Volume: 5 Issue: 1
Year: 2017, Page: 25-29,
Background: The chances of developing sexual dysfunctions appear to increase with increasing years of alcohol consumed. Various explanations have been offered for sexual dysfunction in alcoholic patients. The prevalence of sexual dysfunction causes significant distress and affects the relationship of a couple.
Aim :Our study was an attempt to find out the presence of sexual dysfunction in alcohol dependant individuals and correlate with severity of Alcohol Dependence
Material and Methods : Sixty male in-patients who were diagnosed as alcohol dependence syndrome according to ICD-10 were assessed for severity of dependence using Severity Of Alcohol Dependence Questionnaire (SADQ) and Assessment of sexual disorders was done using Arizona Sexual Experiences Scale (ASEX). Relationship between the severity of alcohol dependence and presence of sexual disorder is analyzed using chi square test and spearman’s correlation coefficient test using SPSS software.
Results :sixty percent of our patients with alcohol dependence had sexual dysfunction. The level of alcohol dependence has significant association with the sexual dysfunction
Conclusion :Sexual dysfunction and alcohol dependence are proportionately related. Clinicians need to assess sexual dysfunction in all patients presenting with Alcohol Dependence.
Keywords: Sexual Dysfunction, Alcohol Dependence, SADQ, ASEX
1. As quoted in Maxim Gorky, Lev Nikolayecih Tolstoy (1920).
2. Bancroft J. Sexual Problems In: Bancroft J. Human Sexuality and its problems 2nd Ed. New York: Churchill Livingstone.1983.360-411.
3. Graham C A, Bancroft J. The sexual dysfunction. In: Gelder M G, Andreasen C N, Lopez-Ibor J J, Geddes J R, editors. New Oxford Textbook of Psychiatry, 2nd ed. Oxford University Press: Oxford, UK; 2009, 821-832.
4. Grover S, Surendra K Matto, Shreyas Pendherkar, Sexual dysfunction in patients with Alcohol and Opioid Dependence, Indian J Psychol Med. 2014 Oct-Dec; 36(4): 355–365.
5. Laumann EO, Paik A, Rosen RC. Sexual dysfunction in the United States: Prevalence and predictors.JAMA. 1999;281:1174–5. Erratum in: JAMA 1999;281:1174-5.
6. Stankvshve T, Protic M, Shishkova Disturbances of sexual function in alcoholics (in Bulgarian) Nevro Psikhiat Nevrokhir Sofiya. 1974;13:409–15.
7. Lemere F, Smith JW. Alcohol-induced sexual impotence. Am J Psychiatry. 1973 Feb; 130(2):212-3.
8. Whalley LJ. Sexual adjustment of male alcoholics. Acta Psychiatr Scand. 1978 Oct;58(4):281-98.
9. Jensen SB. Sexual function and dysfunction in younger married alcoholics. A comparative study. Acta Psychiatr Scand. 1984 Jun;69(6):543-9.
10. Vijayasenan ME. Alcohol and sex. N Z Med J 1981;93:18- 20.
11. Arackal BS, Benegal V. Prevalence of sexual dysfunction in male subjects with alcohol dependence. Indian J Psychiatry. 2007 Apr;49(2):109-12.
12. Briddell DW, Wilson GT: Effects of alcohol and expectancy set on male sexual arousal. J Abnorm Psychol. 1976; 85:225-234.
13. Farkas GM, Rosen RC: Effect of alcohol on elicited male sexual response. J Stud Alcohol 1976;37:265-272.
14. Austin Fernandez and Avinash Desouza .Paripex: Indian J research 2014;3(40):187-90.
15. Powell DJ. Alcoholism and Sexual Dysfunction: Issues in Clinical Management. Routledge 1984: 22-30.
16. .Nordmann R, Ribière C, Rouach H. Ethanol-induced lipid peroxidation and oxidative stress in extrahepatic tissues. Alcohol Alcohol. 1990;25:231–7.
17. Rivier C, Rivest S, Vale W. Alcohol-induced inhibition of LH secretion in intact and gonadectomized male and female rats: Possible mechanisms. Alcohol Clin Exp Res. 1992;16:935–41.
18. Fahrner EM. Sexual dysfunction in male alcohol addicts: Prevalence and treatment. Arch Sex Behav.1987;16:247– 57.
19. O’Farrell TJ, Choquette KA, Birchler GR. Sexual satisfaction and dissatisfaction in the marital relationships of male alcoholics seeking marital therapy. J Stud Alcohol. 1991;52:441–7.
20. McCambridge J, Mitcheson L, Hunt N, Winstock A. The rise of Viagra among British illicit drug users: 5-year survey data. Drug Alcohol Rev. 2006;25:111–3.
21. Rosen RC. Alcohol and drug effects on sexual response: Human experimental and clinical studies. Annu Rev Sex Res. 1991;2:119–79.
22. Okulate G, Olayinka O, Dogunro AS. Erectile dysfunction: Prevalence and relationship to depression, alcohol abuse and panic disorder. Gen Hosp Psychiatry. 2003;25:209– 13.
23. Fagan PJ, Schmidt CW, Jr, Wise TN, Derogatis LR. Alcoholism in patients with sexual disorders. J Sex Marital Ther. 1988;14:245–52.
24. Masters W, Johnson VE. Human Sexual Inadequacy. Boston: Little Brown; 1970.
25. Stockwell T, Murphy D & Hodgson R . The severity of alcohol depend ence questionnaire: Its use, reliability and validity. British Journal of Addiction 1983;78(2):45-156.
26. Raistrick, D, Heather N & Godfrey C . "Review of the Effectiveness of Treatment for Alcohol Problems" National Treatment Agency for Substance Misuse, London pg 71.
27. McGahuey C.A., Gelenberg A.J., Laukes C.A., Moreno F.A., Delgado P.L., McKnight K.M., Manber R. The Arizona Sexual Experience Scale (ASEX): reliability and validity. Journal of Sex and Marital Therapy 2000;26(1):
28. Villanta J, Estruch R, Antunex E, Valls J. Vagal Neuropathy in Chronic Alcoholics: Relation to Ethanol consumption. Alcohol Alcohol 1989:24421-8.
29. Gumus B, Yigitoglu MR, Lekili M, Vyanik BS. Effect of longterm alcohol abuse on male sexual function and serum gonadal harmone levels. Intl Uro Nephrol 1998; 30:755-9.
30. Jensen SB, Gludd C. Sexual dysfunction in men with alcoholic liver cirrhosis: A comparative study. Liver.1985;5:94–100.
31. Van Thiel DH, Lester R. The effect of chronic alcohol abuse on sexual function. Clin Endocrinol Metab. 1979;8:499– 510.
Pavan K ,Chada Apurva, Anaveni R , Roy S. Study of prevalence of Sexual dysfunction in Alcohol Dependant individuals: A cross sectional study. Perspectives in medical research 2017;5(1):25-29.