Prevalence of Various Domains of Sexual Dysfunction in Young Alcohol Dependent Males

Background : The available research on alcohol-induced sexual dysfunction has mainly deliberated on erectile dysfunction and premature ejaculation. Other major domains of sexual dysfunctions (viz., sexual pleasure, sexual desire, arousal, orgasmic function, and intercourse satisfaction) were rarely taken into consideration. This study was undertaken with the aim to boost an interest and understanding in this area and to reduce the morbidity associated with alcohol-induced sexual dysfunction. Materials and Methodology: The study utilized a cross-sectional descriptive design and recruited 78 male patients admitted for de-addiction. The assessment was conducted using a specially designed intake pro forma and psychometrically strong and validated tools such as Changes in Sexual Functioning Questionnaire-Male Clinical version (CSFQ-MC), International Index of Erectile Function scale, Diagnostic and Statistical Manual of Mental Disorders -5, and International Classification of Disease, 10 th revision, diagnostic criteria for research. Results : The various domains of sexual dysfunction as per CSFQ revealed decreased sexual pleasure (71.8%) as the most common sexual dysfunction followed by low sexual desire (in terms of frequency) in 61.5%. Sexual desire (in terms of interest) was low in 55.1%. Sexual arousal/excitement was low in 59%. Sexual orgasm/completion scores were low in 48.7% alcohol-dependent male patients. Erectile dysfunction was found in 43.6% of alcohol-dependent male patients. Conclusion: The most common sexual dysfunction reported in the current study was decreased sexual pleasure (71.8%) followed by low sexual desire 61.5% (in terms of frequency). These findings emphasize the fact, that alcohol significantly compromises almost all domains of sexual functioning in addition to erectile dysfunction. Further, this information can be used in motivational counseling of heavy drinkers (especially adolescents and young adults) to provide motivation for change.