Dergi Ara >>
Yıl:2005; Cilt: 1; Sayı: 47>> Özet
Türkiye Klinikleri Dahili Tıp Bilimleri Dergisi Psikiyatri; 2005;1(47):52-55
Alkol ve Cinsellik
A Bozkurt
Psikiyatri AD, GATA, ANKARA
Cinsellik ve alkol ilişkisi konusunda literatürde çok farklı görüş ve makaleler mevcuttur. Alkolle ilgili en önemli tartışma alkolün cinsel açıdan uyarıcı olarak düşünülmesi ve bu amaçla kullanımıdır. Alkol günümüzde en sık kullanılan cinsel afrodizyak olup, başlangıçta ve az dozda sosyal anksiyeteyi baskılayabilmektedir. Cinsel işlev açısından istek evresinde hem olumlu hem olumsuz etkileri olabilmektedir. Uyarılma fazında erkeklerde daha fazla olmak üzere olumsuz etkileri vardır. Empotansa yol açmasının ötesinde performans anksiyetesini de arttırabilir. Orgazm alanında daha fazla retarde ejakülasyon olmak üzere bozulmaya yol açabilmektedir. Subjektif olarak cinsel ilişkide alınan zevk açısından çelişkili etkileri olduğu ve özellikle de cinsel engellenmenin olduğu bireylerde bu engellenmeyi azaltıcı etkisi olabileceği anlaşılmaktadır. Bununla beraber artan dozla beraber tüm evrelerde olumsuz etkileri görülmektedir. Kronik kullanımında ise sinir sistemi, karaciğer ve endokrin sisteme olan etkilerine bağlı olarak cinsel işlev bozukluklarında belirgin artış görülebilmektedir. Ayrıca cinsel işlevin evreleri dışında alkol nedeni ile evlilik ilişkisinde sorunlar, ilişkilerde kıskançlıkta artış ve cinsel suçlarda artış da dolaylı olarak cinsel işlevi olumsuz etkileyebilmektedir.
Alcohol and Sexuality
There are many different opinions and papers on the relationship between alcohol and sexuality. The most important discussion on this issue is that alcohol has been suggested to increase sexual arousal and the use of this purpose. Alcohol is the most widely used aphrodisiac, and inhibits social anxiety at the beginning at low doses. Regarding sexual function it has both positive and negative effects in the desire phase. In the arousal phase it mostly has negative effects, especially on males. In addition to causing impotence it may also increase performance anxiety. Alcohol causes problems of orgasm in both males and females but especially increases the latency of ejaculation in man. The subjective effect on sexual pleasure is contradictory. It may have a disinhibitory effect on sexually inhibited subjects. But in increased doses it has a negative effect on all aspects of human sexual response. Chronic alcohol abuse affects the nervous system, liver and endocrine system and has negative effects on sexuality due to these impairments. Chronic alcoholism also causes problems in marital relationship, increases sexual jealousy, risky sexual behavior and sexual assaults which all interfere with human sexuality.

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