Psychedelics and sexual functioning: a mixed-methods study
Scientific Reports – February 07, 2024
Source: OpenAlex
Summary
Remarkably, psilocybin therapy improved sexual functioning, a key aspect of psychology and psychiatry, unlike the SSRI escitalopram. Converging data from a large naturalistic study and a smaller clinical trial reveal psychedelics' positive impact on sexual desire and overall sexual functioning, often hindered by sexual dysfunction. This work in clinical psychology suggests that neurotransmitter receptor influence on behavior, involving compounds like psilocybin (a chemical synthesis and alkaloid), can enhance pleasure and communication for individuals of any sexual orientation. This opens new avenues in psychedelics and drug studies for wellbeing.
Abstract
Abstract Do psychedelics affect sexual functioning postacutely? Anecdotal and qualitative evidence suggests they do, but this has never been formally tested. While sexual functioning and satisfaction are generally regarded as an important aspect of human wellbeing, sexual dysfunction is a common symptom of mental health disorders. It is also a common side effect of selective serotonin reuptake inhibitors (SSRIs), a first line treatment for depression. The aim of the present paper was to investigate the post-acute effects of psychedelics on self-reported sexual functioning, combining data from two independent studies, one large and naturalistic and the other a smaller but controlled clinical trial. Naturalistic use of psychedelics was associated with improvements in several facets of sexual functioning and satisfaction, including improved pleasure and communication during sex, satisfaction with one’s partner and physical appearance. Convergent results were found in a controlled trial of psilocybin therapy versus an SSRI, escitalopram, for depression. In this trial, patients treated with psilocybin reported positive changes in sexual functioning after treatment, while patients treated with escitalopram did not. Despite focusing on different populations and settings, this is the first research study to quantitively investigate the effects of psychedelics on sexual functioning. Results imply a potential positive effect on post-acute sexual functioning and highlight the need for more research on this.