Obsessive compulsive disorder (OCD) is known to have a negative impact on sexual functioning. The aim of the present study was to compare patients with OCD and healthy subjects in terms of the sexual dysfunctions.
Seventy eight patients, between 18-52 years of age, sexually active who were admitted to the outpatient unit of a university psychiatry department, and who were diagnosed with OCD according to the DSM-IV diagnostic criteria were enrolled in the study. The control group encompassed 60 healthy subjects. The severity of OCD was rated by using the Yale-Brown Obsessive Compulsive Scale (Y-BOCS) and all participants were evaluated with the Arizona Sexual Experiences Scale (ASEX) for sexual dysfunction.
The rate of sexual dysfunction (SD) was determined in 65.4% of OCD patients and 28.3% of the control group. While anorgasmia was the most reported complaint in females with OCD (51.2 %), hypoactive sexual desire was the most reported in males with OCD (18.2 %). ASEX scores of sexual desire, excitement, vaginal lubrication, orgasm and orgasmic satisfaction were found to be significantly higher in females with OCD compared to healthy subjects.While erectile dysfunction was found significantly higher in healthy males compared to OCD patients, no significant difference was found between the two groups for other sexual functions.
In this study, all phases of sexual function were impaired in females with OCD. Though orgasmic dysfunction was identified as the most common sexual dysfunction in females with OCD, this issue is controversial. We did not detect a significant sexual dysfunction in males with OCD, and these findings may suggest that antidepressant drugs might have a positive effect on sexual dysfunction in males or at least did not cause a significant negative effect on sexual functions in male patients.
Obsessive compulsive disorder, sexual dysfunction, sexuality