Heavy Cocaine Use and Sexual Behavior

Abstract

The research discussed here explores the sexual behavior of two hundred and twenty-eight heavy users of cocaine. Intensive, face-to-face, tape-recorded interviews with each user uncovered some interesting differences in sexuality among various user groups. Far example, male users were found to have greater levels of sexual enhancement from cocaine, than were female users. Another finding was that freebasers and snorters of the drug had similar levels of sexual impairment, while injectors experienced far worse levels of sexual dysfunction. The widespread mythology that cocaine is always a sexual aphrodisiac was certainly not confirmed by this research effort. It was found that there were a myriad of responses to the same dosage level of cocaine, depending, in part, upon the setting of the usage, as well as the background experiences of the user.

Risk of Sexually Transmitted Disease Among Black Adolescent Crack Users in Oakland and San Francisco, Calif

“…Fifty-five respondents (25%) re¬ ported either giving or receiving sexual favors for drugs or money; boys (25%) were as likely as girls (24%) to report participation in drugs-sex-money ex- (20) (28-57) (14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25)(26) changes. As shown in Table 2, those who reported combining crack use with sexual relations were more likely to report engaging in such exchanges (40%) than those who did not (9% [P<<.0001]), and those who reported that they used crack daily were more likely to report engagement in such ex¬ changes (43%) than nondaily users (20% [P<.01]).…”

Erectile Dysfunction Associated with Psychoactive Substances

“…66 MacDonald et al found that of men who had used cocaine for 1 year or longer, 66% reported to have erection difficulties. 67 With chronic abuse of cocaine, sexual dysfunction is attributed mainly to hyperprolactinemia and downregulation of the hypothalamic dopaminergic receptors. 68 There are reports of cases of priapism associated with intracavernosal injection of cocaine.…”

Cambios en la respuesta emocional ante estímulos visuales de contenido sexual en adictos a drogas

“…Aunque las evidencias de que el consumo crónico de sustancias afecta al comportamiento sexual (Peugh y Belenko, 2001) y al deseo sexual en los consumidores de cocaína (Cocores, Miller, Optas y Gold, 1988;MacDonald, Waldorf, Reinarman, y Murphy, 1988;Henderson, Boyd y Whitmarsh, 1995;Wetherby, Shultz y Chitwood, 1992) y de alcohol (Crenshaw y Goldberg, 1996;Rosen, 1991), el estudio de la respuesta emocional de adictos a drogas ante estímulos incondicionados como los sexuales es escaso. Este hecho dificulta la elaboración de hipótesis basadas en investigaciones previas y nos obliga a hipotetizar basán-donos en la evidencia clínica de la falta de interés, manifestada con frecuencia por los adictos a drogas en tratamiento, hacia los eventos afectivos cotidianos, entre los que cabe mencionar los sexuales.…”