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Restless Genital Syndrome - Symptoms, Diagnosis, and Treatment

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Restless genital syndrome (RGS) is a relatively recent term focusing on genital sensory abnormalities rather than sexual desire. This article aims at decoding RGS.

Medically reviewed by

Dr. Raveendran S R

Published At November 2, 2022
Reviewed AtFebruary 6, 2024

What Is RGS (Restless Genital Syndrome)?

Excessive and persistent genital and clitoral arousal in the absence of conscious sexual desire is a restless genital syndrome. Restless legs syndrome (RLS) or an overactive bladder have been connected to these sensations. The restless genital syndrome is more common in women because it is linked to tiny fiber sensory neuropathy of the clitoris dorsal nerve. It is characterized by various genital sensations that are difficult to define, such as itching, tingling, contractions, and discomfort. It might cause the patient distress and lead to social retreat and a delay in diagnosis. There are various pharmacologic and non-pharmacologic therapeutic strategies for RGS.

What Is the Underlying Cause of Restless Genital Syndrome?

Many theories have been presented to explain RGS, including:

  • Damage to the pudendal nerve or the dorsal nerve of the clitoris.

  • Changes in hormones during menstruation.

  • Stages of pregnancy.

  • Hormone treatment patients.

  • Cysts of Tarlov.

  • Vasoconstriction in the genital area.

  • Iron deficiency.

  • A family history of RGS suggests that genetics may play a role in these illnesses.

Can Men Experience Restless Genital Syndrome?

RGS affects roughly 1% of women and has only been detected in a handful of men. However, there are likely to be more men with the illness, and as it gains more attention, more may come forward. Men with RGS may have mistakenly assumed that they had an abnormally high sex drive.

What Are the Signs and Symptoms of Restless Genital Syndrome?

You may have RGS if you feel throbbing, tingling, or sensitivity in your genitals but no sexual thoughts. Aside from that, the symptoms appear to vary. An episode of RGS can be triggered by motion or stimulus (such as riding a bike). The disease can also strike while you are sitting or lying down. While erection or arousal might be present throughout an episode, it is not a compulsion. The one thing that all of these cases have in common is that RGS is described as being obtrusive and unwelcome rather than joyful.

Is There an Issue With My RGS?

That depends on how you define the term "issue." Because, as far as the doctors can tell, RGS has no detrimental health consequences. Nonetheless, the diseases can have a significant psychological impact. It can be pretty distracting to become aroused for no apparent cause in the middle of, say, a work meeting. And if the impulses become too intense, they may interfere with your social life. Consult your doctor if you believe the issue is impacting your life. Selective serotonin uptake inhibitors (SSRIs), a type of antidepressant, frequently have the unwanted side effect of reducing libido and making it more difficult to ejaculate However, the medications helped without creating any harmful side effects.

How Is RGS Treated?

Restlessness in various body regions, such as the belly, bladder, and vaginal area, has been repeatedly reported, either alone or with RLS (restless leg syndrome). RGS and RLS coexist in some ways. Dopaminergic agonists are the first-line treatment for RLS; however, they have not been widely employed in treating RGS due to a lack of understanding of the link between the two conditions. Other treatment options for RGS include

  • Electroconvulsive therapy (mainly if it is linked with mood problems).

  • TENS (transcutaneous electrical nerve stimulation) therapy.

  • Anti-anxiety medications like diazepam can help with symptoms.

Is It Pleasurable to Be in a State of Constant Genital Arousal?

You would think that being in a constant state of genital and clitoral arousal sounds like a lot of fun, but people with the restless genital syndrome (RGS) have a different answer. For starters, it does not feel like the kind of arousal that comes with being turned on. Instead, RGS is a condition that causes unwelcome and unjustified discomfort in the genital region.

What Is The Difference between Restless Leg Syndrome (RLG) And Restless Gential Syndrome (RGS)?

Restless leg syndrome and restless gential syndrome can appear alongside each other as they might share links with neurological disorders or they can even damage the signals between the brain and relevant areas of the body.

  • Restless leg syndrome is a neurological disorder that will cause the person to feel uncomfortable sensations to the legs and a persistent and often uncontrollable urge to move them.

  • In restless genital syndrome, person will experience regular excessive sensations of arousal in the gential and clitoral areas but there is no feeling of the mental side of sexual behavior.

How Is RGS Diagnosed?

Five distinct characteristics must be present to diagnose RGS:

  • First, genital arousal should be sustained for a long time (hours to months).

  • There should be no other source of vaginal stimulation.

  • Genital arousal should be independent of sexual desire feelings.

  • Finally, after orgasm, the arousal experience should last a short while.

  • Distress is significant in diagnosing RGS since some women may have genital arousal sensations that they find neutral or pleasurable and thus do not meet the criteria for restless genital syndrome.

What Can At-Home Remedies Help Get Rid of These Unpleasant Feelings?

Women use a variety of methods to alleviate unwanted sensations. Masturbation, orgasm, diversion, intercourse, exercise, or a cold compress may all assist, although relief is frequently just temporary or partial. The fact that RGS patients experience higher sexual arousal does not imply that they have a stronger desire for sexual engagement. Sexual activity satisfaction is frequently lower than in other women.

Although there is little data on the prevalence of RGS in Parkinson's disease, there have been case reports of genital pain in patients with Parkinson's disease that was linked to the "wearing out" of antiparkinsonian medicines and responded to dopaminergic therapy, such as apomorphine. Also, vaginal discomfort has been linked to drug-induced (neuroleptic) parkinsonism as a tardive condition.

Although there is little data on the prevalence of RGS in Parkinson's disease, there have been case reports of genital pain in patients with Parkinson's disease that was linked to the "wearing out" of antiparkinsonian medicines and responded to dopaminergic therapy, such as apomorphine. Also, vaginal discomfort has been linked to drug-induced (neuroleptic) parkinsonism as a tardive condition.

Is There a Cure for Restless Genital Syndrome?

RGS can make you excessively preoccupied, sleep-deprived, and irritable, and there is currently no cure because there is no identified cause. Although the symptoms can be managed, there is no definitive cure.

Conclusion

Restless genital syndrome (RGS) is a novel term for which awareness has only recently spread. In the absence of sexual stimulation, RGS is a complicated sensation of discomfort in the genital area, such as itching, constriction, pain, and swelling. This ailment, which can be rather unpleasant for the patient, is kept hidden out of shame and is not brought to the attention of doctors. However, RGS is not anything to be ashamed of but rather something to be addressed.

Frequently Asked Questions

1.

How Does Restless Genital Syndrome Feel?

Awareness about restless genital syndrome has emerged in recent years. It refers to complex sensations of discomfort in the genital region, such as pain, contraction, swelling, and itching in the absence of sexual stimulation. These sensations are believed to be related to symptoms of restless legs syndrome and overactive bladder. Women are commonly affected by this syndrome. Feelings of arousal include elevated blood flow to the genital region, thereby making the clitoris swell and the genital area tend to pound and throb.
 

2.

How Can Restless Genital Syndrome Be Treated?

The symptoms of this syndrome may last for hours, days, or even weeks. Common treatment options include cognitive behavioral therapy (CBT), electroconvulsive therapy, validation techniques, psychotherapy, distraction techniques, pelvic floor physical therapy and massage, and transcutaneous electrical nerve stimulation (TENS) therapy. Anti-anxiety medications like Diazepam, antipsychotics, drugs for nerve pain, and mood stabilizers may also be beneficial. 

3.

How Long Can the Symptoms of Restless Genital Syndrome Last?

The symptoms of this syndrome may last for hours, days, or even weeks. Feelings of arousal include elevated blood flow to the genital region, thereby making the clitoris swell and the genital area tend to pound and throb. Vaginal secretions may also increase. Experiencing an orgasm can provide transient relief, but the symptoms tend to recur quickly.

4.

Is Restless Genital Syndrome a Real Condition?

 
Restless genital syndrome is a rare condition that involves experiencing complex sensations of discomfort in the genital region, such as pain, contraction, swelling, and itching in the absence of sexual stimulation. The symptoms do not go off with one or more orgasms.  These sensations are believed to be related to symptoms of restless legs syndrome and overactive bladder.

5.

How Can One Stop Being Restless in Bed?

By doing regular exercise, turning off electronic gadgets, staying active during the day, following a consistent sleep schedule, eating a balanced diet, and practicing relaxation techniques like massage or warm baths one can prepare the body for sleep. Having a restless sleep can be due to using electronic devices in bed, following an inconsistent sleep schedule, and eating too late at night. Anxiety, stress, oversleeping before the usual sleeping time, an imbalanced diet, and underlying medical conditions can make one feel restless in bed.

6.

How Can Restless Leg Syndrome Be Stopped Immediately?

One can do the following to obtain relief during an episode of restless legs syndrome:
- Walking and stretching.
- Massaging the legs.
- Doing relaxation exercises like yoga.
- Applying a hot compress to the muscles of the legs.
- Engaging in activities like reading or watching television that will help distract the mind. 
- Taking a hot shower in the evening.

7.

How to Know if One Feels Restless?

Bouts of restlessness can have both physical and mental characteristics that can disturb one’s sleep and can have an impact on one’s quality of life. The following are the signs of a restless individual:
- Feeling irritable.
- A feeling of nervousness or uneasiness.
- Inability to stay still (excessive fidgeting).
- Difficulty concentrating.
- Racing thoughts.

8.

Do Men Suffer From Restless Genital Syndrome (RGS)?

Women are commonly affected by restless genital syndrome (RGS), which manifests in about one percent of women. So far, only a handful of men have been diagnosed with restless genital syndrome. It is rare in men, and these individuals are usually misdiagnosed with chronic prostatitis (inflammation of the prostate gland). Men with RGS may feel that they have an unusually high sex drive.
 
 
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Dr. Raveendran S R
Dr. Raveendran S R

Sexology

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