Prevalence and types of sexual dysfunctions among patients attending the psychiatric sex clinic at a tertiary care hospital in Bangladesh: A cross-sectional study

Background: Sexual dysfunctions are common yet often overlooked disorders that impact individuals' quality of life, relationships, and psychological well-being. These dysfunctions, influenced by biological, psychological, and sociocultural factors, have a global prevalence ranging from 30% to 60%. In Bangladesh, cultural taboos and stigma hinder awareness and treatment, with individuals often seeking care only when symptoms severely affect daily functioning. Sexual dysfunctions frequently coexist with psychiatric conditions and may be worsened by medications. Aim of the study: This study aims to find the prevalence and types of sexual dysfunctions among patients attending a psychiatric sex clinic at a tertiary care hospital in Bangladesh. Methods: This cross-sectional, descriptive study was conducted at Sylhet MAG Osmani Medical College Hospital (SOMCH) from September 2019 to August 2021. It aimed to assess the prevalence and types of sexual dysfunction among patients attending the Psychiatric Sex Clinic and Outpatient Department of Psychiatry. Ethical approval was obtained, and written informed consent was secured from participants. Eligible patients were newly diagnosed with sexual dysfunction, aged 18+, married, and reporting an active sexual life. Data were collected through semi-structured interviews, physical exams, and lab tests and analyzed using SPSS version 25. Quantitative and qualitative data were summarized accordingly. Results: The study involved 74 patients, predominantly male (94.59%) and aged 25-35 years (62.17%). A majority had secondary education (79.46%) and were employed (82.43%), with most residing in urban areas (60.81%). 32.43% had a family history of psychiatric disorders, and 54.05% had chronic medical conditions. The most common sexual dysfunctions were premature ejaculation (43.24%) and erectile dysfunction (20.27%). The WHOQOL-BREF scores revealed significant quality of life impairments in physical, psychological, social, and environmental domains, particularly among those with multiple sexual disorders, such as erectile dysfunction, which severely impacted overall well-being. Conclusion: This study reveals a high prevalence of sexual dysfunction, especially premature ejaculation and erectile dysfunction, among male patients at a psychiatric sex clinic in Bangladesh. Co-occurring disorders impair quality of life, highlighting the need for integrated, culturally sensitive approaches to care, awareness, and improved healthcare access.