Addiction and Sexuality Addiction and Sexuality
Sexual dysfunction interferes with treatment adherence and effectiveness of de-addiction interventions and often requires an integrated approach comprising of pharmacological and non-pharmacological interventions.
Abstract
Alcohol influences human sexual behaviour by acting on limbic-hypothalamic hedonic motivational pathways. Traditionally, alcohol is used to enhance sexual function and is associated with risky sexual behaviours. However, alcohol associated sexual dysfunction is well known and may be caused by various frequently comorbid physical and psychological conditions and by direct effects of alcohol as well. Strained interpersonal relationships, commonly seen in patients with alcohol dependence, also contribute to sexual dysfunctions. Various medications used in treatment of commonly seen co-morbidities and de-addiction prophylaxis are also associated with sexual dysfunction. Sexual dysfunction, thus interferes with treatment adherence and effectiveness of de-addiction interventions. Managing sexual dysfunction related distress is challenging and often requires an integrated approach comprising of pharmacological and non-pharmacological interventions. Partner participation and consultation liaison are key aspects. In the absence of physical co-morbidities, alcohol use related sexual dysfunction is often reversible.