Yadav Bhupendra, Dhillon Harpreet Singh, Sasidharan Shibu, Kaur Dhillon Gurpreet
Assistant Professor (Psychiatry), 5 Air Force Hospital, Jorhat, India.
Assistant Professor (Psychiatry), Command Hospital (Western Command), Chandimandir, Haryana, India.
Med J Armed Forces India. 2024 Mar-Apr;80(2):166-171. doi: 10.1016/j.mjafi.2022.05.002. Epub 2023 Oct 10.
The existing literature on alcohol-induced sexual dysfunction has mainly deliberated on erectile dysfunction and premature ejaculation, ignoring other important domains of sexual dysfunctions (viz sexual pleasure, sexual desire, arousal, orgasmic function). This study was undertaken to assess the extent of alcohol-associated sexual dysfunction and to compare their severity with the severity of alcohol dependence in males.
A cross-sectional descriptive study design recruited 78 male patients and an assessment was conducted using the male clinical version, , , Diagnostic and Statistical Manual of Mental Disorders-5 (DSM-5) and International Classification of Diseases-10 (ICD-10). A correlation between years of alcohol consumed and its effect on various domains of sexual dysfunction was also carried out using Pearson's correlation coefficient.
Seventy-seven percent of the study population had complaints of sexual dysfunction in one or more domains, with reduced sexual pleasure (71.8%) as the most common followed by low sexual desire (in terms of frequency) in 61.5% and erectile dysfunction in 43.6%. The severity of the sexual dysfunction was found to be directly proportional to the severity of alcohol dependence with almost 100 percent of the patients with severe alcohol dependence having sexual dysfunction in all the domains.
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.
关于酒精所致性功能障碍的现有文献主要讨论了勃起功能障碍和早泄，而忽略了性功能障碍的其他重要领域（即性快感、性欲、性唤起、性高潮功能）。本研究旨在评估酒精相关性性功能障碍的程度，并将其严重程度与男性酒精依赖的严重程度进行比较。
采用横断面描述性研究设计，招募了78名男性患者，并使用《精神疾病诊断与统计手册》第5版（DSM-5）和《国际疾病分类》第10版（ICD-10）的男性临床版本进行评估。还使用Pearson相关系数对饮酒年限及其对性功能障碍各个领域的影响之间的相关性进行了分析。
77%的研究人群在一个或多个领域存在性功能障碍主诉，其中性快感降低（71.8%）最为常见，其次是性欲低下（从频率来看）占61.5%，勃起功能障碍占43.6%。发现性功能障碍的严重程度与酒精依赖的严重程度成正比，几乎100%的重度酒精依赖患者在所有领域都存在性功能障碍。
本研究中报告的最常见性功能障碍是性快感降低（71.8%），其次是性欲低下（61.5%，从频率来看）。这些发现强调了一个事实，即酒精除了会导致勃起功能障碍外，还会显著损害性功能的几乎所有领域。
