The Pattern of Psychosexual Problems and the Prevalence of Alcohol and Nicotine Dependence among Male Patients with Psychosexual Dysfunction

Abstract

Introduction. Substance use disorders (SUDs) are often associated with a number of psychiatric conditions. Community-based research has found a substantial correlation between SUDs and male sexual dysfunction, and in the case of alcohol and nicotine, a possible cause-and-effect relationship. Aim. To find out the pattern of psychosexual problems in patients reporting at tertiary care hospital. To determine the prevalence of alcohol & nicotine dependence among male patients with psychosexual dysfunction Methods. This is a cross-sectional descriptive study that was carried out in a tertiary care centre with 100 male patients who came to a clinic seeking treatment for psychosexual issues. We then find out the pattern of psychosexual disorders in patients, with and without concomitant substance use disorder (SUDs) and prevalence of substance use disorder (alcohol and nicotine) in these patients. ICD-10 was used in the evaluation. Results. 28% patients were diagnosed with erectile dysfunction. 30% patients were diagnosed with premature ejaculation and 42% patients were diagnosed with both premature ejaculation and erectile dysfunction. 60 of the 100 males had a current diagnosis of SUD. Out of the 60 with an identified substance use disorder 50% had nicotine dependence, 23.33% had alcohol dependence & 26.66% had dependence for both alcohol and nicotine. Nicotine was the most often used substances. Conclusion. Patients with psychosexual disorders were found to be frequently co-occurring with SUDs, especially nicotine use disorders. An essential part of management in this population is recognizing and treating these illnesses.