medical profession did not take it seriously and the crooked timer of humanity allowed this decent and beautiful person resort to such an end. I tend to believe that this is a hormonal conditions, the least the medical people could have done is to artificially sedate this lady and infuse hormonal therapy and subdue the unwanted sexual arousal and keep her sedated to save her life. Or else even hypnosis could have helped.
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oddbit replies:
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Well you might think that hormonal therapy might work - it doesn't! They can not subdue the tissue arousal - well not in my case. I sit here in discomfort at this very moment. My consultant last year told me I needed a man -what the? Then I was told I was perimenstral - err no I was having regular periods. The oestrogen level was very low, but I was still having regular cycles.
I was sent for tests for scans of my ovaries - fine, sent to a nurse for incontinence - err that isn't the problem - I get the urge to go as the whole area is aroused - not because I need to practice pelvic floor exercises or need to reduce the number of times I go to the loo.
The latest insult was my last consultation when some male doctor said I must of suffered from sexual trauma and I was told I'd have difficulty having sex and would need help - well that was a complete an utter load of small round spherical objects and was most degrading and totally not true - he even examined the wrong part of my private area and caused unnecessary pain..
So Winemaster - after trying hormonal therapy - found it was making it worse and was putting me at more risk of side affects and shouldn't of even been prescribed.... I have a 10 yr old and do not want to be sedated, but at the moment the discomfort is so bad it is draining me - but I want to be alive... I've been offered to have the nerve endings numbed - but how do I know which nerve endings that will affect.... more research needs to be done but with such an embarrassing condition little is known about it - even I had to find the information out myself and tell my consultant what was wrong as they kept moving me around departments.
I am not a freak, or a nymphomaniac, I am a Mum who is getting really distressed by the continuous discomfort, the thought of vulnerability, and the isolation of not really being able to tell friends what is wrong.... it's the lack or relief that is distressing.... it doesn't give up and nothing I can do will stop it....
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davycoolguy says:
Not to sound morbid, but how did she kill herself. The news story needs to report the complete story.
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49supperdop says:
The family needs to check into any and all connections and exposures to any religious groups or friends or family in religious groups or even friends and family in Wicca.

There are growing corruptions of Satanism in the Protestant sectors as ways to control people and different forms of human trafficking are being practiced.

There may be a leagality hidden in the background of this situation against false religious leaders within certin religious sectors who hunt people for sport, espically pretty women who are single and easy to isolate from others. Who would ever guess religious leaders (male and female)would actually be sexual preditors and hunt a woman for decades?

Religion is a very good cover for false leaders to hide under. If there are false leaders, than what actually are they? There is a whole list of realities to contend with.

Unfortunately, the flocks and masses are unaware of what is being used against them.

And the bible does say, My people parish for lack of revelation! The devil does prowl around looking for innocents; but more times than not, he uses actual human agents of darkness to do his dirty work for him.

Someone or a group could have been having a high ole time with this poor soul.

Good luck.
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tmonta67 replies:
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WTFront Door????
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margieboy says:
I'm also glad to see the way that commenters here have been respectful about the poor woman and her condition. It's a terribly sad way for a life to end, but I can understand how helpless she must have felt. I'm especially sorry to hear the comment by the doctor saying that he wished his wife had that.

As for doubters, consider that "priapism" is a well-known medical condition and it occurred naturally long before drugs like Viagra increased the risk. Penile and clitoral tissue are roughly the same thing, so if men can have persistent erections that last for hours and are incredibly painful, then clearly women can have excessive sexual arousal, too.
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loverosamundkwan replies:
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I love your comment. You are a very empathetic person.
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jenhinds says:
RIP Gretchen
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zorroaca44 says:
Sounds very mental ... even bringing up religion ... and this has nothing to do with sex since there was none ... so where is the guilt???

I have a friend from Spain who in the past whipped himself with a leather strap ... Religion can be hell ...........

And if you don't have a lot of money ... what doctors do you have access to!

Seems like a bunch of web feet doctors were involved in this ... too bad!
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curliegirlie74 replies:
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Sadly Gretchen couldn't get the help she needed from the medical community because of lack of knowledge, couldn't get social security disability to help her because of lack of knowledge and sadly after suffering so badly for 16 long agonizing years she most likely couldn't bare the thought of suffering any longer. I suffer from PNE Pudendal nerve entrapment (bilateral), which could be a very good possibility of what Gretchen was suffering with. What that is a nerve that comes out of your sacrum (the Pudendal Nerve) leads down through your genital region and has control over your genital functions and if this nerve is pinched, trapped or damaged in anyway it can have very serious symptoms, from everything Gretchen described including the worst pain I have ever felt in my entire life. I don't suffer the exact same pain Gretchen did, my nerve entrapment's are in other locations. I for one know how long getting a diagnosis can be, how many Doctors, Specialists, tests, x-rays, mri's, CATscans, etc. and sadly even after going through all of that and paying so much money out of your pocket you'll most of the time hear the dreaded words, I can't find anything wrong with you, sorry we can't help. I was misdiagnosed for 8 long agonizing years, and I'm in the process now of saving the funds to have a PN Neurography test to determine exactly where my entrapment's are located, then I need to find a surgeon who can perform the Pudendal nerve decompression surgery for me but sadly there are only a handful of Doctor and Surgeons in the world who understand this, treat it, and perform the surgery's. I have made it my goal to send PNE information to as many medical locations I possibly can until hopefully one day soon the medical field will understand it and more Doctors and Surgeons will treat it. My hopes are that no one will suffer like Gretchen did, in silence and with no help or answers for all that time. God rest her beautiful soul, her story touched my heart in more ways then I'll ever be able to express. I was Blessed to have found this story while doing more research and I'm thankful I did because I also passed it along so other's will know they don't have to suffer in silence, we can help if we just show the courage and speak out and try to educate as many people as we possibly can.
If you think your suffering from Pudendal Nerve Entrapment, Pudendal Neuraliga, or Pudendal Neuropathy, please go to these attached two websites for symptoms and educate yourself.
God Bless,
http://www.pudendalhope.info/node/9

http://www.tipna.org/
linkicon reporticon emailicon
albertinamel says:
Ditto CANISLUPUS16.

This kind of episode can occur during pregnancy, though not "persistent" in nature, to my knowledge. During my second pregnancy, I would wake up startled from a deep sleep w/an orgasm that had had zero stimulation. It was actually somewhat painful b/c my uterus was already stretching to accommodate a placenta and fetus, and I felt these sharp spasms. I asked my doc about it, and she said she thought it would subside by the second trimester, which it did. Still, it was not pleasant or enjoyable. I can't imagine what this poor woman lived with for all those years.

The sad summary is that a woman took her own life b/c she was afflicted with a debilitating condition that no medical professional knew how to cure. It doesn't matter that it was a "sexual" condition. It's tragic whenever someone resorts to suicide for lack of a cure to his/her medical condition.
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