Compulsive sexual behavior

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Risk factors

By Mayo Clinic staff

Compulsive sexual behavior can occur in both men and women, though it's more common in men. It can also affect anyone regardless of sexual preference — whether heterosexual, homosexual or bisexual.

Compulsive sexual behavior often occurs in people who have:

  • Alcohol or drug abuse problems
  • Another psychological condition, such as a mood disorder, impulse control disorder or mental health problem, such as a gambling addiction
  • A history of physical or sexual abuse

There's a broad range of sexual activities that can be warning signs of compulsive sexual behavior. Examples include:

  • Having multiple sexual partners or extramarital affairs
  • Having sex with anonymous partners or prostitutes
  • Avoiding emotional involvement in sexual relationships
  • Using commercial phone sex conversations for gratification
  • Visiting sexually explicit Internet sites or services
  • Engaging in excessive masturbation
  • Frequently using pornographic materials
  • Engaging in masochistic or sadistic sex
  • Exhibitionism
  • Having a fixation on an unattainable sex partner
References
  1. Marshall LE, et al. Assessment, diagnosis, and management of hypersexual disorders. Current Opinion in Psychiatry. 2010;23:570.
  2. Kaplan MS, et al. Diagnosis, assessment, and treatment of hypersexuality. Journal of Sex Research. 2010;47:181.
  3. Paraphilias. The Merck Manuals: The Merck Manual for Healthcare Professionals. http://www.merckmanuals.com/professional/print/sec16/ch213/ch213c.html. Accessed July 2, 2011.
  4. Mick TM, et al. Impulsive-compulsive sexual behavior. CNS Spectrums. 2006;11:944.
  5. Kuzma J, et al. Epidemiology, prevalence, and natural history of compulsive sexual behavior. Psychiatric Clinics of North America. 2008;31:603.
  6. Codispoti VL. Pharmacology of sexually compulsive behavior. Psychiatric Clinics of North America. 2008;31:671.
DS00144 Sept. 15, 2011

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