Sexual Dysfunctions Among Male Psychiatric Out Patients- A Cross Sectional Study From Northern Western Rajasthan

Objective(s): To find out the prevalence and nature of sexual dysfunction among male out patients attending psychiatry OPD, also to find out the relationship of sexual dysfunction to specific psychiatric disorder and other predictors of sexual dysfunction. Method(s): In this cross-sectional study, a total 500 patients were included. The sexual dysfunction was assessed with the help of Sexual Dysfunction Checklist. Result(s): In this study sexual dysfunction was found in 180 patients (36%) out of 500 male outpatients. Prevalence of 12 different areas of sexual dysfunction shows that higher score were observed in dissatisfaction with sexual dysfunction (24.8%), and premature ejaculation (20.2%). There were higher prevalence of sexual dysfunction observed in alcohol dependence disorder (64%), anxiety spectrum disorder (mixed anxiety depression disorder (43%), generalized anxiety disorder (42.5%), OCD (57%), depressive disorder, MDP (36%), post psychotic depression (67%). Conclusion(s): Sexual dysfunction should be assessed as a part of optimal psychiatric care, regardless of age, marital status, diagnosis, functional ability, or medication status. Open communication and trust needs to be established between clinician and patients.