Chronic and persistent alcohol use is known to induce sexual dysfunction, which leads to marked distress and interpersonal difficulty. We attempted to assess the prevalence of sexual dysfunction in a clinical sample of subjects with alcohol dependence. One hundred male subjects admitted to a deaddiction centre with a diagnosis of alcohol dependence syndrome with simple withdrawal symptoms F Seventy-two per cent had one or more sexual dysfunction, the most common being premature ejaculation, low sexual desire and erectile dysfunction, alcoholism erectile dysfunction.
The amount of alcohol consumed appeared to be the most significant predictor of developing sexual dysfunction. Sexual dysfunction is common in patients with alcohol dependence. Heavy drinking proportionately increases the risk. Clinicians need to routinely assess sexual functioning in alcoholic patients so that other factors contributing to sexual dysfunction can be ruled out. This, in turn, is known to worsen the alcohol abuse. Sexual dysfunction in the alcoholic may be due to the depressant effect of alcohol itself, alcohol-related disease or due to a multitude of psychological forces related to the alcohol use.
Alcohol abuse is the leading cause of impotence and other disturbances in sexual dysfunction. Erectile dysfunction and reduced sexual desire were frequently seen to be coexisting. Virtually all aspects of the human sexual response are affected by diabetes affects on the respiratory system especially sexual desire and erection.
The aim of the present study was to estimate the prevalence of sexual dysfunction in males with alcohol dependence. We specifically assessed male subjects alendronate advanced guestbook 2.4.2 to a treatment center with a diagnosis of alcohol dependence syndrome, alcoholism erectile dysfunction, without obvious hepatic cirrhosis or other co-morbidity.
Female patients were excluded from the study as the number of women who use alcohol in India are few and the number of female alcoholics who avail of treatment centers are too few to contribute to significant statistical power, alcoholism erectile dysfunction. Also, the spectrum of sexual dysfunction is different in the female from the male. Alcoholism erectile dysfunction subjects gave informed consent for taking part in the study. Subjects were initially assessed on the schedules for clinical assessment in neuropsychiatry SCAN [ 14 ] by a trained psychiatrist VB.
All patients were subjected to detailed clinical and biochemical examinations including blood glucose and liver enzymes. Patients with significantly high levels of liver enzymes or physical findings suggestive of hepatic cirrhosis were referred for ultrasound assessment of the abdomen. All the above subjects were assessed for the prevalence of one or more sexual dysfunction experienced over the past 12 months using a sexual dysfunction checklist Appendix A by a trained psychiatrist BSA.
The checklist contains items corresponding to 12 areas of sexual dysfunction described in the Diagnostic Criteria for Research, ICD Classification of Mental and Behavioural Disorders. The disorders specifically tapped by the checklist were aversion towards sex, low sexual desire, difficulty in achieving and in maintaining erection, premature ejaculation, inhibited or delayed ejaculation orgasm with flaccid penis, anorgasmia, pain at the time of coitus, dissatisfaction with frequency of intercourse per week in the last year and in a representative week 5 years earlierpartner and, own sexual function.
Sexual dysfunction was rated for the last one year and temporary or situational complaints were ignored. However, alcoholism erectile dysfunction, only the presence or absence of tobacco consumption and not a measure of severity was used for analyses. The ratings alcoholism erectile dysfunction sought after two weeks of inpatient stay after the period of detoxification with benzodiazepines, alcoholism erectile dysfunction. The male subjects had a mean age alcoholism erectile dysfunction The quantity of alcohol consumed per day was The mean duration of alcoholism erectile dysfunction dependence was 8.
Seventy-two of the subjects reported one or more sexual dysfunction. Consequently, the prevalence of sexual dysfunction other than aversion to sex and low sexual desire, had to alcoholism erectile dysfunction calculated after excluding these 4 subjects.
Premature ejaculation was reported by 36 out of 96 The next most frequent sexual dysfunction reported was low sexual desire, alcoholism erectile dysfunction, which was reported by 36 out of subjects. Erectile dysfunction was reported by Next was the complaint of dissatisfaction with the frequency of sexual intercourse in 26 people Coital pain or feeling of pain in genitals at the time of sexual intercourse was seen in six subjects 6, alcoholism erectile dysfunction.
There was alcoholism erectile dysfunction significant reduction in the frequency of sexual intercourse alcoholism erectile dysfunction week over the last five years having decreased from a mean of 4. Forty-eight after cancer vitamin supplements cent of the sample had more than one alcoholism erectile dysfunction dysfunction.
Of the 24 subjects with only one complaint, the most frequent complaint was that of premature ejaculation in 18 subjects. The penis enlargement advice of sexual dysfunction complaints was significantly associated with the amount of alcohol consumed per day.
However, there was no correlation between the reduction in frequency of sexual intercourse over the last five years and the amount of alcohol consumed. Linear regression illustrates the predictive relationship between the amount of alcohol consumed and the likelihood of any sexual dysfunction. Sexual dysfunction appears to be common among male subjects with alcohol dependence.
Seventy-two per cent of the subjects with alcohol dependence complained of one or more problems with sexual functioning. This is similar to what has been reported in earlier studies. The most common condition reported in our study was premature ejaculation followed closely by low sexual desire and erectile dysfunction. The number of symptoms reported appeared to be a function of the amount of alcoholic beverage consumed.
The chance of developing adult mental illness in new hampshire dysfunctions appears to increase with increasing quantity of alcohol consumed. Higher levels of alcohol intake may result in greater neurotoxic effects.
It has been reported that heavy alcohol use may contribute to a reversible vagal neuropathy, which is perhaps reversible on abstinence.
There is also a significant population, which has psychogenic sexual dysfunction, which alcoholism erectile dysfunction likely in a alcoholism erectile dysfunction of marital conflict, which commonly exists in the families of alcoholics. This cannot be conclusive without data on nocturnal erection or sexual activity in alternate situations.
One of the limitations of this exploratory study is that marital functioning was not specifically assessed, alcoholism erectile dysfunction. Counterintuitively, the likelihood of developing sexual dysfunction did not depend on the number of years of alcohol dependence or on the age of the subject.
One reason for these findings may be the narrow range of ages at presentation and durations of dependence across the group, alcoholism erectile dysfunction. Tobacco use though, was not found to be a significant determinant of sexual dysfunction. This is contrary to all reported evidence. Future studies need to use indices of severity to avoid this al tel wireless plans. The exclusive focus on male alcoholics was necessitated by the fact that the prevalence of alcohol use by females in India, and consequent alcohol dependence is exceedingly low.
Having a non-drinking or low-drinking control sample, would have lent greater depth to these findings. Nevertheless, this study highlights the ubiquitousness of sexual problems in the heavy-drinking population. It also stresses the need for addiction medicine specialists alcoholism erectile dysfunction note the possibility of sexual problems in their clients, alcoholism erectile dysfunction. In addition, it highlights the need for sexual medicine specialists to consider the effects of heavy alcohol use on sexual functioning.
However, there is ample evidence that alcohol-induced sexual dysfunction, for the most part, is reversible with cessation of alcohol use. Clinicians are well advised to routinely assess sexual functioning in patients with alcohol dependence. National Center for Biotechnology InformationU. Journal List Indian J Psychiatry v. Bijil Simon Arackal and Vivek Benegal. This is an alcoholism erectile dysfunction article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original alcoholism erectile dysfunction is properly cited.
This article has been cited by other articles in PMC. Alcohol dependence, sexual dysfunction. Decreased sexual desire—persistent or recurrent deficiency or absence of desire for sexual activity giving rise to marked distress and interpersonal difficulty;, alcoholism erectile dysfunction. Sexual aversion disorder—persistent or recurrent aversion and avoidance of all genital sexual contact leading to marked distress and interpersonal difficulty.
Difficulty in erection—recurrent or persistent, partial or complete failure to attain or maintain an erection until the completion of the sex act. Difficulty in achieving orgasm—persistent or recurrent delay in or absence of orgasm, following a normal sexual excitement phase. Premature ejaculation—persistent or recurrent ejaculation with minimal sexual stimulation, alcoholism erectile dysfunction, before, on or shortly after penetration and before the person wishes it, which causes marked distress.
Subjects were included if they were: Patients who had symptoms of depression or anxiety not fulfilling a syndromal diagnosis were included in the study. Use of drugs affecting sexual function antipsychotics, antidepressants, antihypertensives, steroids, disulfiram etc.
Open in a separate window. Have you had a lack or loss of sexual desire, which has led you to initiating sexual activity with your alcoholism erectile dysfunction or engaging in solitary masturbation, alcoholism erectile dysfunction, at a frequency clearly lower than previous levels Low sexual desire? Have you had a difficulty in getting an erection sufficient for intercourse Difficulty achieving erection?
Have you had difficulty in maintaining erection full erection occurs during the early stages of lovemaking but disappears when intercourse is attempted or before ejaculation if it occurs Difficulty pain affecting blood pressure erection?
Have you found that frequently or always you have ejaculated before you would like to: Do you have difficulty in reaching the peak of pleasure at the time of ejaculation Anorgasmia? Are you satisfied with your sexual relationship advice on prilosec otc your partner Dissatisfaction of sexual relation with partner?
Footnotes Source of Support: Nil Conflict of Interest: Alcoholism erectile dysfunction Text book of Psychiatry. Oxford University Press; Etiology of sexual dysfunction. Diagnostic and Statistical Manual. American Psychiatric Association; Medical progress, alcoholism erectile dysfunction, Biologic concomitants of Alcoholism. N Engl J Med. Determinants of erectile dysfunction risk alcoholism erectile dysfunction a large series of Italian men attending andrology clinics.
The effect of chronic alcohol abuse on sexual function. Jensen SB, Gludd C.