Weak with Sex: Sexual Intercourse as a Trigger for Cataplexy

Cataplexy during sexual intercourse is a distinct feature of NC, which can, however, be reported rarely also by patients with other sleep-wake disorders. Insufficient arousal may favor the occurrence of cataplexy and cataplexy-like symptoms, including orgasmolepsy. Hypocretin deficiency and reward dysregulation in narcolepsy may further facilitate this phenomenon and contribute to its repetitive occurrence. Poryazova R, Khatami R, Werth E, and Bassetti CL. Weak with sex: Sexual intercourse as a trigger for cataplexy. J Sex Med 2009;6:2271-2277.