Alcohol Dependence and Its Impact on Male Sexual Function: A Cross-Sectional Study

Abstract

Background:
Alcohol dependence is often linked with adverse effects on male sexual health. While alcohol may temporarily enhance sexual confidence or performance, chronic and excessive use leads to marked sexual dysfunction. Despite its clinical relevance, sexual health concerns are frequently overlooked in alcohol-dependent individuals, especially in India, where stigma and underreporting are prevalent. This study aimed to determine the prevalence and pattern of sexual dysfunction among men with alcohol dependence and examine its association with sociodemographic and clinical variables.

Methods:
A cross-sectional study was conducted in the Department of Psychiatry, Mahatma Gandhi Medical College and Hospital, Jaipur, Rajasthan. One hundred male patients aged 18–60 years diagnosed with alcohol dependence (ICD-10) were included. Sexual function was assessed using the Arizona Sexual Experience Scale (ASEX), and dysfunction was categorized as mild, moderate, or severe. Statistical analysis involved descriptive measures, the chi-square test, the independent t-test, and the Pearson correlation, with p < 0.05 considered statistically significant.

Results:
The prevalence of sexual dysfunction was 68%, with 24% mild, 30% moderate, and 14% severe cases. Erectile function (42%) and reduced sexual desire (35%) were the most affected domains. Dysfunction significantly correlated with longer alcohol use (>10 years, p < 0.01) and older age (>40 years, p < 0.05), but not with education or socioeconomic status.

Conclusion:
Sexual dysfunction is highly prevalent among alcohol-dependent men. Increasing age and prolonged alcohol use are key risk factors, warranting routine sexual health assessment in this population.