A study of assessment of sexual dysfunction in male subjects with opioid dependence

•53.3% to 81.7% of the male opioid dependents suffers from sexual dysfunction.•Active use of opioids increases the risk of developing sexual dysfunction 2–3.4 times.•Opioids affect all the domains of sexual functions.•Domain of sexual desire is affected most frequently.•More severe the opioid dependence; more the chance of having sexual dysfunction.

ContextThe relationship between opioid use and sexual problems among males is complex one, as some are using opioids to increase their sexual performance while others are suffering from sexual problems due to its use. And research addressing this relationship is still limited.AimsThe aim of the current study was to assess and evaluate sexual dysfunction in male subjects seeking treatment for opioid dependence and to compare it with healthy control group.Methods and material60 male subjects with opioid dependence for more than one year (ICD-10 criteria) were compared to 120 healthy age & tobacco abuse matched control group (case: control = 1:2) using standard questionnaires evaluating various domains of sexual dysfunction.ResultsOpioid dependents were found to have sexual dysfunction ranging from 53.3% to 81.7% which was significantly greater than the healthy control group (15.8% to 41.7%).ConclusionsSexual dysfunctions are highly prevalent in opioid dependents and this should be addressed properly while assessing and treating a patient of opioid dependence.