Sexual dysfunction (or sexual malfunction or sexual disorder) is difficulty
experienced by an individual or a couple during any stage of a normal sexual activity, including physical pleasure, desire,
preference, arousal or orgasm.
According to the ICD-10, sexual dysfunction requires a person to feel
extreme distress and interpersonal strain for a minimum of 6 months (excluding
substance or medication-induced sexual dysfunction)1
Globally about 40–45% of adult women and 20–30% of adult men
have at least one manifest sexual dysfunction
in general population2 where as in India, 52% males & 30%-50% females
experience sexual dysfunction.3.
There are several types of sexual disorders that affect
females and males, the main categories of which are: Sexual desire disorders;
Arousal disorders; Orgasm disorders; Sexual pain disorders.
Prevalence of sexual
dysfunction due to alcohol dependence syndrome is around 72%, most common being
pre mature ejaculation, low sexual desire & erectile dysfunction.4
Van Thiel and Lester5 reported 61% of patients dependent on alcohol were
suffering from sexual dysfunction, erectile dysfunction being most common
followed by reduced sexual desire. Both erectile dysfunction and reduced sexual
desire were frequently seen to be coexisting6-9.
Vijayasenan10 did a study with 97 male inpatients admitted
for the treatment of alcohol dependence syndrome. 71% of the admitted patients
suffered from some sort of sexual dysfunction for a period of more than 1 year
prior to admission to a hospital. Decreased sexual desire was reported by 58%
incompetence was reported by 22% patients, erectile impotence was reported by
16% of the patients and premature ejaculation was reported by 4% patients. In some
sense all aspects of the human sexual response are affected by intake of
alcohol especially sexual desire and erection.11