peavalust

Peavalust is a neologism used in some clinical and theoretical discussions to describe a persistent, atypical sexual interest centered on urine and urination. It is not recognized as a distinct disorder in major diagnostic manuals such as the DSM-5 or ICD-11, and there is limited peer‑reviewed research establishing it as a separate diagnosis. In sources that address peavalust, it is often described as a form of urine-centered paraphilia, though definitions and criteria vary.

The presentation commonly involves ongoing sexual arousal associated with urine-related stimuli, such as the sight or smell of urine, or involvement in urination-related acts. People with peavalust may experience fantasies, arousal, or sexual behaviors that focus on urine or urination. For many, these interests cause distress or impairment in daily functioning or involve non-consenting parties, which elevates clinical concern and may qualify the case for treatment.

Etiology for peavalust remains unclear. Hypotheses in the broader literature on paraphilias include a combination of neurobiological, psychological, and social factors, as well as early experiences and conditioning. Comorbidity with other sexual, anxiety, or mood disorders is not uncommon in clinical populations presenting with paraphilic interests.

Diagnosis is clinical and non‑pathognomonic, typically conducted by mental health professionals through comprehensive assessment, consent considerations, and evaluation of distress or impairment. Treatment approaches draw from broader paraphilia management and may include psychotherapy (notably cognitive-behavioral therapy), psychoeducation, and, in some cases, pharmacotherapy such as selective serotonin reuptake inhibitors or other agents to reduce sexual drive, always with careful ethical and medical oversight.

See also: paraphilias, urophilia, urolagnia.