Department of Urology, Sexual Medicine Center, Sheba Medical Center, Tel-Hashomer, Israel.
J Parkinsons Dis. 2012;2(3):225-34. doi: 10.3233/JPD-2012-012098.
A range of impulse control disorders has been described in Parkinson's disease, including compulsive sexual behavior. Excessive sexual demands of parkinsonian men can lead to considerable tension within the couple. Thorough sexual interviews reveal that these cases may reflect various types of sexual dysfunctions that present as hypersexuality.
This study aims to analyze cases of presumed and true compulsive male sexual behavior, and to propose a practical tool for clinicians, assisting them with the diagnosis and management of compulsive sexual behavior and other sexual dysfunctions in parkinsonian patients.
We describe four male patients with Parkinson's disease from the movement disorders clinic, which were referred to the sex therapist as suspected hypersexuality.
The sexual assessment revealed that only one of the cases involved true hypersexuality due to compulsive sexual behavior. The other three presented with erectile dysfunction, difficulties reaching orgasm (delayed ejaculation), and a gap in desire within the couple.
Complaints about hypersexual behavior in patients with Parkinson's disease must be carefully evaluated, involving a multidisciplinary team. A comprehensive diagnostic and therapeutic algorithm is suggested.
帕金森病中已描述了一系列冲动控制障碍，包括强迫性行为。帕金森男性过度的性需求可能会导致夫妻关系紧张。全面的性访谈显示，这些病例可能反映了各种类型的性功能障碍，表现为性欲亢进。
本研究旨在分析疑似和真正的强迫性男性性行为病例，并为临床医生提供一种实用工具，帮助他们诊断和管理帕金森病患者的强迫性性行为和其他性功能障碍。
我们描述了运动障碍诊所的 4 名男性帕金森病患者，他们因疑似性欲亢进而被转介给性治疗师。
性评估显示，只有 1 例是由于强迫性行为导致的真正性欲亢进。其他 3 例表现为勃起功能障碍、性高潮困难（延迟射精）和夫妻间欲望差距。
必须仔细评估帕金森病患者的性行为过度投诉，涉及多学科团队。建议制定全面的诊断和治疗方案。
