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Tijdschrift voor Psychiatrie 42 (2000) 8, 585 - 593


Neurosexuology and sexual psychopharmacology

M.D. Waldinger, M.W. Hengeveld

background During the last decade the developments in neuroscience have contributed to the development of sexual psychopharmacology.
aims Evaluation of the current state of neurosexuology and sexual psychopharmacology.
methods The contents of this review article is based on a selection of the for the subject relevant clinical and animal studies.
results An increased sexual desire, erectile disturbances, premature ejaculation and certain paraphilic behavioural disturbances may be treated with various psychoactive drugs. In addition, psychoactive drugs-induced sexual disturbances may occasionally be diminished by adjunct medication. The probable introduction of selective serotonin and dopamine agonists and antagonists gives the opportunity to treat also other sexual disturbances in future.
conclusions The psychopharmacological treatment of sexual disorders is a task of psychiatrists.

keywords antidepressants, antipsychotics, mood stabilizers, paraphilia, sexual disorders, sexual pharmacology