A comparative study of Pattern of male Sexual dysfunction in OCD and Depression, its correlation with serum testosterone level

Abstract

Background:-sexual dysfunction is prevalent in mental disorders both in drug naïve or on psychotropics. Sexual dysfunction in drug naïve mental disorders is understudied, sexual dysfunction is associated with low serum testosterone level but correlation in mental disorder is not well studied. Aim:- assess and compare the pattern of sexual dysfunction among male OCD and depressive patients attending at psychiatric department ofSMS medical college Jaipur and its correlation with serum testosterone level. Methods:- total 80participants in each group of OCD ,Depression and Healthy control , diagnosed by ICD-10 ,participated in the study after informed consent. Arizona sexual experience scale (ASEX) was applied for sexual dysfunction. Serum testosterone level was measured by laboratory test. After data collection,data analyzed by SPSS software. Results:- Total 240 responses were recorded. Sexual dysfunction reported in OCD and Depression were 39% and 46% respectively.Decreased sex drive was most common sexual dysfunctions.Depressive patients have slightly higher desire dysfunction.Significant comparison reported on comparing severity of disease in between patients with or without sexual dysfunction. Mean serum testosterone level was slightly lower in both OCD and depression than control. Serum testosterone significantly negatively correlated with sexual dysfunction in both OCD and Depression group. Conclusion:- our study concluded that sexually dysfunctions is frequently seen in drug naïve OCD and Depression patients. Our study also show significant negative correlation of sexual dysfunction with serum testosterone level in OCD and Depression, though correlation was not strong.