Illicit drugs are often used
as aphrodisiacs to enhance sexual performance and/or pleasure; however, the
available data suggest that most illicit drugs have adverse effects on
erection, sexual desire and ejaculation latency in males and that these effects
are not fully understood.
This study aimed to determine the effect of illicit
drug abuse on male sexual function, based on the International Index of
Erectile Function (IIEF) score. This descriptive study was conducted at the
Alcohol and Substance Research Treatment and Education Center, Ankara, Turkey.
Males diagnosed as substance use disorder according to DSM-IV
(n = 101) were included as the patient group, and age-matched healthy
male volunteers (n = 43) were included as the control group. A
30-item sociodemographic interview form developed by researchers and the
15-item IIEF were administered to all the participants. Data were compared
between the patient and control groups.
Mean IIEF score was
46.7 ± 3.3 in the patients that used alcohol, 23.7 ± 3.3 in
the opioid users, 34.1 ± 5.3 in the ecstasy users,
43.5 ± 4.2 in the cannabis users and 55.3 ± 1.6 in the
control group. There was not a significant difference between the alcohol and
cannabis users' mean IIEF scores and that in the control group, whereas there was a
significant difference between the opioid and ecstasy users' mean IIEF scores
and that in the control group. All IIEF subscale scores in the opioid users were significantly
lower than in the control group. IIEF erectile
function, sexual desire and general satisfaction subscale scores were
significantly lower in the ecstasy users than in the control group. In the alcohol
users only, the IIEF general satisfaction subscale score was lower than in the
control group (P < 0.005).
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- 1Sakarya University Training and Research Hospital Psychiatry Clinic, Sakarya, Turkey.
- 2Sakarya University Training and Research Hospital Urology Clinic, Sakarya, Turkey.
- 3Üsküdar University NP Hospital, Istanbul, Turkey.
- Andrologia. 2016 Mar 4. doi: 10.1111/and.12566.
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