Substances of abuse and sexual functioning; an overview of mechanisms

Document Type : Review Article(s)

Authors

1 Faculty of Medicine, Hormozgan University of Medical Sciences, Bandar Abbas, Iran

2 Faculty of Engineering, Azad University of Biomedical Engineering, Kerman, Iran.

3 Student Research Committee, Kerman University of Medical Sciences, Kerman, Iran.

4 Pharmaceutical Sciences and Cosmetic Products Research Center, Kerman University of Medical Sciences, Kerman, Iran.

Abstract

Sexuality is a matter of debate nowadays regarding self-image and self-confidence. Addiction is a factor that can affect it negatively. Sexual dysfunction has put a heavy burden on the shoulders of people with substance use disorders, as it can cause severe issues such as erectile dysfunction, loss of libido, painful sex, and delayed ejaculation. These issues can be caused by hormonal imbalances, loss of vaginal lubrication, lowered blood flow to the penile tissue, and problems with other organs such as the liver. There could be some therapies to resolve such issues at least partially, for example, medication (oral and injectable), low-intensity focused shockwave therapy, vacuum constriction device, promoting exercise, and testosterone replacement therapy. The utilization of such methods could be helpful, though we could not be sure of their full effectiveness. The current review aims to give a brief overview of sexual functioning, substance use disorders, and their impact on sexuality.

Keywords