Sexual dysfunction tends to be under-estimated in psychotic patients, for several reasons including lack of confidence in health providers, shame, cultural difficulties and lack of interest by psychiatrists. 

A problem with discussing sexual dysfunctions of psychotic patients under treatment

Symptoms include decreased desire, difficulties in sexual arousal; problems with penile erection, vaginal lubrication and orgasm; and reduced sexual satisfaction. The most frequent complaints in clinical practice include orgasmic and erectile difficulties in the short term and decreased desire in the longer term. 

Pepperdine University

Sexual dysfunction is common during short- and long-term treatment with antipsychotics, and is associated with a considerable impact on quality of life in adult and adolescent patients.

Influence of treatment of psychosis on sexuality

Montejo, A. L., Montejo, L., & Baldwin, D. S. (2018). The impact of severe mental disorders and psychotropic medications on sexual health and its implications for clinical management. World psychiatry : official journal of the World Psychiatric Association (WPA), 17(1), 3–11. https://doi.org/10.1002/wps.20509

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