A perspective on marital and psychosexual disorders in India

Abstract

This chapter takes an overview of the various aspects of marital and psychosexual disorders, especially with reference to the Indian scenario. Sexual dysfunction is seen in about one-tenth of patients visiting the psychiatric outpatient clinics, with premature ejaculation, erectile dysfunction and the Dhat syndrome being the most common sexual disorders. Studies suggest that sexual dysfunction is also highly prevalent in specialised groups like opioid- and alcohol-dependent patients and those receiving psychotropic medications. In general, patients in the Indian setting have poor sexual knowledge and conservative attitude towards sex. These variables have an impact on treatment adherence and overall outcome of sexual dysfunction. Studies have also attempted to characterise the phenomenological expression of the Dhat syndrome and have designed treatment packages to manage these patients. Studying the impact of sexual dysfunction on spouses has shown that sexual dysfunction among men has significant psychosocial impact on their partners too. Research that has focused on female sexual health issues has demonstrated that many female patients receiving psychotropic medications suffer from sexual dysfunction. However, the research and development of services in this area is still preliminary and scarce.