For most people, orgasms are the ultimate experience of pleasure - but a man who has 100 orgasms each day says he doesn't enjoy them at all.
Dale Decker is the first man to ever speak publicly about Persistent Genital Arousal Syndrome - a condition he developed in September 2012 when he slipped a disk in his back while getting out of a chair.
On his way to the hospital he suffered his first five orgasms and has been given no respite from them since.
The painful pelvic episodes have left him housebound and isolated through fear of suffering a public orgasm.
The 37-year-old said: “Imagine being on your knees at your father’s funeral beside his casket – saying goodbye to him and then you have nine orgasms right there.
“While your whole family is standing behind you. It makes you never want to have another orgasm for as long as you live.
“There’s nothing pleasurable about it because even though it might feel physically good - you’re completely disgusted by what’s going on.”
He added: “If you’re in public, if you’re in front of kids – it’s disgusting and it can break you real fast.
“It happened to me at the grocery store and when it was over there were around 150 people looking straight at me – why would I leave the house when something like this can happen.”
Dale lives in Two Rivers, Wisconsin with his wife April and two sons Christian, 12, and Tayten, 11.
While she does everything she can to support him, April, 33, is finding Dale’s condition just as hard to live with as he is.
She said: “We really struggle right now as he is unable to work and supply for his family and I feel like all the strain is on me.
“It’s really upsetting, we don’t do things that man and wife should do and we argue over things that should not be affecting us.”
April added: “Because he sometimes has episodes at night we took the decision to sleep in separate beds.
“That can be very frustrating. You want the comfort from another person, particularly your husband but we don’t have that.
“I really miss the old Dale, we used to have a lot of fun and one day I pray that he will come back to me.
“Maybe the doctors will find a cure for this – I don’t know – I just really hope that they do.”
The condition has cost Dale many of his friends and the relationship he shares with his sons has also been affected.
“He struggles to be a good father to the children because they obviously don’t understand what is happening. He can’t take them to practice – can’t play ball with them, it’s really hard,” added April.
Despite Dale suffering from a near constant erection, he and April rarely have sex.
Dale added: “Occasionally we will but it’s very frustrating for both of us as this condition has left me unable to finish.
“I’ve tried reading about it, tried going to doctors but nobody can help me – I don’t know what I’m going to do.
“I just want to get my old life back – I just want to get back what this condition has taken from me.”
Despite many medical professionals being unable to even diagnose the condition, there are some specialists in the field.
Dr Dena Harris is a gynecologist who has mainly worked with women who suffer with PGAS. Speaking from her office in New York City, she said: “It’s clear Dale is really suffering and I’m sure there are some people who will say that this is just in his head - but it’s not,
"It’s a serious medical condition and I just hope he gets the help he so desperately needs.
“Being aroused can be a wonderful thing but this is not like arousal, it’s not even sexual.
“It’s a horrendous spasm and it can be terribly painful. Dale looks like he is in pain – not just emotionally but physically as well.
“I’ve got to be honest, there is help available but if Dale doesn’t get help soon then there could be huge risks in the future.
“Suicide is always a concern when people suffer from this condition – they feel like they have no other way to escape it.”