[Sexual problems in schizophrenic patients treated by ambulatory care]

Two groups comparable in age of 20 male and 20 female schizophrenics, all under neuroleptic treatment, were asked by way of questionnaire about their attitude towards sexuality, their sexuality, their sexual behaviour and their sexual difficulties. Sexuality was considered to be an important aspect of a person's life. More than one third of the patients indicated regular sexual contacts. In the group of males a high incidence of erectile dysfunctions was apparent, whereas the women showed a prevalence of general sexual dysfunctions. Both sexes indicated an inhibition of sexual desire. The impaired ability for sexual reaction and experience was felt partly to be positive, partly negative. Etiologically such disorders are caused by the side effects of the neuroleptic treatment, as well as by a disturbed capacity for interpersonal relationships. In the longterm treatment of schizophrenics, increased attention should be paid to sexual counselling.