Allyson Augusta Shrikhande, MD is a top pain management physician who specializes in the complex conditions that affect the pelvic floor region. Patients seek Dr. Shrikhande from across the United States for her expertise in otherwise understudied and untreatable conditions. Allyson Shrikhande, MD works with each of her patients very closely to find treatments options that work, understanding that persistent genital arousal disorder is a disruptive and painful condition.

The staff at NY Bone and Joint Specialists understands the importance of your treatment and will strive to make your visits to either the Upper East Side or Midtown West facilities. All of your insurance processes will be handled and appointments scheduled at your convenience. You can be sure you are receiving top quality care with Allyson Augusta Shrikhande, MD.


Persistent Genital Arousal Disorder is excessive female arousal that can persist from hours to weeks and to the point of physical pain and mental distraction and frustration. With persistent genital arousal, you will feel excessive vaginal congestion and physical signs of arousal spontaneously, without feeling any sexual desire. While persistent genital arousal disorder may push a woman to orgasm to seek relief, this usually only relieves symptoms for a few minutes, if at all. Most often, these feelings are unwanted and intrusive; it is debilitating and intrudes upon daily life. Many women find it extremely difficult to function in public during bouts of Persistent Genital Arousal Disorder. The need to relieve these symptoms with sexual acts is both unavoidable and ineffective. This makes it difficult to concentrate at work or during mundane tasks like driving, and makes daily situations like riding the train or going grocery shopping unbearable. If symptoms are ignored and not acted upon, waves of orgasm can erupt spontaneously making it extremely difficult to focus on everyday tasks.

Persistent Genital Arousal Disorder is a complex condition about which little is known. Though surveys show that the condition is rather uncommon, it has been noted that many cases of persistent genital arousal disorder go unreported due to shame on the part of the sufferer. Because of the pain and intimacy related with the condition, many women are pushed into emotional turmoil, often depression. Allyson Augusta Shrikhande, MD has become the leading physician in the tristate area and even across the United States because of her passion for finding the solution to PGAD for each individual patient that seeks her advice. Because of the ambiguity of the condition, Dr. Shrikahnde works to build a specific treatment plan for each patient, following up for as long as is necessary to discover what provides her patient with relief. Since no one treatment proves affective for every woman with Persistent Genital Arousal Disorder, it takes time and patience to find possible contributors and solutions. Allyson Augusta Shrikhande, MD is completely dedicated to each of her patients with Persistent Genital Arousal Disorder. She is always available for her patients and works through each case personally.


The physical symptoms of persistent genital arousal disorder is vascocongestion and other effects of sexual arousal in the genital area. These symptoms eventually turn into pain because of the frequency. This can make activities like sexual intercourse or urinating extremely painful as well. Symptoms can become aggravated by very simple triggers, like cell phone vibrations, sitting, or riding in a car.

Sexual desire is not spurred from these physical feelings. The mental effects of persistent genital arousal disorder are dire. The condition often makes it impossible to function in daily situations. Persistent genital arousal disorder interrupts work, parenting, and other tasks. Women have often lost their jobs due to their inability to quell persistent genital arousal since it makes it difficult to arrive to work and there is a need to relieve symptoms during the work day. Persistent genital arousal disorder is also detrimental to intimate relationships. While a few women may seek a sexual partner to help relieve symptoms of persistent genital arousal disorder, intercourse can become painful. This often keeps couples from sexual acts, which may require couples therapy to overcome.


There is no known cause of persistent genital arousal disorder. Any woman can be affected, young or old, pre or post-menopausal. It seems that the condition is an irregularity in nerves of the pelvic region. It has been connected to pudendal nerve entrapment in some cases.

There are some instances of persistent genital arousal that have apparent causes such as taking SSRIs and a pelvic arterial-venous malformation, which requires surgery.


Because persistent genital arousal syndrome has no apparent cause, no one treatment works for every diagnosed woman. Allyson Augusta Shrikhande, MD tries multiple treatment options with her patients to determine which are most effective for each individual. Allyson Augusta Shrikhande, MD is a sought after expert on building a multi-faceted treatment plan for each of her patients. With patience and persistence, she has had great success helping each of her patients find relief and promote a better quality of life. Dr. Shrikhande can also recommend psychologists and professionals to help cope with the emotional aspects of persistent genital arousal disorder, which is often crucial in overcoming the condition. Some of the treatment options Dr. Shrikhande offers include:

  • Pelvic Floor Physical Therapy – Persistent genital arousal disorder may be a product of abnormal nerve function in the pelvic floor. Pelvic Floor Physical Therapy is a very specific type of therapy that can strengthen pelvic floor muscles therefore reducing irritation to the nerves in the pelvic area.
  • Oral Medications, including hormonal modifiers like birth control
  • Ultrasound Guided Nerve Blocks – These are injections done by Allyson Augusta Shrikhande, MD when it seems likely that persistent genital arousal disorder is caused by pudendal nerve entrapment. This is a direct injection that blocks pain signals to the pelvic nerves.
  • Ultrasound Guided Trigger Point Injections to Pelvic Floor Muscles – Trigger Point injections help to break up trigger points and improve blood flow to the muscles of the pelvic floor. The anti-inflammatory substance can release tension in tissues and stop compression of pudendal nerves.
  • Ultrasound Guided Botox Injections to the Pelvic Floor – Botox injections to the Pelvic Floor Muscles help to relax the muscles of the pelvic floor and to block pain signals to the Brain.


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