Compulsive Sexual Behaviours in Women: Key Symptoms, Treatment, and More

Compulsive sexual behaviour disorder (CSBD) is characterised by an inability to control sexual urges despite negative consequences. Women experiencing CSBD do not necessarily engage in sexual activities due to desire but often as a coping mechanism for anxiety or emotional distress. This condition can lead to serious health risks, including sexually transmitted infections (STIs), unwanted pregnancies, and mental health issues such as depression and anxiety.

Dr Mitali Negi, a psychiatrist based in New Delhi, explains, "CSBD in women is often underdiagnosed due to societal stigma and lack of awareness. Many women hesitate to seek help because of shame or fear of judgment. It is crucial to educate both medical professionals and the public on recognising the signs and providing appropriate treatment."

A study published in Sexual Health & Compulsivity highlights that over 7% of Americans report concerns about sexual behaviours they perceive as addictive. The study, led by Joshua B Grubbs from the University of New Mexico, examined how factors like gender, age, sexual orientation, and religious beliefs influence perceptions of compulsive sexual behaviour.

Symptoms of Compulsive Sexual Behaviour

Women experiencing CSBD may exhibit the following symptoms:

• Persistent and intense sexual urges, fantasies, and behaviours that consume significant time.
• An inability to control sexual behaviours despite negative consequences, leading to feelings of guilt or distress.
• Engaging in sexual activities as an escape from stress, loneliness, or anxiety.
• Relationship difficulties due to compulsive sexual behaviours.
• Increased risk of STIs, unwanted pregnancies, and financial or legal issues.

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Treatment Options for Compulsive Sexual Behaviour

• Psychotherapy: Treatment often involves psychotherapy, also known as talk therapy, which helps individuals manage urges and build healthier sexual behaviours.
• Cognitive Behavioural Therapy (CBT): Helps individuals recognise negative thought patterns and develop coping mechanisms.
• Acceptance and Commitment Therapy (ACT): Encourages individuals to accept urges without acting on them, aligning behaviour with core values.
• Mindfulness-Based Therapies: Focus on emotional regulation and reducing anxiety.
• Psychodynamic Psychotherapy: Explores unconscious motivations and emotional triggers behind compulsive behaviours.
• Medications can also play a role in managing CSBD. Some commonly prescribed options include:
• Antidepressants: Used for treating anxiety, depression, and obsessive-compulsive disorder, which often co-exist with CSBD.
• Naltrexone: A medication typically used for alcohol addiction, which may help reduce the pleasure derived from compulsive sexual behaviours.
• Mood Stabilisers: Used primarily for bipolar disorder but may also help control compulsive urges.
• Anti-Androgens: These reduce testosterone levels and may be prescribed in extreme cases where sexual behaviour poses risks to others.

Compulsive sexual behaviour in women remains a complex and often misunderstood condition. While research is still evolving, early intervention, therapy, and support groups can help women regain control over their behaviours.

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