title: [A woman with restless genital syndrome: a difficult-to-treat condition].
abstract: BACKGROUND
  Restless Genital Syndrome (RGS) refers to the uncommon experience of excessive and persistent sensations of genital and clitoral arousal, with either restless legs or symptoms of an overactive bladder, in the absence of conscious feelings of sexual desire. RGS is caused by a small fiber sensory neuropathy of the dorsal nerve of the clitoris. To date, there is no consensus on the treatment for RGS.
  
  
  METHODS
  A 58-year-old woman presented with persistent and unwanted genital arousal in her clitoris and labia minora. The arousal symptoms were accompanied by restless legs. Despite the pre-orgasmic feelings, orgasm was not achieved. Sexual activity did not resolve the symptoms. Two months prior to the onset of RGS symptoms a presacral abscess had been drained.
  
  
  CONCLUSIONS
  Lidocaine, oxazepam, clonazepam, tramadol and transcutaneous electrical nerve stimulation, combined with psychotherapeutic counseling, have been described as the most appropriate treatment modalities for RGS based on the experiences to date.
authors.affiliation: Universitair Medisch Centrum Groningen, afd. Obstetrie en Gynaecologie, Groningen, the Netherlands. s.k.spoelstra@umcg.nl
authors.forename: Symen K
authors.initials: SK
authors.lastname: Spoelstra
authors.forename: Marcel  D
authors.initials: M
authors.lastname: Waldinger
authors.forename: Esther R
authors.initials: ER
authors.lastname: Nijhuis
authors.forename: Willibrord C M
authors.initials: WC
authors.lastname: Weijmar Schultz
mesh_terms: D001143:Arousal; D002987:Clitoris / Q000294:innervation* / Q000503:physiopathology; D005260:Female; D006801:Humans; D007989:Libido; D008875:Middle Aged; D009948:Orgasm; D011595:Psychomotor Agitation; D012148:Restless Legs Syndrome / Q000175:diagnosis / Q000453:epidemiology; D012725:Sexual Behavior; D012735:Sexual Dysfunction, Physiological / Q000175:diagnosis* / Q000453:epidemiology; D014147:Tramadol / Q000627:therapeutic use; D004561:Transcutaneous Electric Nerve Stimulation / Q000379:methods; D053201:Urinary Bladder, Overactive
chemical_list: D014147:Tramadol