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Sexual counselling and sexual therapy in chemsex users in an NGO in spain

Published online by Cambridge University Press:  13 August 2021

J. Curto Ramos ,
I. Azqueta ,
M.T. Heredia Soriano ,
J.F. Cabrera Solano  and
L. Ibarguchi
J. Curto Ramos*
Affiliation:
Chemsex Program “sexo, Drogas Y Tú”, Apoyo Positivo, madrid, Spain Mental Health Service, University Hospital La Paz, MADRID, Spain
I. Azqueta
Affiliation:
Chemsex Program “sexo, Drogas Y Tú”, Apoyo Positivo, madrid, Spain
M.T. Heredia Soriano
Affiliation:
Chemsex Program “sexo, Drogas Y Tú”, Apoyo Positivo, madrid, Spain
J.F. Cabrera Solano
Affiliation:
Chemsex Program “sexo, Drogas Y Tú”, Apoyo Positivo, madrid, Spain
L. Ibarguchi
Affiliation:
Chemsex Program “sexo, Drogas Y Tú”, Apoyo Positivo, madrid, Spain
*
*Corresponding author.

Abstract

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Introduction

The intentional use of drugs before or during sexual intercourse (chemsex) is a phenomenon of special importance in the MSM (men who have sex with men) population due to its impact on mental, physical and sexual health. Sexual health issues related to chemsex practice have been described such as difficulties in achieving sober sex, erectile dysfunction or problems with sexual desire.

Objectives

To describe the sexual health interventions (including sexual counselling and sexual therapy) for patients with chemsex practices in the NGO Apoyo Positivo in Madrid. We describe the main sexual problems.

Methods

Descriptive analysis.

Results

The main sexual problems were dissatisfaction in sexual intercourse without substance and difficulties with sexual desire activation (70%); compulsive sexual behaviour (70%), difficulties with sexual orientation and non normative gender expression, difficulties in erection (34%), premature ejaculation (7%) and delayed ejaculation (10%).

Conclusions

Chemsex is a phenomenon that needs a multidisciplinary approach and mental and sexual health must be taken into account. “Sexo, Drogas y Tu” is a model of collaborative approach which is a pioneering intervention developed by an NGO in Spain.

Keywords

chemsexNPSsexuality
Type
Abstract
Information
European Psychiatry , Volume 64 , Special Issue S1: Abstracts of the 29th European Congress of Psychiatry , April 2021 , pp. S552
Creative Commons
Creative Common License - CCCreative Common License - BY
This is an Open Access article, distributed under the terms of the Creative Commons Attribution licence (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted re-use, distribution, and reproduction in any medium, provided the original work is properly cited.
Copyright
© The Author(s), 2021. Published by Cambridge University Press on behalf of the European Psychiatric Association
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