Syndrome of Inappropriate Genital Arousal

Here at the London Vulvar Pain Clinic, our world-class Pain Consultants are renowned for managing the long-term discomfort and arousal sensations associated with syndrome of inappropriate genital arousal (SIGA). Once an accurate diagnosis has been established, our highly experienced Pain Doctors will then provide you with a fully comprehensive Holistic Personalised Treatment Plan that you can get started on right away. This protocol, which is designed to ameliorate pain and alleviate SIGA symptoms, and is likely to include both proven conventional and the latest cutting-edge solutions. This multi-faceted approach which creates a synergy of treatments, therapies and injectables, can in many instances, be more beneficial that just a singular line of treatment.

Causes of Syndrome of Inappropriate Genital Arousal  (SIGA)_

  • Side effects of pharmaceuticals
  • Nerve dysfunction
  • Vascular factors
  • Hormonal imbalance
  • Psychological elements

Risks For Contracting Inappropriate Genital Arousal Syndrome

  • Being assigned female at birth
  • Neurological conditions
  • Pelvic surgery
  • Pelvic trauma
  • Certain pharmaceuticals
  • High stress levels
  • Feeling anxious

Inappropriate Genital Arousal Syndrome Symptoms

  • Unrelenting genital arousal
  • Sensitivity in the genital region
  • Tingling in the genitals
  • Pressure on the genitals
  • Not experiencing any relief post-orgasm
  • Being emotionally distressed

Receiving an Accurate Diagnosis

During your initial online or in-person consultation with one of our Pain Doctors, after they have reviewed your medical history and asked you various pertinent questions, they will then conduct or arrange another appointment in order to carry out any necessary diagnostic tests or scans. These may include:

  • A pelvic MRI scan
  • A psychological assessment
  • Nerve conduction testing. (This is designed to measure the speed in which impulses move along a nerve. This helps your Pain Doctor determine how well your nerves and muscles are functioning)
  • A pudendal nerve block injection with a local anaesthetic. (If the patient feels pain relief from the block, then it could indicate that the pudendal nerve is root of the pain. Conversely, if the patient is still experiencing pain, then the cause is likely to be a different source. Pudendal nerve block diagnosis is also valuable in helping your Pain Specialist plan future treatment)

Note: as part of a multidisciplinary process, in some instances your Pain Consultant may also refer you to a neurologist, urologist or gynaecologist.

London Vulvar Pain Clinic Treatments For SIGA

These include:

  • Pharmaceuticals designed to ameliorate pain (including standard neuromodulators)
  • Medications to relief symptoms
  • Nerve blocks (including pudendal nerve injections) and localised injections
  • Botox injections
  • Specialised pelvic floor physiotherapy
  • Advice on easy to implement pain management techniques
  • Psychological support
  • Guidance on activity and lifestyle modification

Note: follow up appointments to discuss patient progress and address any queries or concerns, can often done via online consultations. However, should the patient like to have an in-person appointment in our central London Harley Street Clinic, then that can easily be arranged to fit in with your work and family schedule.