Background. Rapidly growing youth population with changing sexual trend in Egypt raised HIV potential. The aim of this study is to assess knowledge, attitude, and practice regarding unsafe sexual behavior among Egyptian drug abusers.Methods. This cross-sectional study was conducted in 2008 in the Freedom Drugs and HIV Program on 410 drug abusers in Egypt. Included respondents were subanalyzed by gender, age, education, and intravenous drug usage.Results. KAP average scores on safe sexual behavior were low compared to the maximum possible denoting low awareness and action of drug addicts towards avoidance of infection. Respondents with higher education had significantly better knowledge about safe sexual behavior. Significant positive correlation was shown between age and knowledge of safe sexual behavior. Older age groups were predicted to know more about safe sex, while gender; educational level and intravenous drug usage were not. Similarly, females and intravenous drug users were predicted to have higher attitude for safe sex while age and educational level did not.Conclusion. KAP of safe sexual behavior were low among drug addicts in Egypt increasing potential towards infection with STDs including HIV. The more the age and education level, the better the knowledge towards safe sexual behavior.

Sexuality and sexual medicine are important and often understudied aspects of medicine and psychiatry. Often, patients and physicians avoid conversations regarding sex. A paraphilic disorder is diagnosed when a paraphilia, defined by the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) as “any intense and persistent sexual interest other than sexual interest in genital stimulation or preparatory fondling with phenotypically normal, physically mature, consenting human partners”, results in distress or impairment to the individual, personal harm, or risk of harm, to others. This review covers the definition, diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis of paraphilias including voyeurism, exhibitionism, frotteurism, sexual masochism disorder, sexual sadism disorder, pedophilic disorder, and transvestic disorder. The table and figure list paraphilic disorders listed in the DSM-5 and paraphilias in the Other specified paraphilic disorders section of the DSM-5. This review contains 1 figure, 1 table, and 15 references. Key Words: DSM-5, exhibitionism, fetish, frotteurism, paraphilia, paraphilic disorder, pedophilic disorder, sexual masochism disorder, sexual sadism disorder, transvestic disorder, voyeurism

People who inject drugs (PWID) are at a high risk for HIV. We conducted an evaluation of socio-demographic factors associated with injecting and sexual behaviour among PWID who had two or more visits at a drug outreach clinic in Cairo, Egypt from 2013 to 2017. Routinely collected information on socio-demographics and HIV risk behaviours were abstracted from client records. Bivariate analysis and logistic regression were conducted to evaluate associations between socio-demographics and HIV risk factors. All PWID who tested HIV-positive at the initial visit were excluded from analyses. PWID who were married were more likely to share needles or syringes in the last month of their baseline visit [adjusted odds ratio (aOR) = 4.3, 95% confidence interval (CI) = 1.4-13.1] as were unemployed PWID [aOR = 3.9, 95% CI = 1.5-10.3]. Married PWID were less likely to discontinue sharing needles/syringes [aOR = 0.4, 95% CI = 0.2-0.8] as were those living outside of the Shobra, downtown, and Imbabah districts within Greater Cairo [aOR = 0.2, 95% CI = 0.1-0.5]. No significant associations were found between socio-demographics and number of sex partners in the six months prior to the initial visit. At follow-up visit, 4.4% tested HIV-positive for an incidence rate of 3.9 per 100 person years. Sociodemographic factors should be considered when designing preventive services for PWID.

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Sexuality and sexual medicine is an important and often understudied aspect of medicine and psychiatry. Often, patients and physicians avoid conversations having to do with sex. The Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) defines sexual dysfunctions as “a heterogeneous group of disorders that are typically characterized by a clinically significant disturbance in a person’s ability to respond sexually or to experience sexual pleasure”. This review addresses the diagnostic criteria, epidemiology, etiology, phenomenology, diagnostic work-up, treatment modalities, guidelines, and prognosis for sexual dysfunctions including male hypoactive sexual desire disorder, erectile disorder, premature and delayed ejaculation, female sexual interest/arousal disorder, female orgasmic disorder, and genito-pelvic pain/penetration disorder. The table lists sexual dysfunctions listed in DSM-5 with associated prevalence. This review contains 1 figure, 1 table and 20 references Key Words: DSM-5, erectile disorder, female orgasmic disorder, female sexual interest/arousal disorder, painful intercourse, premature ejaculation, sexual dysfunction