Get your Health question answered in 3 easy steps

193 Doctors Online
Owl Image
Dr. Andrew Rynne

Family Physician

Exp 18 years

I will be looking into your question and guiding you through the process. Please write your question below.

How does the substance abuse affect a sexual aversion disorder?

Answered by
Owl Image
Dr. Jonas Sundarakumar


Practicing since :2003

Answered : 2190 Questions

How does the substance abuse affect a sexual aversion disorder?
Fri, 14 Dec 2012 in Sexual Problems
Answered by Dr. Jonas Sundarakumar 1 hour later

Substance abuse has a strong association with sexual disorders. Specifically, with regard to sexual aversion disorder, substance abuse is known to play a role in the causation or worsening of this disorder. The prevalence of substance abuse is significantly higher in people diagnosed with sexual aversion disorder and vice versa. Several studies have shown that 50 to 60% of persons with alcohol abuse alone reported a decreased sexual desire. Some studies have shown that painful sex was associated with illicit drug use and marijuana use. Narcotic abuse and prescription medication abuse has also been significantly associated with disorders of sexual desire.

Now, there are several mechanisms by which substance abuse affects sexual aversion disorder:

Firstly, abuse of substances like alcohol can directly result in decreased libido or poor sexual drive by affecting the oestrogen or testosterone levels.

Secondly, the medical and neurological complications of substance abuse (e.g. neuropathy, vascular diseases, liver disease, testicular atrophy, etc.) can result in sexual problems such as erectile dysfunction, orgasm disorders, etc. and this can in turn indirectly lead on to an aversion to sex.

Thirdly, the psychological effects of many substances, for example, the depressant effect of alcohol, can lead to decreased motivation, low mood, poor sexual drive and thereby worsen sexual aversion.

Fourthly, substance abuse can cause other psychiatric disorders like depression, anxiety, panic disorders, psychotic disorders, etc. and these can indirectly cause or worsen sexual aversion disorder.

Finally, but importantly, substance abuse very often results in significant interpersonal problems, relationship difficulties and social dysfunction, which are all major factors in the causation of sexual aversion disorder.

It is also important to note that persons with substance abuse and sexual aversion disorder often go into a viscious cycle of one worsening the other. So, when it comes to the diagnosis as well as management of sexual aversion, substance abuse problems should specifically be looked for and dealt with appropriately.

Dr. Jonas Sundarakumar
Consultant Psychiatrist

Above answer was peer-reviewed by

The User accepted the expert's answer

Share on
Question is related to
Diseases and Conditions ,   ,   ,  

Recent questions on Sexual dysfunction

doctor1 MD

Hi, may I answer your health queries right now ? Please type your query here...I am 28 yrs old,hight-5.9",weight-65kg during my childhood I used to have handpractice 4 times in a day and it continued for four day someone hit hard on my nude penis 8 to 10 times after that day I have been facing sexual problemes and my penis become so thin due to that injuries, all my memder penis is well size and thick.

thank you

doctor1 MD

hello doctor will u tell me my sexual problem solution ? my penis weak during intercouse and before starting sex and i m descharging in 2 mins my partner not certify to this act how i can extand time intercourse 2 mins to 7 to 8 mins and my penis not hard before intercourse

doctor1 MD

Hello Doctor, I need advice on my Sex life. I am married since last year and sexually active from last 2 years with my spouse. What I feel now that I am loosing interest in Sex , I don t feel like doing it we do it one in a week which last for 5...

doctor1 MD

1 week ago today I had surgery for a bone fusion at c5/6 and C6/7. My biggest problem so to speak is the fact that I am unable to get an erection. I am a 60 year old male weighing 280 lbs with normal blood pressure and who does not smoke. Prior to the surgery I had NO problems with erectile dysfunction. Now I do?

doctor1 MD

Hello, in August, I fell on a wet sidewalk in Switzerland and landed very hard on my butt. I felt a surge go up my spine and into my head, and had a headache after. I flew back to the USA a few days after, still with an aching back/tailbone. At...

doctor1 MD

Good evening doctor. I have given the sample for semen analysis test but the lab said semen does not liquify so, they have to do it again. Will there be any problem

doctor1 MD

I have symptoms of malabsorption syndrome +irritable bowel syndrome + overactive bladder + sexual dysfunction. My ultrasound of kidneys, bladder and prostate is clear plus my sigmoidoscopy and biopsy is also clear and there are no sign of a disease I had a lot of blood, stool and urine tests done also but nothing was found. I have problems with dairy products also plus I cannot breathe through my nose during sleep. There is mucus in my stool for years now and I have growling noises in my abdomen specially near the rectum area. It feels like there's something like mucus blocking the intestines, I have gas pains and bloating too and there is stunned body growth also. I have a feeling of weight gain one day and weight loss the next day. my sexual desire has also decreased and pelvic floor muscles are absolutely finished I have a sudden urge to urinate and I cannot control my pelvic muscles at all, I have a pain in my testis area sometimes.I have a sudden urge of passing stool its like spasms but its not the stool actually its the mucus I think that is causing this.when I swallow my throat mucus or saliva it also appears in my stool Is there some way I can digest the mucus?I think the mucus causes the noises from the abdomen and blocks the passage causing gas, pain and bloating and everything else and whenever these symptoms happen I feel my skin is dry and weak hair and hair loss plus my muscles are not growing even though I eat a lot but it seems like nothing I eat is becoming a part of my body and all is wasted.My symptoms disappear after emptying my stomach and passing stool but as soon as I eat something after sometime the symptoms start again.please tell me how can I get rid of these symptoms.I have taken medicine for giardiasis,overactive bladder and IBS but no results. my age is 22, height 5.10, weight 61kg.