Medical Alcohol and Drug Abuse: Causes of Sexual Dysfunction

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Sexual dysfunction can be significantly influenced by alcohol and drug abuse, particularly through the effects of substances like barbiturates and narcotics. These substances may disrupt neuronal functions, leading to persistent issues even after cessation. Chronic alcohol consumption can damage the liver, which plays a crucial role in energy storage and blood filtration, ultimately affecting reproductive health. Additionally, antipsychotic medications can contribute to sexual dysfunction by impacting dopamine pathways in the brain, specifically the mesocortical, mesolimbic, and tuberoinfundibular pathways. This interference can lead to hyperprolactinemia, characterized by elevated prolactin levels and reduced libido. While dopamine agonists like bromocriptine may alleviate some symptoms, they can also potentially counteract the therapeutic effects of antipsychotics, complicating treatment options. Not all antipsychotic medications affect the tuberoinfundibular pathway, indicating variability in their impact on sexual function.
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Sexual dyfunction might be cause by alcohol and drug abuse (barbiturates, narcotics)
I guess they give excessive control over the neuronal functions, but I don't see why it just won't get back to normal if long term use of too much alcohol and drugs is applied.
 
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In term of acute, chronic, how can I explain drug abuse to sexual dysfuntion ?
I tried this
"Drinking too much can damage the liver which is where human energy is mostly stored and blood filtering is carried out, leading to debilitating disease affection the reproduction system in general"

:confused:

Thanks
 
Sexual dysfunction can be caused by antipsychotic medication. Such medicines affect the dopamine pathways in the brain. They are the mesocortical, mesolimbic, the negrostriatic and the tuberoinfundibular. The first 2 are thought to be important in medical therapeutic effects of the medicines as they block dopamine receptors. If the fourth is influenced (thrugh blocking the effect of dopamine therein) the pituitary gland produces an excess of prolactin, resulting in lowered libido. The condition is called hyperprolactinemia. Generally it is not treated, though a class of drugs known as dopamine agonists, including bromocriptine and norprolac, could work. One problem could be that because bromocriptine is a D2 agonist, and not selective, it COULD interfere with the action of the antipsychotic medicine, as their value is thught to result from their action on D2 receptors. It should be noted that not all a/p meds effect the tuberoinfundibular pathway of the brain therefore causing lowered libido.
 
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