I have PGAD and always feel on the verge of an orgasm, but they are harder to reach now. When I have the pain cycles, I don't want to even try, and luckily the arousal diminishes while I'm in a pain cycle, but it never goes away completely.
When I first had PGAD I had no idea what it was, and just thought I was aroused easily. Orgasms were a bit elusive and when I got one, only satisfied me for a few hours, or maybe only a few minutes sometimes. My pelvic muscles were tense all the time, perhaps only relaxing when I was asleep. It was nothing to need to orgasm four or five times a day (on purpose), and I also had the dozens of spontaneous orgasms too.. I never counted them because they rarely 'did anything' for me except let me know that all was not well 'down there'.
A couple of months into my PGAD and I noticed that it was harder to achieve an orgasm.. I always felt one was just about to happen, but when I actually tried, it wouldn't.. The more I tried the more difficult it was to get one, then the more frustrated I'd get.. Sometimes I would see it through, other times I'd give up after awhile (a looong while!).. Who has a couple of hours each time they "need" to orgasm? I was spending more time trying for one than I was working!
When I found out that 'relieving' it was only making it worse, I would go a couple/three days without trying for one. That seemed to help with the 'desensitization' of the area, and I could achieve an orgasm usually in under an hour.. There are no such things as 'quickies' for someone with PGAD in the desensitization phase.. With the pain cycle, sometimes it's a couple of weeks long, so I don't try for one then, or if I do, it's me and not hubby trying because I don't want him to hurt me and neither does he. I'm on Lyrica now so the pain is going away, so I'll see if it makes a difference for me.
On the road of discovery to see what is causing my PGAD.