Pathological spontaneous orgasms can be experienced as pleasurable, non-pleasurable, or unpleasant, and can be distressing. Causes of pathological spontaneous orgasms include spinal cord lesions, psychological causes, rabies, and medications.
In some cases, people may experience orgasms without any apparent reason or stimulation, which can range from pleasurable to unpleasant. These episodes can be distressing for the individual, and their causes may involve physical, psychological, or medical factors.